Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Pulmonary Disease

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

5,959Medicare Part D Prescriptions Filled, Including Refills

Rank: 20 out of 436

$3.93M Total Retail Price of All Prescriptions

Rank: 3 out of 436

755 Patients Receiving at Least One Drug in Part D
77% Patients 65 Years and Older

41% 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

27% of this provider’s 755 patients filled at least one prescription for an antibiotic drug, compared to an average of 29%.

More resources »

Risky Drugs for Seniors

5% of this provider’s 583 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 5%.

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

54% of this provider’s prescriptions were for brand-name drugs, compared to an average of 53%.

Prescription Price

$660 was the average price of a prescription from this provider, compared to $291 among peers.

Prescriptions per Patient

8 is the average number of prescriptions (including refills) per patient, compared to an average of 7.


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

$490K

2012

$1.11M

2013

$1.61M

2014

$3.93M

2015

Number of Claims

1,917

2012

3,349

2013

4,102

2014

5,959

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
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

774

prescriptions, 13% of all prescriptions

620

prescriptions.

248

patients, 33% of all patients

1 3
ZAFIRLUKAST 458

prescriptions, 8% of all prescriptions

383

prescriptions.

177

patients, 23% of all patients

10 2 102
PREDNISONE

Treats inflammation (swelli... +

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

389

prescriptions, 7% of all prescriptions

289

prescriptions.

195

patients, 26% of all patients

3 2
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

345

prescriptions, 6% of all prescriptions

205

prescriptions.

198

patients, 26% of all patients

4 6
SPIRIVA

Prevents the symptoms of br... +

Prevents the symptoms of bronchospasm caused by emphysema, chronic bronchitis, or COPD (chronic obstructive pulmonary disease). Source: National Library of Medicine

288

prescriptions, 5% of all prescriptions

194

prescriptions.

93

patients, 12% of all patients

5 1
DALIRESP

Used to prevent the symptom... +

Used to prevent the symptoms (flare-ups) of chronic obstructive pulmonary disease (COPD) from getting worse. Source: National Library of Medicine

246

prescriptions, 4% of all prescriptions

147

prescriptions.

63

patients, 8% of all patients

6 27
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

220

prescriptions, 4% of all prescriptions

134

prescriptions.

103

patients, 14% of all patients

7 4
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

200

prescriptions, 3% of all prescriptions

154

prescriptions.

98

patients, 13% of all patients

A 8 11
ANORO ELLIPTA 164

prescriptions, 3% of all prescriptions

125

prescriptions.

52

patients, 7% of all patients

9 40
OPSUMIT 164

prescriptions, 3% of all prescriptions

159

prescriptions.

24

patients, 3% of all patients

9 79
LEVOCETIRIZINE DIHYDROCHLORIDE

Levocetirizine is an antihi... +

Levocetirizine is an antihistamine used to relieve the symptoms of hay fever and hives of the skin. Source: National Library of Medicine

152

prescriptions, 3% of all prescriptions

100

prescriptions.

37

patients, 5% of all patients

11 80
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

116

prescriptions, 2% of all prescriptions

81

prescriptions.

47

patients, 6% of all patients

12 5
ADCIRCA 104

prescriptions, 2% of all prescriptions

99

prescriptions.

22

patients, 3% of all patients

13 50
TUDORZA PRESSAIR

Used as a long term treatme... +

Used as a long term treatment to prevent wheezing, shortness of breath, coughing, and chest tightness in patients 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 air sacs in the lungs). Source: National Library of Medicine

97

prescriptions, 2% of all prescriptions

81

prescriptions.

40

patients, 5% of all patients

14 36
TEMAZEPAM

Treats insomnia (trouble sl... +

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

90

prescriptions, 2% of all prescriptions

42

prescriptions.

31

patients, 4% of all patients

15 62
ADEMPAS 88

prescriptions, 1% of all prescriptions

65

prescriptions.

17

patients, 2% of all patients

16 183
AZITHROMYCIN

Treats infections caused by... +

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

88

prescriptions, 1% of all prescriptions

64

prescriptions.

61

patients, 8% of all patients

A 16 7
DULERA

Used to treat asthma and im... +

Used to treat asthma and improve lung function. Source: National Library of Medicine

80

prescriptions, 1% of all prescriptions

57

prescriptions.

34

patients, 5% of all patients

18 30
SPIRIVA RESPIMAT

Treats chronic obstructive ... +

Treats chronic obstructive pulmonary disease (COPD). Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

50

prescriptions.

42

patients, 6% of all patients

19 28
VENTOLIN HFA

Treats or prevents bronchos... +

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

68

prescriptions, 1% of all prescriptions

46

prescriptions.

37

patients, 5% of all patients

20 19
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

67

prescriptions, 1% of all prescriptions

34

prescriptions.

26

patients, 3% of all patients

R 21 35
CEFUROXIME

Treats infections caused by... +

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

66

prescriptions, 1% of all prescriptions

55

prescriptions.

42

patients, 6% of all patients

A 22 81
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

62

prescriptions, 1% of all prescriptions

36

prescriptions.

27

patients, 4% of all patients

23 8
AMOXICILLIN-CLAVULANATE POTASS

Treats infections. +

Treats infections. Source: National Library of Medicine

58

prescriptions, 1% of all prescriptions

38

prescriptions.

36

patients, 5% of all patients

A 24 48
PROVENTIL HFA

Treats or prevents bronchos... +

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

57

prescriptions, 1% of all prescriptions

44

prescriptions.

33

patients, 4% of all patients

25 198
ALPRAZOLAM

Treats anxiety, panic disor... +

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

53

prescriptions, 1% of all prescriptions

48

prescriptions.

16

patients, 2% of all patients

26 25
FLUCONAZOLE

Prevents and treats certain... +

Prevents and treats certain fungus infections. Source: National Library of Medicine

53

prescriptions, 1% of all prescriptions

48

prescriptions.

32

patients, 4% of all patients

26 150
NASONEX

Treats or prevents the symp... +

Treats or prevents the symptoms of seasonal (short-term) and perennial (year-round) allergies (hay fever), such as stuffy or runny nose, sneezing, and watery eyes. Source: National Library of Medicine

52

prescriptions, 1% of all prescriptions

39

prescriptions.

31

patients, 4% of all patients

28 69
ORENITRAM ER 52

prescriptions, 1% of all prescriptions

52

prescriptions.

<11 28 284
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 April 28, 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.