Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Interventional Pain Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

19,924Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 122

$1.89M Total Retail Price of All Prescriptions

Rank: 1 out of 122

1,328 Patients Receiving at Least One Drug in Part D
52% Patients 65 Years and Older

51% 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

0% of this provider’s 684 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

6% of this provider’s 1,328 patients filled at least one prescription for an antibiotic drug, compared to an average of 3%.

More resources »

Risky Drugs for Seniors

9% of this provider’s 684 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

93% of this provider’s 1,328 patients filled at least one prescription for an opioid, compared to an average of 84%.

More resources »

Brand Name Drugs *

15% of this provider’s prescriptions were for brand-name drugs, compared to an average of 13%.

* This is an estimate, see our methodology.

Prescription Price

$95 was the average price of a prescription from this provider, compared to $82 among peers.

Prescriptions per Patient

15 is the average number of prescriptions (including refills) per patient, compared to an average of 9.


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

$909K

2012

$1.34M

2013

$1.6M

2014

$1.89M

2015

Number of Claims

10,311

2012

15,528

2013

17,822

2014

19,924

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

5,087

prescriptions, 26% of all prescriptions

2,740

prescriptions.

757

patients, 57% of all patients

O 1 1
MORPHINE SULFATE ER

Morphine (extended release)... +

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

1,568

prescriptions, 8% of all prescriptions

639

prescriptions.

213

patients, 16% of all patients

O 2 3
OXYCODONE HCL

Oxycodone is used to reliev... +

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

1,466

prescriptions, 7% of all prescriptions

547

prescriptions.

191

patients, 14% of all patients

O 3 7
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

1,237

prescriptions, 6% of all prescriptions

546

prescriptions.

145

patients, 11% of all patients

O 4 4
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

1,126

prescriptions, 6% of all prescriptions

603

prescriptions.

208

patients, 16% of all patients

O 5 8
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

1,028

prescriptions, 5% of all prescriptions

347

prescriptions.

191

patients, 14% of all patients

6 6
GABAPENTIN

Treats certain types of sei... +

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

904

prescriptions, 5% of all prescriptions

341

prescriptions.

179

patients, 13% of all patients

7 2
HYDROMORPHONE HCL*

Used to relieve moderate to... +

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

682

prescriptions, 3% of all prescriptions

202

prescriptions.

126

patients, 9% of all patients

O 8 11
OXYCONTIN

Oxycodone is used to reliev... +

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

517

prescriptions, 3% of all prescriptions

209

prescriptions.

71

patients, 5% of all patients

O 9 12
METHADONE HCL

Methadone is used to reliev... +

Methadone is used to relieve moderate to severe pain that has not been relieved by non-narcotic pain relievers. Source: National Library of Medicine

513

prescriptions, 3% of all prescriptions

136

prescriptions.

66

patients, 5% of all patients

O 10 10
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

470

prescriptions, 2% of all prescriptions

162

prescriptions.

81

patients, 6% of all patients

11 9
BACLOFEN

Treats muscle spasms caused... +

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

447

prescriptions, 2% of all prescriptions

142

prescriptions.

103

patients, 8% of all patients

12 13
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

323

prescriptions, 2% of all prescriptions

34

prescriptions.

68

patients, 5% of all patients

R 13 14
MORPHINE SULFATE

Morphine is used to relieve... +

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

318

prescriptions, 2% of all prescriptions

99

prescriptions.

61

patients, 5% of all patients

O 14 20
TRAZODONE HCL

Trazodone is used to treat ... +

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

253

prescriptions, 1% of all prescriptions

145

prescriptions.

40

patients, 3% of all patients

15 30
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

221

prescriptions, 1% of all prescriptions

26

prescriptions.

40

patients, 3% of all patients

R 16 19
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

194

prescriptions, 1% of all prescriptions

60

prescriptions.

43

patients, 3% of all patients

17 52
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

187

prescriptions, 1% of all prescriptions

82

prescriptions.

73

patients, 5% of all patients

18 47
TRAMADOL HCL

Tramadol is used to relieve... +

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

186

prescriptions, 1% of all prescriptions

153

prescriptions.

54

patients, 4% of all patients

O 19 5
SUBOXONE

Treats an addiction to or d... +

Treats an addiction to or dependence on narcotic medicine. Source: National Library of Medicine

185

prescriptions, 1% of all prescriptions

50

prescriptions.

25

patients, 2% of all patients

20 40
OPANA ER

Used to relieve moderate to... +

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

177

prescriptions, 1% of all prescriptions

88

prescriptions.

42

patients, 3% of all patients

O 21 28
LIDOCAINE-PRILOCAINE

This is used on the skin or... +

This is used on the skin or in the genital area to cause numbness or loss of feeling before certain medical procedures. Source: National Library of Medicine

167

prescriptions, 1% of all prescriptions

87

prescriptions.

107

patients, 8% of all patients

22 34
ALPRAZOLAM

Treats anxiety, panic disor... +

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

167

prescriptions, 1% of all prescriptions

68

prescriptions.

29

patients, 2% of all patients

22 18
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

157

prescriptions, 1% of all prescriptions

5

prescriptions.

28

patients, 2% of all patients

R 24 35
CARISOPRODOL

Treats pain and stiffness o... +

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

116

prescriptions, 1% of all prescriptions

65

prescriptions.

24

patients, 2% of all patients

R 25 24
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

115

prescriptions, 1% of all prescriptions

66

prescriptions.

25

patients, 2% of all patients

26 17
METHOCARBAMOL

Treats muscle pain and spas... +

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

114

prescriptions, 1% of all prescriptions

62

prescriptions.

34

patients, 3% of all patients

R 27 25
DIAZEPAM

Treats anxiety, muscle spas... +

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

113

prescriptions, 1% of all prescriptions

22

prescriptions.

19

patients, 1% of all patients

28 26
CELECOXIB

Treats mild to moderate pai... +

Treats mild to moderate pain and help relieve symptoms of arthritis (e. Source: National Library of Medicine

93

prescriptions, 0% of all prescriptions

54

prescriptions.

13

patients, 1% of all patients

29 29
CHLORZOXAZONE 88

prescriptions, 0% of all prescriptions

19

prescriptions.

28

patients, 2% of all patients

R 30 62
HYDROXYZINE HCL

Hydroxyzine is used to reli... +

Hydroxyzine is used to relieve the itching caused by allergies and to control the nausea and vomiting caused by various conditions, including motion sickness. Source: National Library of Medicine

84

prescriptions, 0% of all prescriptions

26

prescriptions.

19

patients, 1% of all patients

R 31 64
ONDANSETRON HCL*

Ondansetron is used to prev... +

Ondansetron is used to prevent nausea and vomiting caused by cancer chemotherapy, radiation therapy, and surgery. Source: National Library of Medicine

75

prescriptions, 0% of all prescriptions

50

prescriptions.

22

patients, 2% of all patients

32 53
CLONAZEPAM

Treats seizures, panic diso... +

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

68

prescriptions, 0% of all prescriptions

13

prescriptions.

11

patients, 1% of all patients

33 21
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

65

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 R 34 22
HYDROMORPHONE ER 60

prescriptions, 0% of all prescriptions

28

prescriptions.

16

patients, 1% of all patients

O 35 56
CEPHALEXIN

Treats bacterial infections... +

Treats bacterial infections. Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

30

prescriptions.

51

patients, 4% of all patients

A 36 75
VOLTAREN

Treats pain caused by arthr... +

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

53

prescriptions, 0% of all prescriptions

16

prescriptions.

20

patients, 2% of all patients

37 23
MELOXICAM

Treats symptoms of osteoart... +

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

53

prescriptions, 0% of all prescriptions

25

prescriptions.

12

patients, 1% of all patients

37 16
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 Aug. 27, 2013.
  • 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.