Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Rheumatology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

24,969Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 268

$16.1M Total Retail Price of All Prescriptions

Rank: 1 out of 268

1,704 Patients Receiving at Least One Drug in Part D
65% Patients 65 Years and Older

93% 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 1,108 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

31% of this provider’s 1,704 patients filled at least one prescription for an antibiotic drug, compared to an average of 6%.

More resources »

Risky Drugs for Seniors

6% of this provider’s 1,108 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

69% of this provider’s 1,704 patients filled at least one prescription for an opioid, compared to an average of 27%.

More resources »

Brand Name Drugs

46% of this provider’s prescriptions were for brand-name drugs, compared to an average of 22%. This is far more than peers.

Prescription Price

$643 was the average price of a prescription from this provider, compared to $317 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

$9.2M

2012

$12M

2013

$16.1M

2014

$16.1M

2015

Number of Claims

20,352

2012

24,533

2013

26,347

2014

24,969

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
TRAMADOL HCL

Tramadol is used to relieve... +

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

2,050

prescriptions, 8% of all prescriptions

1,305

prescriptions.

717

patients, 42% of all patients

O 10 1 4
ORENCIA* 1,909

prescriptions, 8% of all prescriptions

1,289

prescriptions.

383

patients, 22% of all patients

10 2 29
GABAPENTIN

Treats certain types of sei... +

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

1,615

prescriptions, 6% of all prescriptions

1,064

prescriptions.

567

patients, 33% of all patients

3 6
SULFASALAZINE

Treats ulcerative colitis. ... +

Treats ulcerative colitis. Source: National Library of Medicine

1,600

prescriptions, 6% of all prescriptions

1,033

prescriptions.

626

patients, 37% of all patients

10 4 15
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

1,492

prescriptions, 6% of all prescriptions

886

prescriptions.

462

patients, 27% of all patients

10 5 12
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

1,406

prescriptions, 6% of all prescriptions

604

prescriptions.

475

patients, 28% of all patients

O 10 6 18
VOLTAREN

Treats pain caused by arthr... +

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

1,349

prescriptions, 5% of all prescriptions

858

prescriptions.

595

patients, 35% of all patients

10 7 16
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

1,121

prescriptions, 4% of all prescriptions

683

prescriptions.

388

patients, 23% of all patients

8 2
LEFLUNOMIDE

Treats rheumatoid arthritis... +

Treats rheumatoid arthritis in adults. Source: National Library of Medicine

1,077

prescriptions, 4% of all prescriptions

621

prescriptions.

421

patients, 25% of all patients

10 9 7
HYDROXYCHLOROQUINE SULFATE

Hydroxychloroquine is in a ... +

Hydroxychloroquine is in a class of drugs called antimalarials. Source: National Library of Medicine

1,042

prescriptions, 4% of all prescriptions

648

prescriptions.

423

patients, 25% of all patients

10 3
BUTRANS 781

prescriptions, 3% of all prescriptions

353

prescriptions.

284

patients, 17% of all patients

O 10 11 60
IBANDRONATE SODIUM

Used to prevent and treat o... +

Used to prevent and treat osteoporosis (a condition in which the bones become thin and weak and break easily) in women who have undergone menopause. Source: National Library of Medicine

643

prescriptions, 3% of all prescriptions

441

prescriptions.

305

patients, 18% of all patients

10 12 38
DOXYCYCLINE HYCLATE

Doxycycline is used to trea... +

Doxycycline is used to treat bacterial infections, including pneumonia and other respiratory tract infections; Lyme disease; acne; infections of skin, genital, and urinary systems; and anthrax (after inhalational exposure). Source: National Library of Medicine

621

prescriptions, 2% of all prescriptions

364

prescriptions.

415

patients, 24% of all patients

A 10 13 71
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

575

prescriptions, 2% of all prescriptions

365

prescriptions.

212

patients, 12% of all patients

14 8
LIDOCAINE

Causes numbness or loss of ... +

Causes numbness or loss of feeling in an area of your body. Source: National Library of Medicine

556

prescriptions, 2% of all prescriptions

308

prescriptions.

315

patients, 18% of all patients

15 47
FORTEO 532

prescriptions, 2% of all prescriptions

421

prescriptions.

136

patients, 8% of all patients

10 16 35
ENBREL

Treats rheumatoid arthritis... +

Treats rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and plaque psoriasis in adults. Source: National Library of Medicine

473

prescriptions, 2% of all prescriptions

242

prescriptions.

118

patients, 7% of all patients

10 17 10
LIDODERM

Treats nerve pain that is c... +

Treats nerve pain that is caused by herpes zoster, or "shingles. Source: National Library of Medicine

422

prescriptions, 2% of all prescriptions

273

prescriptions.

243

patients, 14% of all patients

10 18 78
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

383

prescriptions, 2% of all prescriptions

240

prescriptions.

138

patients, 8% of all patients

19 25
ALLOPURINOL

Treats gout and some kinds ... +

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

370

prescriptions, 1% of all prescriptions

256

prescriptions.

142

patients, 8% of all patients

20 13
HUMIRA PEN

Treats the symptoms and pre... +

Treats the symptoms and prevent the progression of active rheumatoid arthritis and ankylosing spondylitis. Source: National Library of Medicine

284

prescriptions, 1% of all prescriptions

164

prescriptions.

71

patients, 4% of all patients

10 21 17
BD ULTRA-FINE PEN NEEDLE

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

249

prescriptions, 1% of all prescriptions

193

prescriptions.

62

patients, 4% of all patients

22 54
SAVELLA 233

prescriptions, 1% of all prescriptions

136

prescriptions.

88

patients, 5% of all patients

10 23 70
CIMZIA 217

prescriptions, 1% of all prescriptions

130

prescriptions.

53

patients, 3% of all patients

10 24 56
REMICADE 210

prescriptions, 1% of all prescriptions

139

prescriptions.

57

patients, 3% of all patients

10 25 67
CELECOXIB

Treats mild to moderate pai... +

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

194

prescriptions, 1% of all prescriptions

132

prescriptions.

77

patients, 5% of all patients

26 14
BONIVA 180

prescriptions, 1% of all prescriptions

153

prescriptions.

107

patients, 6% of all patients

10 27 122
ORENCIA* 176

prescriptions, 1% of all prescriptions

123

prescriptions.

32

patients, 2% of all patients

10 28 57
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

161

prescriptions, 1% of all prescriptions

64

prescriptions.

63

patients, 4% of all patients

R 29 24
HUMIRA 161

prescriptions, 1% of all prescriptions

59

prescriptions.

36

patients, 2% of all patients

10 29 53
METHOTREXATE SODIUM 159

prescriptions, 1% of all prescriptions

91

prescriptions.

86

patients, 5% of all patients

10 31 63
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

149

prescriptions, 1% of all prescriptions

28

prescriptions.

63

patients, 4% of all patients

R 32 23
XELJANZ 148

prescriptions, 1% of all prescriptions

85

prescriptions.

40

patients, 2% of all patients

10 33 34
ULORIC

Used to treat hyperuricemia... +

Used to treat hyperuricemia (high uric acid in the blood) in patients with gout. Source: National Library of Medicine

136

prescriptions, 1% of all prescriptions

83

prescriptions.

47

patients, 3% of all patients

34 31
DOXYCYCLINE MONOHYDRATE

Used to treat bacterial inf... +

Used to treat bacterial infections in many different parts of the body. Source: National Library of Medicine

124

prescriptions, 0% of all prescriptions

86

prescriptions.

91

patients, 5% of all patients

A 35 123
ACTEMRA 117

prescriptions, 0% of all prescriptions

61

prescriptions.

19

patients, 1% of all patients

10 36 86
ALPRAZOLAM

Treats anxiety, panic disor... +

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

92

prescriptions, 0% of all prescriptions

24

prescriptions.

24

patients, 1% of all patients

37 27
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

89

prescriptions, 0% of all prescriptions

46

prescriptions.

36

patients, 2% of all patients

38 74
PROLIA 88

prescriptions, 0% of all prescriptions

73

prescriptions.

65

patients, 4% of all patients

39 59
COLCRYS

Used to prevent gout attack... +

Used to prevent gout attacks (sudden, severe pain in one or more joints caused by abnormally high levels of a substance called uric acid in the blood) in adults, and to relieve the pain of gout attacks when they occur. Source: National Library of Medicine

79

prescriptions, 0% of all prescriptions

40

prescriptions.

36

patients, 2% of all patients

40 88
TRAMADOL HCL-ACETAMINOPHEN

Treats short-term, medium t... +

Treats short-term, medium to medium-severe pain. Source: National Library of Medicine

73

prescriptions, 0% of all prescriptions

55

prescriptions.

30

patients, 2% of all patients

O 41 28
PREDNISONE

Treats inflammation (swelli... +

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

72

prescriptions, 0% of all prescriptions

25

prescriptions.

25

patients, 1% of all patients

42 1
INSULIN SYRINGE*

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

67

prescriptions, 0% of all prescriptions

27

prescriptions.

46

patients, 3% of all patients

43 132
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

63

prescriptions, 0% of all prescriptions

23

prescriptions.

22

patients, 1% of all patients

R 44 48
RITUXAN 59

prescriptions, 0% of all prescriptions

31

prescriptions.

40

patients, 2% of all patients

10 45 129
ATELVIA 56

prescriptions, 0% of all prescriptions

33

prescriptions.

27

patients, 2% of all patients

46 72
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 Nov. 21, 2016.
  • 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.