Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Neurology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

17,325Medicare Part D Prescriptions Filled, Including Refills

Rank: 2 out of 535

$2.93M Total Retail Price of All Prescriptions

Rank: 12 out of 535

1,492 Patients Receiving at Least One Drug in Part D
77% Patients 65 Years and Older

82% Subsidized Claims for Low-Income Patients

How Does This Prescriber Compare to Peers?

In the same specialty and state. Caveats »

Drugs That Present Special Risks
Costs of Prescribing
higher than average Average for
this specialty
in Texas
lower than average

Antipsychotics

9% of this provider’s 1,155 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 5%.

More resources »

Antibiotics

This provider prescribed antibiotics to at least one but fewer than 11 patients, so Medicare redacted the exact figure. Comparisons are not shown.

More resources »

Risky Drugs for Seniors

9% of this provider’s 1,155 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

This provider prescribed opioids to at least one but fewer than 11 patients, so Medicare redacted the exact figure. Comparisons are not shown.

More resources »

Brand Name Drugs

30% of this provider’s prescriptions were for brand-name drugs, compared to an average of 22%.

Prescription Price

$169 was the average price of a prescription from this provider, compared to $328 among peers.

Prescriptions per Patient

12 is the average number of prescriptions (including refills) per patient, compared to an average of 8.


How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all patients.

This Provider's History

A comparison of this provider’s prescribing in Part D since 2012. All years may not be shown if there is insufficient data.

Cost of Claims

$2.87M

2012

$3.18M

2013

$2.83M

2014

$2.93M

2015

Number of Claims

22,365

2012

23,891

2013

19,069

2014

17,325

2015

This Prescriber's Drugs

The table below list this provider’s drugs, the number of prescriptions and how many went to seniors. Drugs are ranked by volume and compared with the rank for all providers in the same specialty and state. The list below includes only those drugs for which this provider wrote 50 or more prescriptions.

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O

An opioid drug. More » Prescription opioids (painkillers) can help alleviate certain kinds of pain in the short term but carry serious health risks.

A

An antibiotic drug. More » Used to treat bacterial infections but are often prescribed incorrectly to treat viral infections, such as chest colds or the flu.

P

An antipsychotic drug. More » Antipsychotics are frequently given to dementia patients, though it increases their risk of death.

R

A risky drug for seniors. More » The American Geriatrics Society has said this drug is "potentially dangerous" for seniors and might be inappropriate.

10

This provider is among the top 10 prescribers of this drug in the country.

This provider’s prescriptions for this drug were for more days than those of peers. More » Because of this, his or her prescription count may be lower.

This provider’s prescriptions for this drug were for fewer days than those of peers. More » Because of this, his or her prescription count may be higher.

This Drug's Rank
Drug Name Total Prescriptions Filled with Refills Prescriptions
to 65+
Patients Receiving this Drug Category For this Prescriber For this Prescriber's Peers
NAMENDA XR

Used to treat the symptoms ... +

Used to treat the symptoms of Alzheimer's disease. Source: National Library of Medicine

1,581

prescriptions, 9% of all prescriptions

1,473

prescriptions.

303

patients, 20% of all patients

1 5
LEVETIRACETAM

Used to help control certai... +

Used to help control certain types of seizures caused by epilepsy. Source: National Library of Medicine

1,135

prescriptions, 7% of all prescriptions

541

prescriptions.

201

patients, 13% of all patients

2 4
NAMENDA

Treats dementia (memory los... +

Treats dementia (memory loss and mental changes) that is a sign of Alzheimer's disease. Source: National Library of Medicine

839

prescriptions, 5% of all prescriptions

766

prescriptions.

264

patients, 18% of all patients

3 15
CARBIDOPA-LEVODOPA

The combination of levodopa... +

The combination of levodopa and carbidopa is used to treat the symptoms of Parkinson's disease and Parkinson's-like symptoms that may develop after encephalitis (swelling of the brain) or injury to the nervous system caused by carbon monoxide poisoning or manganese poisoning. Source: National Library of Medicine

827

prescriptions, 5% of all prescriptions

804

prescriptions.

160

patients, 11% of all patients

4 3
DONEPEZIL HCL

Donepezil is used to treat ... +

Donepezil is used to treat dementia (a brain disorder that affects the ability to remember, think clearly, communicate, and perform daily activities and may cause changes in mood and personality) associated with Alzheimer's disease (AD; a brain disease that slowly destroys the memory and the ability to think, learn, communicate and handle daily activities). Source: National Library of Medicine

811

prescriptions, 5% of all prescriptions

768

prescriptions.

168

patients, 11% of all patients

5 2
PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

779

prescriptions, 4% of all prescriptions

688

prescriptions.

152

patients, 10% of all patients

10 6 8
AZILECT

Used alone or together with... +

Used alone or together with levodopa for the treatment of Parkinson's disease. Source: National Library of Medicine

677

prescriptions, 4% of all prescriptions

662

prescriptions.

115

patients, 8% of all patients

10 7 13
ZONISAMIDE

Treats partial seizures in ... +

Treats partial seizures in adults with epilepsy. Source: National Library of Medicine

582

prescriptions, 3% of all prescriptions

274

prescriptions.

139

patients, 9% of all patients

10 8 31
CLOPIDOGREL

Helps prevent stroke, heart... +

Helps prevent stroke, heart attack, and other heart problems. Source: National Library of Medicine

546

prescriptions, 3% of all prescriptions

420

prescriptions.

135

patients, 9% of all patients

9 19
EXELON

Rivastigmine is used to tre... +

Rivastigmine is used to treat mild to moderate dementia (memory loss) associated with Alzheimer's disease or Parkinson's disease. Source: National Library of Medicine

540

prescriptions, 3% of all prescriptions

514

prescriptions.

124

patients, 8% of all patients

10 17
ROPINIROLE HCL

Ropinirole is used alone or... +

Ropinirole is used alone or with other medications to treat the symptoms of Parkinson's disease (PD; a disorder of the nervous system that causes difficulties with movement, muscle control, and balance), including shaking of parts of the body, stiffness, slowed movements, and problems with balance. Source: National Library of Medicine

522

prescriptions, 3% of all prescriptions

465

prescriptions.

107

patients, 7% of all patients

11 18
ZIPRASIDONE HCL

Used to treat the symptoms ... +

Used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions). Source: National Library of Medicine

466

prescriptions, 3% of all prescriptions

461

prescriptions.

96

patients, 6% of all patients

P 12 101
OXCARBAZEPINE

Used alone or together with... +

Used alone or together with other medicines to treat seizures caused by epilepsy in adults and children 2 years of age and older. Source: National Library of Medicine

426

prescriptions, 2% of all prescriptions

284

prescriptions.

124

patients, 8% of all patients

13 32
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

Amitriptyline is used to treat symptoms of depression. Source: National Library of Medicine

416

prescriptions, 2% of all prescriptions

200

prescriptions.

95

patients, 6% of all patients

R 14 20
LAMOTRIGINE

Treats certain types of sei... +

Treats certain types of seizures and mood disorders. Source: National Library of Medicine

414

prescriptions, 2% of all prescriptions

186

prescriptions.

73

patients, 5% of all patients

15 12
MEMANTINE HCL

Treats moderate to severe ... +

Treats moderate to severe Alzheimer's disease. Source: National Library of Medicine

391

prescriptions, 2% of all prescriptions

348

prescriptions.

154

patients, 10% of all patients

16 37
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Source: National Library of Medicine

345

prescriptions, 2% of all prescriptions

189

prescriptions.

86

patients, 6% of all patients

17 34
TOPIRAMATE

Helps control and prevent c... +

Helps control and prevent certain kinds of seizures. Source: National Library of Medicine

333

prescriptions, 2% of all prescriptions

134

prescriptions.

67

patients, 4% of all patients

18 6
MECLIZINE HCL

Meclizine is used to preven... +

Meclizine is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. Source: National Library of Medicine

281

prescriptions, 2% of all prescriptions

237

prescriptions.

77

patients, 5% of all patients

19 89
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Source: National Library of Medicine

253

prescriptions, 1% of all prescriptions

179

prescriptions.

64

patients, 4% of all patients

20 41
TIZANIDINE HCL

Tizanidine is used to relie... +

Tizanidine is used to relieve the spasms and increased muscle tone caused by multiple sclerosis (MS, a disease in which the nerves do not function properly and patients may experience weakness, numbness, loss of muscle coordination and problems with vision, speech, and bladder control), stroke, or brain or spinal injury. Source: National Library of Medicine

252

prescriptions, 1% of all prescriptions

120

prescriptions.

70

patients, 5% of all patients

21 27
GABAPENTIN

Treats certain types of sei... +

Treats certain types of seizures. Source: National Library of Medicine

244

prescriptions, 1% of all prescriptions

182

prescriptions.

57

patients, 4% of all patients

22 1
PRAMIPEXOLE DIHYDROCHLORIDE

Pramipexole is used alone o... +

Pramipexole is used alone or with other medications to treat the symptoms of Parkinson's disease (PD; a disorder of the nervous system that causes difficulties with movement, muscle control, and balance), including shaking of parts of the body, stiffness, slowed movements, and problems with balance. Source: National Library of Medicine

236

prescriptions, 1% of all prescriptions

221

prescriptions.

41

patients, 3% of all patients

23 14
CLONAZEPAM

Treats seizures, panic diso... +

Treats seizures, panic disorder, and anxiety. Source: National Library of Medicine

231

prescriptions, 1% of all prescriptions

156

prescriptions.

37

patients, 2% of all patients

24 7
ESCITALOPRAM OXALATE

Escitalopram is used to tre... +

Escitalopram is used to treat depression and generalized anxiety disorder (excessive worry and tension that disrupts daily life and lasts for 6 months or longer). Source: National Library of Medicine

225

prescriptions, 1% of all prescriptions

189

prescriptions.

38

patients, 3% of all patients

25 24
VIMPAT

Used to control partial sei... +

Used to control partial seizures (convulsions) in the treatment of epilepsy. Source: National Library of Medicine

200

prescriptions, 1% of all prescriptions

42

prescriptions.

30

patients, 2% of all patients

26 22
CARBAMAZEPINE

Treats different types of s... +

Treats different types of seizures. Source: National Library of Medicine

187

prescriptions, 1% of all prescriptions

96

prescriptions.

35

patients, 2% of all patients

27 40
CARBIDOPA-LEVODOPA-ENTACAPONE 156

prescriptions, 1% of all prescriptions

137

prescriptions.

23

patients, 2% of all patients

28 44
PHENYTOIN SODIUM EXTENDED

Phenytoin is used to contro... +

Phenytoin is used to control certain type of seizures, and to treat and prevent seizures that may begin during or after surgery to the brain or nervous system. Source: National Library of Medicine

154

prescriptions, 1% of all prescriptions

94

prescriptions.

43

patients, 3% of all patients

29 28
CYCLOBENZAPRINE HCL

Cyclobenzaprine, a muscle r... +

Cyclobenzaprine, a muscle relaxant, is used with rest, physical therapy, and other measures to relax muscles and relieve pain and discomfort caused by strains, sprains, and other muscle injuries. Source: National Library of Medicine

125

prescriptions, 1% of all prescriptions

32

prescriptions.

42

patients, 3% of all patients

R 30 57
RIVASTIGMINE*

Used to treat mild to moder... +

Used to treat mild to moderate dementia (memory loss and mental changes) associated with Alzheimer's disease or Parkinson's disease. Source: National Library of Medicine

120

prescriptions, 1% of all prescriptions

115

prescriptions.

30

patients, 2% of all patients

31 65
ALPRAZOLAM

Treats anxiety, panic disor... +

Treats anxiety, panic disorder, insomnia (trouble sleeping), and anxiety caused by depression. Source: National Library of Medicine

120

prescriptions, 1% of all prescriptions

77

prescriptions.

23

patients, 2% of all patients

31 23
LYRICA

Treats nerve and muscle pai... +

Treats nerve and muscle pain caused by diabetes, shingles, fibromyalgia, or a spinal cord injury. Source: National Library of Medicine

112

prescriptions, 1% of all prescriptions

62

prescriptions.

24

patients, 2% of all patients

33 10
PROPRANOLOL HCL

Propranolol is used to trea... +

Propranolol is used to treat high blood pressure, abnormal heart rhythms, heart disease, pheochromocytoma (tumor on a small gland near the kidneys), and certain types of tremor. Source: National Library of Medicine

110

prescriptions, 1% of all prescriptions

87

prescriptions.

27

patients, 2% of all patients

34 42
PHENOBARBITAL

Used to control seizures. P... +

Used to control seizures. Source: National Library of Medicine

108

prescriptions, 1% of all prescriptions

14

prescriptions.

14

patients, 1% of all patients

R 35 53
PYRIDOSTIGMINE BROMIDE 107

prescriptions, 1% of all prescriptions

73

prescriptions.

20

patients, 1% of all patients

36 47
MIDODRINE HCL

Midodrine hydrochloride tab... +

Midodrine hydrochloride tablets are indicated for the treatment of symptomatic orthostatic hypotension. Source: National Library of Medicine

97

prescriptions, 1% of all prescriptions

92

prescriptions.

28

patients, 2% of all patients

37 185
DULOXETINE HCL

Duloxetine is used to treat... +

Duloxetine is used to treat depression and generalized anxiety disorder (GAD; excessive worry and tension that disrupts daily life and lasts for 6 months or longer). Source: National Library of Medicine

88

prescriptions, 1% of all prescriptions

64

prescriptions.

18

patients, 1% of all patients

38 11
BACLOFEN

Treats muscle spasms caused... +

Treats muscle spasms caused by multiple sclerosis and spinal cord injury or disease. Source: National Library of Medicine

88

prescriptions, 1% of all prescriptions

26

prescriptions.

17

patients, 1% of all patients

38 25
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

Nortriptyline is used to treat depression. Source: National Library of Medicine

86

prescriptions, 0% of all prescriptions

68

prescriptions.

27

patients, 2% of all patients

40 36
ENTACAPONE 76

prescriptions, 0% of all prescriptions

71

prescriptions.

18

patients, 1% of all patients

41 65
DICLOFENAC SODIUM

Diclofenac is used to relie... +

Diclofenac is used to relieve pain, tenderness, swelling, and stiffness caused by osteoarthritis (arthritis caused by a breakdown of the lining of the joints), rheumatoid arthritis (arthritis caused by swelling of the lining of the joints), and ankylosing spondylitis (arthritis that mainly affects the spine). Source: National Library of Medicine

69

prescriptions, 0% of all prescriptions

21

prescriptions.

23

patients, 2% of all patients

42 88
NUEDEXTA

Used to treat pseudobulbar ... +

Used to treat pseudobulbar affect (PBA; a condition of sudden, frequent outbursts of crying or laughing that can not be controlled) in people with certain conditions such as amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease; condition in which the nerves that control muscle movement slowly die, causing the muscles to shrink and weaken) or multiple sclerosis (a disease in which the nerves do not function properly and patients may experience weakness, numbness, loss of muscle coordination and problems with vision, speech, and bladder control). Source: National Library of Medicine

69

prescriptions, 0% of all prescriptions

54

prescriptions.

11

patients, 1% of all patients

42 81
RIVASTIGMINE* 58

prescriptions, 0% of all prescriptions

53

prescriptions.

30

patients, 2% of all patients

44 150
CARBAMAZEPINE ER

Treats certain types of se... +

Treats certain types of seizures (epilepsy). Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

22

prescriptions.

<11 45 55
RISPERIDONE

Treats schizophrenia and ce... +

Treats schizophrenia and certain problems caused by bipolar disorder. Source: National Library of Medicine

54

prescriptions, 0% of all prescriptions

49

prescriptions.

<11 P 46 63
AMANTADINE

Treats or prevents the flu ... +

Treats or prevents the flu (influenza type A). Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

53

prescriptions.

17

patients, 1% of all patients

47 35
About This Data

Prescribing data from Medicare’s prescription drug benefit, known as Part D, was compiled and released by the Centers for Medicare and Medicaid Services, the federal agency that oversees the program. The data for 2015 includes more than 1.4 billion prescriptions written by nearly 1.4 million doctors, nurses and other providers. This database lists about 447,000 of those providers who wrote 50 or more prescriptions for at least one drug that year. More than three-fourths of these prescriptions went to patients 65 and older; the rest were for disabled patients. Methodology »

Incorrect Info?

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Caveats
  • No comparisons are shown if there are fewer than 20 prescribers in the state share this specialty.
  • Comparisons do not take into account the medical conditions of patients. Medications for certain conditions do not have generic alternatives, so patients would receive more expensive brand name drugs.
  • This provider's address and specialty information was last updated on Jan. 19, 2017.
  • Comparisons are based on each provider’s current address, not necessarily where he or she worked during the time period covered in this database.
  • In rare circumstances, providers' prescription tallies may be inflated. Sometimes providers are credited with prescriptions written by colleagues (this happens in long-term care facilities) or are victims of fraud involving theft of their provider number.