Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Family Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

12,619Medicare Part D Prescriptions Filled, Including Refills

Rank: 414 out of 4892

$1.62M Total Retail Price of All Prescriptions

Rank: 66 out of 4892

302 Patients Receiving at Least One Drug in Part D
46% Patients 65 Years and Older

76% 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

11% of this provider’s 140 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 2%.

More resources »

Antibiotics

54% of this provider’s 302 patients filled at least one prescription for an antibiotic drug, compared to an average of 33%.

More resources »

Risky Drugs for Seniors

21% of this provider’s 140 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 13%.

More resources »

Opioids

71% of this provider’s 302 patients filled at least one prescription for an opioid, compared to an average of 18%.

More resources »

Brand Name Drugs

19% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

Prescription Price

$128 was the average price of a prescription from this provider, compared to $67 among peers.

Prescriptions per Patient

42 is the average number of prescriptions (including refills) per patient, compared to an average of 15.


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

$211K

2012

$1.03M

2013

$1.32M

2014

$1.62M

2015

Number of Claims

2,826

2012

8,384

2013

10,933

2014

12,619

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

1,030

prescriptions, 8% of all prescriptions

386

prescriptions.

142

patients, 47% of all patients

O 1 9
GABAPENTIN

Treats certain types of sei... +

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

488

prescriptions, 4% of all prescriptions

193

prescriptions.

95

patients, 31% of all patients

2 10
OXYCODONE HCL

Oxycodone is used to reliev... +

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

412

prescriptions, 3% of all prescriptions

61

prescriptions.

58

patients, 19% of all patients

O 3 180
CARISOPRODOL

Treats pain and stiffness o... +

Treats pain and stiffness of muscle spasms. Source: National Library of Medicine

386

prescriptions, 3% of all prescriptions

42

prescriptions.

65

patients, 22% of all patients

R 4 150
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

346

prescriptions, 3% of all prescriptions

210

prescriptions.

64

patients, 21% of all patients

5 3
ALPRAZOLAM

Treats anxiety, panic disor... +

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

273

prescriptions, 2% of all prescriptions

92

prescriptions.

43

patients, 14% of all patients

6 18
DEXTROAMPHETAMINE-AMPHETAMINE

The combination is used as ... +

The combination is used as part of a treatment program to control symptoms of attention deficit hyperactivity disorder (ADHD) in adults and children. Source: National Library of Medicine

270

prescriptions, 2% of all prescriptions

45

prescriptions.

45

patients, 15% of all patients

7 233
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

242

prescriptions, 2% of all prescriptions

169

prescriptions.

38

patients, 13% of all patients

8 1
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

229

prescriptions, 2% of all prescriptions

130

prescriptions.

38

patients, 13% of all patients

9 6
CLONAZEPAM

Treats seizures, panic diso... +

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

188

prescriptions, 1% of all prescriptions

19

prescriptions.

34

patients, 11% of all patients

10 47
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

184

prescriptions, 1% of all prescriptions

118

prescriptions.

31

patients, 10% of all patients

11 7
LISINOPRIL

Treats high blood pressure ... +

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

176

prescriptions, 1% of all prescriptions

73

prescriptions.

38

patients, 13% of all patients

12 2
TRAMADOL HCL

Tramadol is used to relieve... +

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

172

prescriptions, 1% of all prescriptions

75

prescriptions.

32

patients, 11% of all patients

O 13 11
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

166

prescriptions, 1% of all prescriptions

32

prescriptions.

29

patients, 10% of all patients

P 14 58
RAMIPRIL

Treats high blood pressure ... +

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

159

prescriptions, 1% of all prescriptions

67

prescriptions.

28

patients, 9% of all patients

15 96
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

154

prescriptions, 1% of all prescriptions

51

prescriptions.

28

patients, 9% of all patients

O 16 179
DICLOFENAC POTASSIUM

Diclofenac is a nonsteroida... +

Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID) used to treat mild-to-moderate pain, and helps to relieve symptoms of arthritis (eg, osteoarthritis or rheumatoid arthritis), such as inflammation, swelling, stiffness, and joint pain. Source: National Library of Medicine

143

prescriptions, 1% of all prescriptions

78

prescriptions.

51

patients, 17% of all patients

17 257
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

142

prescriptions, 1% of all prescriptions

59

prescriptions.

28

patients, 9% of all patients

18 135
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

142

prescriptions, 1% of all prescriptions

47

prescriptions.

33

patients, 11% of all patients

18 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

140

prescriptions, 1% of all prescriptions

59

prescriptions.

25

patients, 8% of all patients

20 34
PROAIR HFA

Treats or prevents bronchos... +

Treats or prevents bronchospasm in patients with asthma, emphysema, bronchitis, and other lung diseases. Source: National Library of Medicine

137

prescriptions, 1% of all prescriptions

28

prescriptions.

42

patients, 14% of all patients

21 46
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

133

prescriptions, 1% of all prescriptions

93

prescriptions.

31

patients, 10% of all patients

22 14
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

132

prescriptions, 1% of all prescriptions

39

prescriptions.

38

patients, 13% of all patients

23 64
LOSARTAN POTASSIUM

Losartan is used alone or i... +

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

126

prescriptions, 1% of all prescriptions

95

prescriptions.

25

patients, 8% of all patients

24 12
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

125

prescriptions, 1% of all prescriptions

82

prescriptions.

32

patients, 11% of all patients

25 17
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

Treats stuffy nose caused by hay fever and other allergies. Source: National Library of Medicine

123

prescriptions, 1% of all prescriptions

19

prescriptions.

53

patients, 18% of all patients

26 24
PROMETHAZINE HCL

Promethazine is used to rel... +

Promethazine is used to relieve the symptoms of allergic reactions such as allergic rhinitis (runny nose and watery eyes caused by allergy to pollen, mold or dust), allergic conjunctivitis (red, watery eyes caused by allergies), allergic skin reactions, and allergic reactions to blood or plasma products. Source: National Library of Medicine

123

prescriptions, 1% of all prescriptions

16

prescriptions.

23

patients, 8% of all patients

R 26 136
AZITHROMYCIN

Treats infections caused by... +

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

120

prescriptions, 1% of all prescriptions

33

prescriptions.

88

patients, 29% of all patients

A 28 40
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

116

prescriptions, 1% of all prescriptions

91

prescriptions.

28

patients, 9% of all patients

29 138
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

115

prescriptions, 1% of all prescriptions

43

prescriptions.

23

patients, 8% of all patients

30 22
CLONIDINE HCL

Clonidine is used alone or ... +

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

106

prescriptions, 1% of all prescriptions

62

prescriptions.

28

patients, 9% of all patients

31 55
MONTELUKAST SODIUM

Montelukast is used to prev... +

Montelukast is used to prevent wheezing, difficulty breathing, chest tightness, and coughing caused by asthma. Source: National Library of Medicine

105

prescriptions, 1% of all prescriptions

42

prescriptions.

27

patients, 9% of all patients

32 29
TRIAMTERENE-HYDROCHLOROTHIAZID

Used to treat high blood pr... +

Used to treat high blood pressure and edema (fluid retention; excess fluid held in body tissues) in patients who have lower amounts of potassium in their bodies or for whom low potassium levels in the body could be dangerous. Source: National Library of Medicine

95

prescriptions, 1% of all prescriptions

62

prescriptions.

25

patients, 8% of all patients

33 68
BYSTOLIC

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

93

prescriptions, 1% of all prescriptions

57

prescriptions.

12

patients, 4% of all patients

34 127
TRAZODONE HCL

Trazodone is used to treat ... +

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

90

prescriptions, 1% of all prescriptions

5

prescriptions.

15

patients, 5% of all patients

35 30
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

85

prescriptions, 1% of all prescriptions

13

prescriptions.

15

patients, 5% of all patients

O 36 118
CLOPIDOGREL

Helps prevent stroke, heart... +

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

84

prescriptions, 1% of all prescriptions

71

prescriptions.

12

patients, 4% of all patients

37 20
ATENOLOL

Treats high blood pressure ... +

Treats high blood pressure and angina (chest pain). Source: National Library of Medicine

81

prescriptions, 1% of all prescriptions

37

prescriptions.

20

patients, 7% of all patients

38 32
TORSEMIDE

Treats fluid retention (ede... +

Treats fluid retention (edema) caused by congestive heart failure, kidney disease, or liver disease. Source: National Library of Medicine

81

prescriptions, 1% of all prescriptions

61

prescriptions.

18

patients, 6% of all patients

38 166
COMBIVENT RESPIMAT

Used to help control the sy... +

Used to help control the symptoms of lung diseases, such as asthma, chronic bronchitis, and emphysema. Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

5

prescriptions.

23

patients, 8% of all patients

40 205
SYMBICORT

This is a combination of bu... +

This is a combination of budesonide and formoterol used to help control the symptoms of asthma and improve lung function. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

5

prescriptions.

17

patients, 6% of all patients

41 113
VOLTAREN

Treats pain caused by arthr... +

Treats pain caused by arthritis, ankylosing spondylitis, or other medical problems. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

25

prescriptions.

26

patients, 9% of all patients

41 115
CITALOPRAM HBR

Citalopram is used to treat... +

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

76

prescriptions, 1% of all prescriptions

37

prescriptions.

15

patients, 5% of all patients

43 28
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

72

prescriptions, 1% of all prescriptions

46

prescriptions.

<11 44 35
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

71

prescriptions, 1% of all prescriptions

28

prescriptions.

20

patients, 7% of all patients

45 72
OXYCONTIN

Oxycodone is used to reliev... +

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

68

prescriptions, 1% of all prescriptions

36

prescriptions.

<11 O 46 303
MORPHINE SULFATE ER

Morphine (extended release)... +

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

66

prescriptions, 1% of all prescriptions

19

prescriptions.

17

patients, 6% of all patients

O 47 167
CEPHALEXIN

Treats bacterial infections... +

Treats bacterial infections. Source: National Library of Medicine

63

prescriptions, 0% of all prescriptions

25

prescriptions.

43

patients, 14% of all patients

A 48 92
CRESTOR

Lowers high levels of chole... +

Lowers high levels of cholesterol and triglycerides (fats) in your blood. Source: National Library of Medicine

61

prescriptions, 0% of all prescriptions

56

prescriptions.

<11 49 27
DICYCLOMINE HCL

Dicyclomine is used to trea... +

Dicyclomine is used to treat the symptoms of irritable bowel syndrome. Source: National Library of Medicine

61

prescriptions, 0% of all prescriptions

5

prescriptions.

17

patients, 6% of all patients

49 172
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

60

prescriptions, 0% of all prescriptions

49

prescriptions.

12

patients, 4% of all patients

51 23
ADVAIR DISKUS

Prevents symptoms of asthma... +

Prevents symptoms of asthma or COPD (chronic obstructive pulmonary disease), including chronic bronchitis and emphysema. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

5

prescriptions.

19

patients, 6% of all patients

52 84
OXYBUTYNIN CHLORIDE

Oxybutynin is used to contr... +

Oxybutynin is used to control urgent, frequent, or uncontrolled urination in people who have overactive bladder (a condition in which the bladder muscles have uncontrollable spasms), spina bifida (a disability that occurs when the spinal cord does not close properly before birth), or other conditions that affect the bladder muscles. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

34

prescriptions.

13

patients, 4% of all patients

52 108
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

57

prescriptions, 0% of all prescriptions

30

prescriptions.

<11 54 15
AMLODIPINE BESYLATE-BENAZEPRIL

The combination of amlodipi... +

The combination of amlodipine and benazepril is used to treat high blood pressure. Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

33

prescriptions.

11

patients, 4% of all patients

54 81
ALLOPURINOL

Treats gout and some kinds ... +

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

57

prescriptions, 0% of all prescriptions

17

prescriptions.

14

patients, 5% of all patients

54 37
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

55

prescriptions, 0% of all prescriptions

24

prescriptions.

19

patients, 6% of all patients

57 53
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

53

prescriptions, 0% of all prescriptions

48

prescriptions.

12

patients, 4% of all patients

58 33
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

52

prescriptions, 0% of all prescriptions

23

prescriptions.

21

patients, 7% of all patients

59 26
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

52

prescriptions, 0% of all prescriptions

27

prescriptions.

12

patients, 4% of all patients

59 13
CLOTRIMAZOLE-BETAMETHASONE

This combination medication... +

This combination medication is used to treat a variety of inflamed fungal skin infections such as ringworm, athlete's foot, and jock itch. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

23

prescriptions.

29

patients, 10% of all patients

61 187
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

51

prescriptions, 0% of all prescriptions

15

prescriptions.

39

patients, 13% of all patients

A 61 61
METHOTREXATE

Treats several kinds of can... +

Treats several kinds of cancer, including cancer of the blood, bone, lung, breast, head, or neck. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

21

prescriptions.

11

patients, 4% of all patients

61 234
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. 30, 2014.
  • 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.