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 »

9,277Medicare Part D Prescriptions Filled, Including Refills

Rank: 13 out of 268

$4.66M Total Retail Price of All Prescriptions

Rank: 4 out of 268

1,160 Patients Receiving at Least One Drug in Part D
77% Patients 65 Years and Older

55% 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

14% of this provider’s 1,160 patients filled at least one prescription for an antibiotic drug, compared to an average of 6%.

More resources »

Risky Drugs for Seniors

9% of this provider’s 895 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

48% of this provider’s 1,160 patients filled at least one prescription for an opioid, compared to an average of 27%.

More resources »

Brand Name Drugs

27% of this provider’s prescriptions were for brand-name drugs, compared to an average of 22%.

Prescription Price

$502 was the average price of a prescription from this provider, compared to $317 among peers.

Prescriptions per Patient

8 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

$1.34M

2012

$2.23M

2013

$3.64M

2014

$4.66M

2015

Number of Claims

7,367

2012

8,808

2013

8,720

2014

9,277

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
PREDNISONE

Treats inflammation (swelli... +

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

860

prescriptions, 9% of all prescriptions

653

prescriptions.

261

patients, 23% of all patients

1 1
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

525

prescriptions, 6% of all prescriptions

309

prescriptions.

153

patients, 13% of all patients

O 2 5
TRAMADOL HCL

Tramadol is used to relieve... +

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

508

prescriptions, 5% of all prescriptions

421

prescriptions.

257

patients, 22% of all patients

O 3 4
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

465

prescriptions, 5% of all prescriptions

349

prescriptions.

143

patients, 12% of all patients

4 2
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

363

prescriptions, 4% of all prescriptions

256

prescriptions.

232

patients, 20% of all patients

5 21
ENBREL

Treats rheumatoid arthritis... +

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

286

prescriptions, 3% of all prescriptions

112

prescriptions.

39

patients, 3% of all patients

6 10
HYDROXYCHLOROQUINE SULFATE

Hydroxychloroquine is in a ... +

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

273

prescriptions, 3% of all prescriptions

206

prescriptions.

79

patients, 7% of all patients

7 3
CLONAZEPAM

Treats seizures, panic diso... +

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

214

prescriptions, 2% of all prescriptions

109

prescriptions.

89

patients, 8% of all patients

8 39
TRAMADOL HCL-ACETAMINOPHEN

Treats short-term, medium t... +

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

201

prescriptions, 2% of all prescriptions

167

prescriptions.

93

patients, 8% of all patients

O 9 28
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

197

prescriptions, 2% of all prescriptions

148

prescriptions.

37

patients, 3% of all patients

10 17
VOLTAREN

Treats pain caused by arthr... +

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

194

prescriptions, 2% of all prescriptions

136

prescriptions.

85

patients, 7% of all patients

11 16
GABAPENTIN

Treats certain types of sei... +

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

170

prescriptions, 2% of all prescriptions

121

prescriptions.

80

patients, 7% of all patients

12 6
LEFLUNOMIDE

Treats rheumatoid arthritis... +

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

160

prescriptions, 2% of all prescriptions

119

prescriptions.

56

patients, 5% of all patients

13 7
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

157

prescriptions, 2% of all prescriptions

103

prescriptions.

66

patients, 6% of all patients

14 12
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

155

prescriptions, 2% of all prescriptions

65

prescriptions.

37

patients, 3% of all patients

O 15 40
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

147

prescriptions, 2% of all prescriptions

102

prescriptions.

74

patients, 6% of all patients

O 16 18
SIMPONI 132

prescriptions, 1% of all prescriptions

61

prescriptions.

13

patients, 1% of all patients

10 17 118
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

110

prescriptions, 1% of all prescriptions

95

prescriptions.

30

patients, 3% of all patients

18 25
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

102

prescriptions, 1% of all prescriptions

86

prescriptions.

35

patients, 3% of all patients

19 11
SULFASALAZINE

Treats ulcerative colitis. ... +

Treats ulcerative colitis. Source: National Library of Medicine

95

prescriptions, 1% of all prescriptions

82

prescriptions.

32

patients, 3% of all patients

20 15
XELJANZ 94

prescriptions, 1% of all prescriptions

78

prescriptions.

17

patients, 1% of all patients

21 34
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

92

prescriptions, 1% of all prescriptions

62

prescriptions.

38

patients, 3% of all patients

22 30
MELOXICAM

Treats symptoms of osteoart... +

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

84

prescriptions, 1% of all prescriptions

70

prescriptions.

35

patients, 3% of all patients

23 9
HUMIRA 83

prescriptions, 1% of all prescriptions

53

prescriptions.

12

patients, 1% of all patients

24 53
FUROSEMIDE

Treats fluid retention (ede... +

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

83

prescriptions, 1% of all prescriptions

67

prescriptions.

34

patients, 3% of all patients

24 52
AZATHIOPRINE

Prevents your body from rej... +

Prevents your body from rejecting a kidney transplant. Source: National Library of Medicine

82

prescriptions, 1% of all prescriptions

50

prescriptions.

24

patients, 2% of all patients

26 26
CHLORZOXAZONE 81

prescriptions, 1% of all prescriptions

16

prescriptions.

30

patients, 3% of all patients

R 27 154
CIMZIA 81

prescriptions, 1% of all prescriptions

59

prescriptions.

<11 10 27 56
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

80

prescriptions, 1% of all prescriptions

52

prescriptions.

26

patients, 2% of all patients

29 8
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

76

prescriptions, 1% of all prescriptions

65

prescriptions.

30

patients, 3% of all patients

30 20
ORENCIA* 75

prescriptions, 1% of all prescriptions

75

prescriptions.

11

patients, 1% of all patients

31 57
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

73

prescriptions, 1% of all prescriptions

42

prescriptions.

21

patients, 2% of all patients

32 74
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

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

69

prescriptions, 1% of all prescriptions

54

prescriptions.

57

patients, 5% of all patients

A 33 83
ACTEMRA 65

prescriptions, 1% of all prescriptions

24

prescriptions.

<11 34 86
CELECOXIB

Treats mild to moderate pai... +

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

61

prescriptions, 1% of all prescriptions

48

prescriptions.

21

patients, 2% of all patients

35 14
LORAZEPAM

Treats anxiety, anxiety wit... +

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

58

prescriptions, 1% of all prescriptions

43

prescriptions.

27

patients, 2% of all patients

36 98
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

55

prescriptions, 1% of all prescriptions

37

prescriptions.

23

patients, 2% of all patients

37 183
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 Dec. 27, 2010.
  • 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.