Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Pain Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

7,564Medicare Part D Prescriptions Filled, Including Refills

Rank: 14 out of 177

$3.86M Total Retail Price of All Prescriptions

Rank: 1 out of 177

295 Patients Receiving at Least One Drug in Part D
39% Patients 65 Years and Older

78% 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 114 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

This provider prescribed antibiotics to at least one but fewer than 11 patients, so Medicare redacted the exact figure. Comparisons are not shown.

More resources »

Risky Drugs for Seniors

22% of this provider’s 114 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

91% of this provider’s 295 patients filled at least one prescription for an opioid, compared to an average of 85%.

More resources »

Brand Name Drugs

17% of this provider’s prescriptions were for brand-name drugs, compared to an average of 12%.

Prescription Price

$511 was the average price of a prescription from this provider, compared to $92 among peers.

Prescriptions per Patient

26 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

$859K

2012

$903K

2013

$2.81M

2014

$3.86M

2015

Number of Claims

7,101

2012

7,020

2013

7,412

2014

7,564

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

1,422

prescriptions, 19% of all prescriptions

548

prescriptions.

172

patients, 58% of all patients

O 1 1
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

658

prescriptions, 9% of all prescriptions

160

prescriptions.

117

patients, 40% of all patients

2 5
MORPHINE SULFATE ER

Morphine (extended release)... +

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

439

prescriptions, 6% of all prescriptions

91

prescriptions.

55

patients, 19% of all patients

O 3 3
OXYCODONE HCL

Oxycodone is used to reliev... +

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

430

prescriptions, 6% of all prescriptions

66

prescriptions.

48

patients, 16% of all patients

O 4 8
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

383

prescriptions, 5% of all prescriptions

123

prescriptions.

51

patients, 17% of all patients

O 5 4
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

256

prescriptions, 3% of all prescriptions

58

prescriptions.

33

patients, 11% of all patients

6 17
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

240

prescriptions, 3% of all prescriptions

65

prescriptions.

29

patients, 10% of all patients

R 7 20
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

208

prescriptions, 3% of all prescriptions

46

prescriptions.

35

patients, 12% of all patients

8 9
GABAPENTIN

Treats certain types of sei... +

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

175

prescriptions, 2% of all prescriptions

60

prescriptions.

26

patients, 9% of all patients

9 2
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

164

prescriptions, 2% of all prescriptions

80

prescriptions.

19

patients, 6% of all patients

O 10 7
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

137

prescriptions, 2% of all prescriptions

16

prescriptions.

18

patients, 6% of all patients

11 36
HYDROMORPHONE HCL*

Used to relieve moderate to... +

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

135

prescriptions, 2% of all prescriptions

36

prescriptions.

18

patients, 6% of all patients

O 12 12
TOPIRAMATE

Helps control and prevent c... +

Helps control and prevent certain kinds of seizures. Source: National Library of Medicine

133

prescriptions, 2% of all prescriptions

16

prescriptions.

20

patients, 7% of all patients

13 34
SUBSYS 131

prescriptions, 2% of all prescriptions

38

prescriptions.

15

patients, 5% of all patients

O 14 51
VOLTAREN

Treats pain caused by arthr... +

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

129

prescriptions, 2% of all prescriptions

26

prescriptions.

17

patients, 6% of all patients

15 23
MELOXICAM

Treats symptoms of osteoart... +

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

127

prescriptions, 2% of all prescriptions

63

prescriptions.

31

patients, 11% of all patients

16 16
CARISOPRODOL

Treats pain and stiffness o... +

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

114

prescriptions, 2% of all prescriptions

5

prescriptions.

16

patients, 5% of all patients

R 17 19
CELECOXIB

Treats mild to moderate pai... +

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

110

prescriptions, 1% of all prescriptions

71

prescriptions.

28

patients, 9% of all patients

18 24
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

107

prescriptions, 1% of all prescriptions

15

prescriptions.

18

patients, 6% of all patients

R 19 15
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

85

prescriptions, 1% of all prescriptions

33

prescriptions.

20

patients, 7% of all patients

20 30
LACTULOSE

Treats constipation. Also t... +

Treats constipation. Source: National Library of Medicine

82

prescriptions, 1% of all prescriptions

14

prescriptions.

19

patients, 6% of all patients

21 80
AMITIZA

Treats certain types of lon... +

Treats certain types of long-term constipation by helping you have a bowel movement. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

5

prescriptions.

12

patients, 4% of all patients

22 68
TRAMADOL HCL

Tramadol is used to relieve... +

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

75

prescriptions, 1% of all prescriptions

12

prescriptions.

19

patients, 6% of all patients

O 23 6
OXYCONTIN

Oxycodone is used to reliev... +

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

72

prescriptions, 1% of all prescriptions

12

prescriptions.

<11 O 24 14
METHOCARBAMOL

Treats muscle pain and spas... +

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

67

prescriptions, 1% of all prescriptions

5

prescriptions.

16

patients, 5% of all patients

R 25 22
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

65

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 R 26 49
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

64

prescriptions, 1% of all prescriptions

14

prescriptions.

<11 27 83
LIDOCAINE

Causes numbness or loss of ... +

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

61

prescriptions, 1% of all prescriptions

29

prescriptions.

15

patients, 5% of all patients

28 26
TEMAZEPAM

Treats insomnia (trouble sl... +

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

56

prescriptions, 1% of all prescriptions

14

prescriptions.

<11 29 39
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

50

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 O 30 10
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 June 28, 2011.
  • 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.