Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Geriatric Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

13,925Medicare Part D Prescriptions Filled, Including Refills

Rank: 14 out of 80

$799K Total Retail Price of All Prescriptions

Rank: 17 out of 80

361 Patients Receiving at Least One Drug in Part D
91% Patients 65 Years and Older

80% 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

18% of this provider’s 329 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 13%.

More resources »

Antibiotics

39% of this provider’s 361 patients filled at least one prescription for an antibiotic drug, compared to an average of 32%.

More resources »

Risky Drugs for Seniors

25% of this provider’s 329 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 15%.

More resources »

Opioids

33% of this provider’s 361 patients filled at least one prescription for an opioid, compared to an average of 25%.

More resources »

Brand Name Drugs

25% of this provider’s prescriptions were for brand-name drugs, compared to an average of 22%.

Prescription Price

$57 was the average price of a prescription from this provider, compared to $64 among peers.

Prescriptions per Patient

39 is the average number of prescriptions (including refills) per patient, compared to an average of 22.


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

$1.02M

2012

$1.05M

2013

$1.05M

2014

$799K

2015

Number of Claims

18,231

2012

22,111

2013

18,823

2014

13,925

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
FUROSEMIDE

Treats fluid retention (ede... +

Treats fluid retention (edema) and high blood pressure (hypertension). Source: National Library of Medicine

678

prescriptions, 5% of all prescriptions

633

prescriptions.

110

patients, 30% of all patients

1 2
LEVOTHYROXINE SODIUM

Levothyroxine, a thyroid ho... +

Levothyroxine, a thyroid hormone, is used to treat hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormone. Source: National Library of Medicine

606

prescriptions, 4% of all prescriptions

553

prescriptions.

93

patients, 26% of all patients

2 1
POTASSIUM CHLORIDE

Potassium is needed to main... +

Potassium is needed to maintain good health. Source: National Library of Medicine

422

prescriptions, 3% of all prescriptions

389

prescriptions.

76

patients, 21% of all patients

3 5
AMLODIPINE BESYLATE

Amlodipine is used alone or... +

Amlodipine is used alone or in combination with other medications to treat high blood pressure and chest pain (angina). Source: National Library of Medicine

388

prescriptions, 3% of all prescriptions

360

prescriptions.

68

patients, 19% of all patients

4 4
LISINOPRIL

Treats high blood pressure ... +

Treats high blood pressure and heart failure. Source: National Library of Medicine

357

prescriptions, 3% of all prescriptions

352

prescriptions.

65

patients, 18% of all patients

5 3
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels. Source: National Library of Medicine

333

prescriptions, 2% of all prescriptions

312

prescriptions.

62

patients, 17% of all patients

6 6
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

298

prescriptions, 2% of all prescriptions

269

prescriptions.

54

patients, 15% of all patients

7 16
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

276

prescriptions, 2% of all prescriptions

262

prescriptions.

33

patients, 9% of all patients

8 29
METFORMIN HCL

Metformin is used alone or ... +

Metformin is used alone or with other medications, including insulin, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Source: National Library of Medicine

259

prescriptions, 2% of all prescriptions

239

prescriptions.

53

patients, 15% of all patients

9 14
METOPROLOL TARTRATE

Metoprolol is used alone or... +

Metoprolol is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

251

prescriptions, 2% of all prescriptions

233

prescriptions.

50

patients, 14% of all patients

10 10
SERTRALINE HCL

Sertraline is used to treat... +

Sertraline is used to treat depression, obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks), posttraumatic stress disorder (disturbing psychological symptoms that develop after a frightening experience), and social anxiety disorder (extreme fear of interacting with others or performing in front of others that interferes with normal life). Source: National Library of Medicine

249

prescriptions, 2% of all prescriptions

200

prescriptions.

46

patients, 13% of all patients

11 17
NAMENDA XR

Used to treat the symptoms ... +

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

239

prescriptions, 2% of all prescriptions

239

prescriptions.

14

patients, 4% of all patients

12 15
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

230

prescriptions, 2% of all prescriptions

225

prescriptions.

40

patients, 11% of all patients

13 7
QUETIAPINE FUMARATE

Quetiapine is used to treat... +

Quetiapine is 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

224

prescriptions, 2% of all prescriptions

200

prescriptions.

36

patients, 10% of all patients

P 14 18
TRAMADOL HCL

Tramadol is used to relieve... +

Tramadol is used to relieve moderate to moderately severe pain. Source: National Library of Medicine

199

prescriptions, 1% of all prescriptions

180

prescriptions.

63

patients, 17% of all patients

O 15 12
SIMVASTATIN

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels in the blood. Source: National Library of Medicine

193

prescriptions, 1% of all prescriptions

179

prescriptions.

42

patients, 12% of all patients

16 8
PRAVASTATIN SODIUM

Pravastatin is used with di... +

Pravastatin is used with diet, weight-loss, and exercise to reduce the risk of heart attack and stroke and to decrease the chance that heart surgery will be needed in people who have heart disease or who are at risk of developing heart disease. Source: National Library of Medicine

171

prescriptions, 1% of all prescriptions

171

prescriptions.

33

patients, 9% of all patients

17 33
CARVEDILOL

Treats high blood pressure ... +

Treats high blood pressure and congestive heart failure (CHF). Source: National Library of Medicine

161

prescriptions, 1% of all prescriptions

145

prescriptions.

26

patients, 7% of all patients

18 21
RANITIDINE HCL

Ranitidine is used to treat... +

Ranitidine is used to treat ulcers; gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and injury of the food pipe (esophagus); and conditions where the stomach produces too much acid, such as Zollinger-Ellison syndrome. Source: National Library of Medicine

161

prescriptions, 1% of all prescriptions

132

prescriptions.

29

patients, 8% of all patients

18 40
CLOPIDOGREL

Helps prevent stroke, heart... +

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

156

prescriptions, 1% of all prescriptions

151

prescriptions.

20

patients, 6% of all patients

20 23
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

Used to relieve moderate to severe pain. Source: National Library of Medicine

156

prescriptions, 1% of all prescriptions

141

prescriptions.

43

patients, 12% of all patients

O 20 13
METOPROLOL SUCCINATE

Metoprolol is used alone or... +

Metoprolol is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

150

prescriptions, 1% of all prescriptions

139

prescriptions.

31

patients, 9% of all patients

22 24
GABAPENTIN

Treats certain types of sei... +

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

143

prescriptions, 1% of all prescriptions

117

prescriptions.

33

patients, 9% of all patients

23 9
MEMANTINE HCL

Treats moderate to severe ... +

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

142

prescriptions, 1% of all prescriptions

142

prescriptions.

18

patients, 5% of all patients

24 49
CITALOPRAM HBR

Citalopram is used to treat... +

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

131

prescriptions, 1% of all prescriptions

126

prescriptions.

25

patients, 7% of all patients

25 27
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

129

prescriptions, 1% of all prescriptions

124

prescriptions.

34

patients, 9% of all patients

26 73
ALPRAZOLAM

Treats anxiety, panic disor... +

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

124

prescriptions, 1% of all prescriptions

119

prescriptions.

31

patients, 9% of all patients

27 34
WARFARIN SODIUM

Warfarin is used to prevent... +

Warfarin is used to prevent blood clots from forming or growing larger in your blood and blood vessels. Source: National Library of Medicine

122

prescriptions, 1% of all prescriptions

99

prescriptions.

16

patients, 4% of all patients

28 26
LORAZEPAM

Treats anxiety, anxiety wit... +

Treats anxiety, anxiety with depression, and insomnia (trouble sleeping). Source: National Library of Medicine

121

prescriptions, 1% of all prescriptions

76

prescriptions.

41

patients, 11% of all patients

29 30
TAMSULOSIN HCL

Tamsulosin is used in men t... +

Tamsulosin is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia or BPH) which include difficulty urinating (hesitation, dribbling, weak stream, and incomplete bladder emptying), painful urination, and urinary frequency and urgency. Source: National Library of Medicine

120

prescriptions, 1% of all prescriptions

115

prescriptions.

22

patients, 6% of all patients

30 31
OMEPRAZOLE

Treats heartburn, stomach u... +

Treats heartburn, stomach ulcers, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid, such as Zollinger-Ellison syndrome, endocrine tumors, and systemic mastocytosis. Source: National Library of Medicine

112

prescriptions, 1% of all prescriptions

92

prescriptions.

35

patients, 10% of all patients

31 11
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

111

prescriptions, 1% of all prescriptions

89

prescriptions.

23

patients, 6% of all patients

32 35
AMITIZA

Treats certain types of lon... +

Treats certain types of long-term constipation by helping you have a bowel movement. Source: National Library of Medicine

110

prescriptions, 1% of all prescriptions

110

prescriptions.

<11 33 133
PREDNISONE

Treats inflammation (swelli... +

Treats inflammation (swelling), severe allergies, complications of chronic illnesses, and other medical problems. Source: National Library of Medicine

97

prescriptions, 1% of all prescriptions

92

prescriptions.

42

patients, 12% of all patients

34 45
ALLOPURINOL

Treats gout and some kinds ... +

Treats gout and some kinds of kidney stones. Source: National Library of Medicine

97

prescriptions, 1% of all prescriptions

92

prescriptions.

18

patients, 5% of all patients

34 57
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

97

prescriptions, 1% of all prescriptions

92

prescriptions.

18

patients, 5% of all patients

34 22
MELOXICAM

Treats symptoms of osteoart... +

Treats symptoms of osteoarthritis (OA). Source: National Library of Medicine

92

prescriptions, 1% of all prescriptions

92

prescriptions.

27

patients, 7% of all patients

37 41
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

92

prescriptions, 1% of all prescriptions

87

prescriptions.

20

patients, 6% of all patients

37 78
IPRATROPIUM-ALBUTEROL

The combination of albutero... +

The combination of albuterol and ipratropium is used to prevent wheezing, difficulty breathing, chest tightness, and coughing in people with chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways) such as chronic bronchitis (swelling of the air passages that lead to the lungs) and emphysema (damage to the air sacs in the lungs). Source: National Library of Medicine

91

prescriptions, 1% of all prescriptions

86

prescriptions.

43

patients, 12% of all patients

39 44
TRAZODONE HCL

Trazodone is used to treat ... +

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

90

prescriptions, 1% of all prescriptions

69

prescriptions.

22

patients, 6% of all patients

40 20
RISPERIDONE

Treats schizophrenia and ce... +

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

89

prescriptions, 1% of all prescriptions

71

prescriptions.

14

patients, 4% of all patients

P 41 38
KLOR-CON M10

Potassium is essential for ... +

Potassium is essential for the proper functioning of the heart, kidneys, muscles, nerves, and digestive system. Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

74

prescriptions.

11

patients, 3% of all patients

42 114
LEVETIRACETAM

Used to help control certai... +

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

78

prescriptions, 1% of all prescriptions

73

prescriptions.

13

patients, 4% of all patients

43 39
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

This combination of drugs is used to relieve mild to moderate pain. Source: National Library of Medicine

73

prescriptions, 1% of all prescriptions

68

prescriptions.

28

patients, 8% of all patients

O 44 37
POLYETHYLENE GLYCOL 3350

Treats occasional constipat... +

Treats occasional constipation. Source: National Library of Medicine

68

prescriptions, 0% of all prescriptions

48

prescriptions.

20

patients, 6% of all patients

45 46
XARELTO

Used to treat deep vein thr... +

Used to treat deep vein thrombosis (DVT; a blood clot, usually in the leg) and pulmonary embolism (PE; a blood clot in the lung). Source: National Library of Medicine

66

prescriptions, 0% of all prescriptions

61

prescriptions.

<11 46 56
PANTOPRAZOLE SODIUM

Pantoprazole is used to tre... +

Pantoprazole is used to treat gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and possible injury of the esophagus (the tube between the throat and stomach). Source: National Library of Medicine

66

prescriptions, 0% of all prescriptions

66

prescriptions.

13

patients, 4% of all patients

46 19
NEXIUM

Treats heartburn, gastroeso... +

Treats heartburn, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid. Source: National Library of Medicine

64

prescriptions, 0% of all prescriptions

50

prescriptions.

<11 48 64
LEVEMIR

Helps control blood sugar l... +

Helps control blood sugar levels. Source: National Library of Medicine

64

prescriptions, 0% of all prescriptions

64

prescriptions.

<11 48 86
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

64

prescriptions, 0% of all prescriptions

59

prescriptions.

<11 48 55
FINASTERIDE

Treats an enlarged prostate... +

Treats an enlarged prostate (benign prostatic hyperplasia or BPH) in men and causes hair growth in male pattern baldness. Source: National Library of Medicine

63

prescriptions, 0% of all prescriptions

63

prescriptions.

<11 51 77
LEVEMIR FLEXTOUCH

Used to treat type 1 diabet... +

Used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). Source: National Library of Medicine

62

prescriptions, 0% of all prescriptions

62

prescriptions.

<11 52 92
TEMAZEPAM

Treats insomnia (trouble sl... +

Treats insomnia (trouble sleeping). Source: National Library of Medicine

62

prescriptions, 0% of all prescriptions

62

prescriptions.

12

patients, 3% of all patients

52 80
AZITHROMYCIN

Treats infections caused by... +

Treats infections caused by certain bacteria. Source: National Library of Medicine

61

prescriptions, 0% of all prescriptions

56

prescriptions.

49

patients, 14% of all patients

A 54 70
LAMOTRIGINE

Treats certain types of sei... +

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

59

prescriptions, 0% of all prescriptions

38

prescriptions.

12

patients, 3% of all patients

55 201
FLUOXETINE HCL

Fluoxetine is used to treat... +

Fluoxetine is used to treat depression, obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), some eating disorders, and panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks). Source: National Library of Medicine

58

prescriptions, 0% of all prescriptions

47

prescriptions.

<11 56 71
SPIRONOLACTONE

Treats fluid retention (ede... +

Treats fluid retention (edema) in patients with congestive heart failure, liver cirrhosis, or nephrotic syndrome. Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

57

prescriptions.

11

patients, 3% of all patients

57 62
LEVOFLOXACIN

Levofloxacin is used to tre... +

Levofloxacin is used to treat certain infections such as pneumonia, chronic bronchitis and sinus, urinary tract, kidney, prostate (a male reproductive gland), and skin infections. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

51

prescriptions.

37

patients, 10% of all patients

A 58 54
NOVOLIN R

Treats diabetes mellitus. +

Treats diabetes mellitus. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

56

prescriptions.

12

patients, 3% of all patients

58 103
ISOSORBIDE MONONITRATE ER

Isosorbide mononitrate is u... +

Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). Source: National Library of Medicine

54

prescriptions, 0% of all prescriptions

54

prescriptions.

11

patients, 3% of all patients

60 66
LOVASTATIN

Lowers high cholesterol and... +

Lowers high cholesterol and triglyceride levels in the blood. Source: National Library of Medicine

54

prescriptions, 0% of all prescriptions

49

prescriptions.

12

patients, 3% of all patients

60 141
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

53

prescriptions, 0% of all prescriptions

48

prescriptions.

<11 62 63
DIGOX

Digox (digoxin) is used to ... +

Digox (digoxin) is used to treat heart failure and abnormal heart rhythms (arrhythmias). Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

40

prescriptions.

<11 R 63 122
HYDROCHLOROTHIAZIDE

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure and fluid retention (edema). Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

35

prescriptions.

11

patients, 3% of all patients

63 28
ABILIFY

Treats schizophrenia, bipol... +

Treats schizophrenia, bipolar disorder, and depression. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

51

prescriptions.

<11 P 65 87
FAMOTIDINE*

Treats ulcers, gastroesopha... +

Treats ulcers, gastroesophageal reflux disease (GERD), and conditions that cause the stomach to produce too much stomach acid. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

51

prescriptions.

<11 65 42
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

Treating infections caused by certain bacteria. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

36

prescriptions.

31

patients, 9% of all patients

A 67 99
NIFEDIPINE ER

Used for the treatment of v... +

Used for the treatment of vasospastic angina, chronic stable angina and hypertension. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

50

prescriptions.

<11 67 125
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?

If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org.

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 July 9, 2007.
  • 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.