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 »

8,003Medicare Part D Prescriptions Filled, Including Refills

Rank: 19 out of 268

$1.82M Total Retail Price of All Prescriptions

Rank: 40 out of 268

543 Patients Receiving at Least One Drug in Part D
66% Patients 65 Years and Older

38% 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

8% of this provider’s 543 patients filled at least one prescription for an antibiotic drug, compared to an average of 6%.

More resources »

Risky Drugs for Seniors

16% of this provider’s 359 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

53% of this provider’s 543 patients filled at least one prescription for an opioid, compared to an average of 27%.

More resources »

Brand Name Drugs

16% of this provider’s prescriptions were for brand-name drugs, compared to an average of 22%.

Prescription Price

$227 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

$857K

2012

$1.43M

2013

$1.78M

2014

$1.82M

2015

Number of Claims

5,158

2012

7,119

2013

8,288

2014

8,003

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

1,190

prescriptions, 15% of all prescriptions

569

prescriptions.

191

patients, 35% of all patients

O 1 5
PREDNISONE

Treats inflammation (swelli... +

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

379

prescriptions, 5% of all prescriptions

291

prescriptions.

132

patients, 24% of all patients

2 1
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

373

prescriptions, 5% of all prescriptions

237

prescriptions.

96

patients, 18% of all patients

3 8
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

368

prescriptions, 5% of all prescriptions

257

prescriptions.

105

patients, 19% of all patients

4 2
HYDROXYCHLOROQUINE SULFATE

Hydroxychloroquine is in a ... +

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

351

prescriptions, 4% of all prescriptions

197

prescriptions.

102

patients, 19% of all patients

5 3
ALPRAZOLAM

Treats anxiety, panic disor... +

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

341

prescriptions, 4% of all prescriptions

177

prescriptions.

62

patients, 11% of all patients

6 27
MELOXICAM

Treats symptoms of osteoart... +

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

268

prescriptions, 3% of all prescriptions

184

prescriptions.

84

patients, 15% of all patients

7 9
TRAMADOL HCL

Tramadol is used to relieve... +

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

267

prescriptions, 3% of all prescriptions

201

prescriptions.

77

patients, 14% of all patients

O 8 4
GABAPENTIN

Treats certain types of sei... +

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

202

prescriptions, 3% of all prescriptions

57

prescriptions.

57

patients, 10% of all patients

9 6
ENBREL

Treats rheumatoid arthritis... +

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

198

prescriptions, 2% of all prescriptions

138

prescriptions.

25

patients, 5% of all patients

10 10
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

150

prescriptions, 2% of all prescriptions

58

prescriptions.

29

patients, 5% of all patients

R 11 24
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

122

prescriptions, 2% of all prescriptions

59

prescriptions.

25

patients, 5% of all patients

12 12
CLONAZEPAM

Treats seizures, panic diso... +

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

118

prescriptions, 1% of all prescriptions

45

prescriptions.

27

patients, 5% of all patients

13 39
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

113

prescriptions, 1% of all prescriptions

35

prescriptions.

19

patients, 3% of all patients

O 14 40
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

106

prescriptions, 1% of all prescriptions

37

prescriptions.

35

patients, 6% of all patients

R 15 23
TOPIRAMATE

Helps control and prevent c... +

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

106

prescriptions, 1% of all prescriptions

55

prescriptions.

20

patients, 4% of all patients

15 64
CARISOPRODOL

Treats pain and stiffness o... +

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

102

prescriptions, 1% of all prescriptions

39

prescriptions.

15

patients, 3% of all patients

R 17 49
CELECOXIB

Treats mild to moderate pai... +

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

93

prescriptions, 1% of all prescriptions

81

prescriptions.

27

patients, 5% of all patients

18 14
DICLOFENAC SODIUM

Diclofenac is used to relie... +

Diclofenac is used to relieve pain, tenderness, swelling, and stiffness caused by osteoarthritis (arthritis caused by a breakdown of the lining of the joints), rheumatoid arthritis (arthritis caused by swelling of the lining of the joints), and ankylosing spondylitis (arthritis that mainly affects the spine). Source: National Library of Medicine

92

prescriptions, 1% of all prescriptions

50

prescriptions.

25

patients, 5% of all patients

19 36
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

86

prescriptions, 1% of all prescriptions

51

prescriptions.

42

patients, 8% of all patients

20 21
MORPHINE SULFATE ER

Morphine (extended release)... +

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

84

prescriptions, 1% of all prescriptions

28

prescriptions.

16

patients, 3% of all patients

O 21 61
DEXTROAMPHETAMINE-AMPHETAMINE

The combination is used as ... +

The combination is used as part of a treatment program to control symptoms of attention deficit hyperactivity disorder (ADHD) in adults and children. Source: National Library of Medicine

83

prescriptions, 1% of all prescriptions

19

prescriptions.

19

patients, 3% of all patients

22 101
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

76

prescriptions, 1% of all prescriptions

54

prescriptions.

18

patients, 3% of all patients

O 23 18
TRAZODONE HCL

Trazodone is used to treat ... +

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

72

prescriptions, 1% of all prescriptions

29

prescriptions.

23

patients, 4% of all patients

24 37
LEFLUNOMIDE

Treats rheumatoid arthritis... +

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

62

prescriptions, 1% of all prescriptions

34

prescriptions.

17

patients, 3% of all patients

25 7
OXYCONTIN

Oxycodone is used to reliev... +

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

61

prescriptions, 1% of all prescriptions

18

prescriptions.

<11 O 26 141
ALLOPURINOL

Treats gout and some kinds ... +

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

60

prescriptions, 1% of all prescriptions

55

prescriptions.

16

patients, 3% of all patients

27 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

56

prescriptions, 1% of all prescriptions

26

prescriptions.

<11 28 17
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

55

prescriptions, 1% of all prescriptions

50

prescriptions.

19

patients, 3% of all patients

29 25
VOLTAREN

Treats pain caused by arthr... +

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

52

prescriptions, 1% of all prescriptions

32

prescriptions.

27

patients, 5% of all patients

30 16
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

51

prescriptions, 1% of all prescriptions

26

prescriptions.

18

patients, 3% of all patients

31 19
LORAZEPAM

Treats anxiety, anxiety wit... +

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

50

prescriptions, 1% of all prescriptions

33

prescriptions.

12

patients, 2% of all patients

32 98
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 March 4, 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.