Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Internal Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

11,345Medicare Part D Prescriptions Filled, Including Refills

Rank: 563 out of 3110

$824K Total Retail Price of All Prescriptions

Rank: 569 out of 3110

571 Patients Receiving at Least One Drug in Part D
81% Patients 65 Years and Older

49% 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

51% of this provider’s 571 patients filled at least one prescription for an antibiotic drug, compared to an average of 31%.

More resources »

Risky Drugs for Seniors

10% of this provider’s 462 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 13%.

More resources »

Opioids

32% of this provider’s 571 patients filled at least one prescription for an opioid, compared to an average of 19%.

More resources »

Brand Name Drugs

20% of this provider’s prescriptions were for brand-name drugs, compared to an average of 22%.

Prescription Price

$73 was the average price of a prescription from this provider, compared to $84 among peers.

Prescriptions per Patient

20 is the average number of prescriptions (including refills) per patient, compared to an average of 17.


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

$534K

2012

$705K

2013

$848K

2014

$824K

2015

Number of Claims

7,048

2012

9,498

2013

10,512

2014

11,345

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
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

604

prescriptions, 5% of all prescriptions

510

prescriptions.

210

patients, 37% of all patients

1 109
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels. Source: National Library of Medicine

520

prescriptions, 5% of all prescriptions

419

prescriptions.

116

patients, 20% of all patients

2 3
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

497

prescriptions, 4% of all prescriptions

465

prescriptions.

117

patients, 20% of all patients

3 1
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

361

prescriptions, 3% of all prescriptions

285

prescriptions.

113

patients, 20% of all patients

4 19
LISINOPRIL

Treats high blood pressure ... +

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

331

prescriptions, 3% of all prescriptions

275

prescriptions.

92

patients, 16% of all patients

5 4
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

295

prescriptions, 3% of all prescriptions

237

prescriptions.

76

patients, 13% of all patients

6 6
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

278

prescriptions, 2% of all prescriptions

226

prescriptions.

77

patients, 13% of all patients

7 14
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

278

prescriptions, 2% of all prescriptions

219

prescriptions.

82

patients, 14% of all patients

7 2
MELOXICAM

Treats symptoms of osteoart... +

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

263

prescriptions, 2% of all prescriptions

218

prescriptions.

123

patients, 22% of all patients

9 27
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

260

prescriptions, 2% of all prescriptions

225

prescriptions.

64

patients, 11% of all patients

10 9
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

259

prescriptions, 2% of all prescriptions

235

prescriptions.

75

patients, 13% of all patients

11 13
METOPROLOL SUCCINATE

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

225

prescriptions, 2% of all prescriptions

204

prescriptions.

56

patients, 10% of all patients

12 15
TRAMADOL HCL

Tramadol is used to relieve... +

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

209

prescriptions, 2% of all prescriptions

171

prescriptions.

119

patients, 21% of all patients

O 13 12
NIFEDIPINE ER

Used for the treatment of v... +

Used for the treatment of vasospastic angina, chronic stable angina and hypertension. Source: National Library of Medicine

201

prescriptions, 2% of all prescriptions

174

prescriptions.

45

patients, 8% of all patients

14 82
FUROSEMIDE

Treats fluid retention (ede... +

Treats fluid retention (edema) and high blood pressure (hypertension). Source: National Library of Medicine

192

prescriptions, 2% of all prescriptions

146

prescriptions.

52

patients, 9% of all patients

15 7
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

188

prescriptions, 2% of all prescriptions

110

prescriptions.

44

patients, 8% of all patients

O 16 11
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

183

prescriptions, 2% of all prescriptions

151

prescriptions.

47

patients, 8% of all patients

17 34
ATENOLOL

Treats high blood pressure ... +

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

157

prescriptions, 1% of all prescriptions

121

prescriptions.

40

patients, 7% of all patients

18 33
GLIPIZIDE ER

Glipizide is used along wit... +

Glipizide is used along with diet and exercise, and sometimes with other medications, 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

157

prescriptions, 1% of all prescriptions

114

prescriptions.

33

patients, 6% of all patients

18 120
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

149

prescriptions, 1% of all prescriptions

116

prescriptions.

117

patients, 20% of all patients

A 20 54
SIMVASTATIN

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels in the blood. Source: National Library of Medicine

146

prescriptions, 1% of all prescriptions

133

prescriptions.

44

patients, 8% of all patients

21 5
CARVEDILOL

Treats high blood pressure ... +

Treats high blood pressure and congestive heart failure (CHF). Source: National Library of Medicine

145

prescriptions, 1% of all prescriptions

111

prescriptions.

38

patients, 7% of all patients

22 20
GABAPENTIN

Treats certain types of sei... +

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

144

prescriptions, 1% of all prescriptions

115

prescriptions.

49

patients, 9% of all patients

23 10
AZITHROMYCIN

Treats infections caused by... +

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

133

prescriptions, 1% of all prescriptions

114

prescriptions.

108

patients, 19% of all patients

A 24 45
CLOPIDOGREL

Helps prevent stroke, heart... +

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

131

prescriptions, 1% of all prescriptions

96

prescriptions.

30

patients, 5% of all patients

25 21
CRESTOR

Lowers high levels of chole... +

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

126

prescriptions, 1% of all prescriptions

104

prescriptions.

42

patients, 7% of all patients

26 25
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

121

prescriptions, 1% of all prescriptions

105

prescriptions.

42

patients, 7% of all patients

27 23
NAPROXEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by arthritis, gout, menstrual cramps, tendinitis, headache, backache, and toothache. Source: National Library of Medicine

103

prescriptions, 1% of all prescriptions

90

prescriptions.

53

patients, 9% of all patients

28 81
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

99

prescriptions, 1% of all prescriptions

84

prescriptions.

28

patients, 5% of all patients

29 62
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

98

prescriptions, 1% of all prescriptions

93

prescriptions.

28

patients, 5% of all patients

30 50
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

97

prescriptions, 1% of all prescriptions

78

prescriptions.

31

patients, 5% of all patients

31 39
VALSARTAN-HYDROCHLOROTHIAZIDE

Treats high blood pressure. +

Treats high blood pressure. Source: National Library of Medicine

94

prescriptions, 1% of all prescriptions

80

prescriptions.

19

patients, 3% of all patients

32 64
GLIPIZIDE XL

Glipizide is used along wit... +

Glipizide is used along with diet and exercise, and sometimes with other medications, 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

94

prescriptions, 1% of all prescriptions

80

prescriptions.

26

patients, 5% of all patients

32 173
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

89

prescriptions, 1% of all prescriptions

58

prescriptions.

25

patients, 4% of all patients

34 16
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

83

prescriptions, 1% of all prescriptions

78

prescriptions.

22

patients, 4% of all patients

35 8
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

81

prescriptions, 1% of all prescriptions

51

prescriptions.

25

patients, 4% of all patients

36 51
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

This drug is used to treat high blood pressure. Source: National Library of Medicine

81

prescriptions, 1% of all prescriptions

70

prescriptions.

24

patients, 4% of all patients

36 40
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

80

prescriptions, 1% of all prescriptions

80

prescriptions.

20

patients, 4% of all patients

38 22
VALSARTAN

Valsartan is used alone or ... +

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

79

prescriptions, 1% of all prescriptions

74

prescriptions.

25

patients, 4% of all patients

39 65
OXYBUTYNIN CHLORIDE ER

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

77

prescriptions, 1% of all prescriptions

66

prescriptions.

16

patients, 3% of all patients

40 119
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

Ciprofloxacin is used to treat or prevent certain infections caused by bacteria. Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

69

prescriptions.

61

patients, 11% of all patients

A 41 56
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

74

prescriptions, 1% of all prescriptions

69

prescriptions.

18

patients, 3% of all patients

41 18
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

71

prescriptions, 1% of all prescriptions

44

prescriptions.

60

patients, 11% of all patients

O 43 46
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

70

prescriptions, 1% of all prescriptions

65

prescriptions.

19

patients, 3% of all patients

44 58
NOVOLOG FLEXPEN

Used to treat type 1 diabet... +

Used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). Source: National Library of Medicine

68

prescriptions, 1% of all prescriptions

47

prescriptions.

20

patients, 4% of all patients

45 132
ALENDRONATE SODIUM

Alendronate is used to trea... +

Alendronate is used to treat and prevent osteoporosis (a condition in which the bones become thin and weak and break easily) in women who have undergone menopause (''change of life,'' end of menstrual periods) and to treat osteoporosis in men. Source: National Library of Medicine

66

prescriptions, 1% of all prescriptions

61

prescriptions.

25

patients, 4% of all patients

46 28
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

65

prescriptions, 1% of all prescriptions

65

prescriptions.

12

patients, 2% of all patients

47 26
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

62

prescriptions, 1% of all prescriptions

57

prescriptions.

17

patients, 3% of all patients

48 32
LEVEMIR FLEXTOUCH

Used to treat type 1 diabet... +

Used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

35

prescriptions.

22

patients, 4% of all patients

49 79
NABUMETONE

Treats pain caused by arthr... +

Treats pain caused by arthritis. Source: National Library of Medicine

58

prescriptions, 1% of all prescriptions

53

prescriptions.

37

patients, 6% of all patients

50 239
METHYLPREDNISOLONE

Treats asthma, allergic rea... +

Treats asthma, allergic reactions, inflammation, flare-ups of ongoing illnesses, and many other medical problems. Source: National Library of Medicine

58

prescriptions, 1% of all prescriptions

53

prescriptions.

50

patients, 9% of all patients

50 85
TRADJENTA

Used with proper diet and e... +

Used with proper diet and exercise to treat high blood sugar levels caused by type 2 diabetes. Source: National Library of Medicine

58

prescriptions, 1% of all prescriptions

44

prescriptions.

12

patients, 2% of all patients

50 137
HYDRALAZINE HCL

Hydralazine is used to trea... +

Hydralazine is used to treat high blood pressure. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

51

prescriptions.

23

patients, 4% of all patients

53 52
ALLOPURINOL

Treats gout and some kinds ... +

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

54

prescriptions, 0% of all prescriptions

49

prescriptions.

14

patients, 2% of all patients

54 38
ISOSORBIDE MONONITRATE ER

Isosorbide mononitrate is u... +

Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

33

prescriptions.

12

patients, 2% of all patients

55 66
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

50

prescriptions, 0% of all prescriptions

45

prescriptions.

27

patients, 5% of all patients

56 107
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 July 8, 2007.
  • 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.