Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Orthopaedic Surgery of the Spine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

7,569Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 80

$285K Total Retail Price of All Prescriptions

Rank: 3 out of 80

679 Patients Receiving at Least One Drug in Part D
48% Patients 65 Years and Older

79% 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

This provider prescribed antipsychotics to at least one but fewer than 11 patients who are 65 and older, so Medicare redacted the exact figure. Comparisons are not shown.

More resources »

Antibiotics

Comparisons are not shown because we do not have exact prescribing data for enough providers in this specialty and state.

73 of this provider’s 679 patients filled at least one prescription for an antibiotic drug.

More resources »

Risky Drugs for Seniors

8% of this provider’s 326 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 14%.

More resources »

Opioids

94% of this provider’s 679 patients filled at least one prescription for an opioid, compared to an average of 59%.

More resources »

Brand Name Drugs *

4% of this provider’s prescriptions were for brand-name drugs, compared to an average of 7%.

* This is an estimate, see our methodology.

Prescription Price

$38 was the average price of a prescription from this provider, compared to $63 among peers.

Prescriptions per Patient

11 is the average number of prescriptions (including refills) per patient, compared to an average of 3.


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

$29.5K

2012

$48.2K

2013

$103K

2014

$285K

2015

Number of Claims

905

2012

1,337

2013

2,825

2014

7,569

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
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

3,886

prescriptions, 51% of all prescriptions

1,536

prescriptions.

552

patients, 81% of all patients

O 1 1
FENTANYL

Treats severe, ongoing pain... +

Treats severe, ongoing pain (during and after surgery, cancer pain) that cannot be controlled with other medicines. Source: National Library of Medicine

578

prescriptions, 8% of all prescriptions

261

prescriptions.

119

patients, 18% of all patients

O 2 8
MORPHINE SULFATE ER

Morphine (extended release)... +

Morphine (extended release) is used to relieve moderate to severe pain. Source: National Library of Medicine

286

prescriptions, 4% of all prescriptions

107

prescriptions.

75

patients, 11% of all patients

O 3 15
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

286

prescriptions, 4% of all prescriptions

68

prescriptions.

102

patients, 15% of all patients

3 7
TRAMADOL HCL

Tramadol is used to relieve... +

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

215

prescriptions, 3% of all prescriptions

105

prescriptions.

80

patients, 12% of all patients

O 5 2
OXYCODONE HCL

Oxycodone is used to reliev... +

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

213

prescriptions, 3% of all prescriptions

46

prescriptions.

45

patients, 7% of all patients

O 6 16
CLONAZEPAM

Treats seizures, panic diso... +

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

168

prescriptions, 2% of all prescriptions

50

prescriptions.

48

patients, 7% of all patients

7 24
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

156

prescriptions, 2% of all prescriptions

30

prescriptions.

55

patients, 8% of all patients

8 25
ALPRAZOLAM

Treats anxiety, panic disor... +

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

153

prescriptions, 2% of all prescriptions

35

prescriptions.

47

patients, 7% of all patients

9 14
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

123

prescriptions, 2% of all prescriptions

81

prescriptions.

30

patients, 4% of all patients

O 10 10
DIAZEPAM

Treats anxiety, muscle spas... +

Treats anxiety, muscle spasms, seizures, and other medical conditions. Source: National Library of Medicine

108

prescriptions, 1% of all prescriptions

42

prescriptions.

45

patients, 7% of all patients

11 20
GABAPENTIN

Treats certain types of sei... +

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

108

prescriptions, 1% of all prescriptions

56

prescriptions.

37

patients, 5% of all patients

11 3
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

104

prescriptions, 1% of all prescriptions

26

prescriptions.

49

patients, 7% of all patients

13 29
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

90

prescriptions, 1% of all prescriptions

11

prescriptions.

31

patients, 5% of all patients

R 14 9
MELOXICAM

Treats symptoms of osteoart... +

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

78

prescriptions, 1% of all prescriptions

30

prescriptions.

36

patients, 5% of all patients

15 4
BUSPIRONE HCL

Buspirone is used to treat ... +

Buspirone is used to treat anxiety disorders or in the short-term treatment of symptoms of anxiety. Source: National Library of Medicine

68

prescriptions, 1% of all prescriptions

11

prescriptions.

41

patients, 6% of all patients

16 31
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

63

prescriptions, 1% of all prescriptions

11

prescriptions.

41

patients, 6% of all patients

R 17 33
CEPHALEXIN

Treats bacterial infections... +

Treats bacterial infections. Source: National Library of Medicine

57

prescriptions, 1% of all prescriptions

28

prescriptions.

47

patients, 7% of all patients

A 18 22
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

53

prescriptions, 1% of all prescriptions

20

prescriptions.

22

patients, 3% of all patients

19 23
BUTRANS 52

prescriptions, 1% of all prescriptions

19

prescriptions.

29

patients, 4% of all patients

O 20 37
ZOLPIDEM TARTRATE

Zolpidem is used to treat i... +

Zolpidem is used to treat insomnia (difficulty falling asleep or staying asleep). Source: National Library of Medicine

50

prescriptions, 1% of all prescriptions

32

prescriptions.

22

patients, 3% of all patients

R 21 38
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 [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected].

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 Dec. 2, 2015.
  • 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.