Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Physical Medicine Rehabilitation

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

20,770Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 209

$2.44M Total Retail Price of All Prescriptions

Rank: 1 out of 209

848 Patients Receiving at Least One Drug in Part D
31% Patients 65 Years and Older

77% 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

3% of this provider’s 848 patients filled at least one prescription for an antibiotic drug, compared to an average of 6%.

More resources »

Risky Drugs for Seniors

26% of this provider’s 265 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 12%.

More resources »

Opioids

95% of this provider’s 848 patients filled at least one prescription for an opioid, compared to an average of 63%.

More resources »

Brand Name Drugs

14% of this provider’s prescriptions were for brand-name drugs, compared to an average of 12%.

Prescription Price

$117 was the average price of a prescription from this provider, compared to $64 among peers.

Prescriptions per Patient

24 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

$1.36M

2012

$2.04M

2013

$2.45M

2014

$2.44M

2015

Number of Claims

13,088

2012

21,265

2013

19,886

2014

20,770

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

4,522

prescriptions, 22% of all prescriptions

1,503

prescriptions.

541

patients, 64% of all patients

O 1 1
OXYCODONE HCL

Oxycodone is used to reliev... +

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

1,518

prescriptions, 7% of all prescriptions

282

prescriptions.

181

patients, 21% of all patients

O 2 7
MORPHINE SULFATE ER

Morphine (extended release)... +

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

1,381

prescriptions, 7% of all prescriptions

294

prescriptions.

169

patients, 20% of all patients

O 3 6
ALPRAZOLAM

Treats anxiety, panic disor... +

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

1,253

prescriptions, 6% of all prescriptions

286

prescriptions.

170

patients, 20% of all patients

4 15
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

1,073

prescriptions, 5% of all prescriptions

217

prescriptions.

140

patients, 17% of all patients

O 5 16
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

936

prescriptions, 5% of all prescriptions

314

prescriptions.

123

patients, 15% of all patients

O 6 4
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

884

prescriptions, 4% of all prescriptions

127

prescriptions.

180

patients, 21% of all patients

7 5
GABAPENTIN

Treats certain types of sei... +

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

797

prescriptions, 4% of all prescriptions

158

prescriptions.

151

patients, 18% of all patients

8 2
HYDROMORPHONE HCL*

Used to relieve moderate to... +

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

651

prescriptions, 3% of all prescriptions

152

prescriptions.

92

patients, 11% of all patients

O 9 17
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

618

prescriptions, 3% of all prescriptions

72

prescriptions.

144

patients, 17% of all patients

R 10 14
OXYCONTIN

Oxycodone is used to reliev... +

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

548

prescriptions, 3% of all prescriptions

85

prescriptions.

70

patients, 8% of all patients

O 11 18
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

513

prescriptions, 2% of all prescriptions

100

prescriptions.

88

patients, 10% of all patients

R 12 21
DIAZEPAM

Treats anxiety, muscle spas... +

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

441

prescriptions, 2% of all prescriptions

85

prescriptions.

65

patients, 8% of all patients

13 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

419

prescriptions, 2% of all prescriptions

110

prescriptions.

67

patients, 8% of all patients

14 11
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

341

prescriptions, 2% of all prescriptions

58

prescriptions.

55

patients, 6% of all patients

O 15 8
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

278

prescriptions, 1% of all prescriptions

55

prescriptions.

69

patients, 8% of all patients

16 13
TRAMADOL HCL

Tramadol is used to relieve... +

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

249

prescriptions, 1% of all prescriptions

83

prescriptions.

54

patients, 6% of all patients

O 17 3
TRAZODONE HCL

Trazodone is used to treat ... +

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

247

prescriptions, 1% of all prescriptions

54

prescriptions.

59

patients, 7% of all patients

18 28
CLONAZEPAM

Treats seizures, panic diso... +

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

241

prescriptions, 1% of all prescriptions

35

prescriptions.

38

patients, 4% of all patients

19 33
BACLOFEN

Treats muscle spasms caused... +

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

235

prescriptions, 1% of all prescriptions

33

prescriptions.

49

patients, 6% of all patients

20 9
MELOXICAM

Treats symptoms of osteoart... +

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

225

prescriptions, 1% of all prescriptions

64

prescriptions.

60

patients, 7% of all patients

21 10
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

221

prescriptions, 1% of all prescriptions

31

prescriptions.

45

patients, 5% of all patients

R 22 63
METHOCARBAMOL

Treats muscle pain and spas... +

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

197

prescriptions, 1% of all prescriptions

41

prescriptions.

42

patients, 5% of all patients

R 23 42
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

145

prescriptions, 1% of all prescriptions

30

prescriptions.

29

patients, 3% of all patients

R 24 23
VOLTAREN

Treats pain caused by arthr... +

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

144

prescriptions, 1% of all prescriptions

45

prescriptions.

42

patients, 5% of all patients

25 34
OPANA ER

Used to relieve moderate to... +

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

99

prescriptions, 0% of all prescriptions

19

prescriptions.

15

patients, 2% of all patients

O 26 56
TEMAZEPAM

Treats insomnia (trouble sl... +

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

93

prescriptions, 0% of all prescriptions

30

prescriptions.

28

patients, 3% of all patients

27 60
LORAZEPAM

Treats anxiety, anxiety wit... +

Treats anxiety, anxiety with depression, and insomnia (trouble sleeping). Source: National Library of Medicine

81

prescriptions, 0% of all prescriptions

43

prescriptions.

13

patients, 2% of all patients

28 76
CARISOPRODOL

Treats pain and stiffness o... +

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

81

prescriptions, 0% of all prescriptions

14

prescriptions.

21

patients, 2% of all patients

R 28 25
CELECOXIB

Treats mild to moderate pai... +

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

72

prescriptions, 0% of all prescriptions

21

prescriptions.

21

patients, 2% of all patients

30 45
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

69

prescriptions, 0% of all prescriptions

33

prescriptions.

<11 31 88
ESZOPICLONE

Eszopiclone is used to trea... +

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

68

prescriptions, 0% of all prescriptions

16

prescriptions.

12

patients, 1% of all patients

R 32 109
BUTALBITAL-ACETAMINOPHEN-CAFFE

This combination of drugs i... +

This combination of drugs is used to relieve tension headaches. Source: National Library of Medicine

64

prescriptions, 0% of all prescriptions

5

prescriptions.

17

patients, 2% of all patients

R 33 115
IBUPROFEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by headache, toothache, arthritis, cold or flu, migraine, or menstrual cramps. Source: National Library of Medicine

60

prescriptions, 0% of all prescriptions

20

prescriptions.

19

patients, 2% of all patients

34 40
CITALOPRAM HBR

Citalopram is used to treat... +

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

54

prescriptions, 0% of all prescriptions

19

prescriptions.

13

patients, 2% of all patients

35 44
LIDOCAINE

Causes numbness or loss of ... +

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

53

prescriptions, 0% of all prescriptions

27

prescriptions.

17

patients, 2% of all patients

36 30
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 17, 2009.
  • 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.