Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Interventional Pain Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

12,277Medicare Part D Prescriptions Filled, Including Refills

Rank: 4 out of 122

$806K Total Retail Price of All Prescriptions

Rank: 6 out of 122

902 Patients Receiving at Least One Drug in Part D
64% Patients 65 Years and Older

43% 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

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

12% of this provider’s 576 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 902 patients filled at least one prescription for an opioid, compared to an average of 84%.

More resources »

Brand Name Drugs *

10% of this provider’s prescriptions were for brand-name drugs, compared to an average of 13%.

* This is an estimate, see our methodology.

Prescription Price

$66 was the average price of a prescription from this provider, compared to $82 among peers.

Prescriptions per Patient

14 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

$661K

2012

$802K

2013

$776K

2014

$806K

2015

Number of Claims

10,315

2012

12,458

2013

12,460

2014

12,277

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
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

4,190

prescriptions, 34% of all prescriptions

2,633

prescriptions.

565

patients, 63% of all patients

O 1 1
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

1,241

prescriptions, 10% of all prescriptions

814

prescriptions.

172

patients, 19% of all patients

O 2 4
GABAPENTIN

Treats certain types of sei... +

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

955

prescriptions, 8% of all prescriptions

568

prescriptions.

219

patients, 24% of all patients

3 2
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

659

prescriptions, 5% of all prescriptions

313

prescriptions.

145

patients, 16% of all patients

4 6
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

453

prescriptions, 4% of all prescriptions

244

prescriptions.

91

patients, 10% of all patients

O 5 8
TRAMADOL HCL

Tramadol is used to relieve... +

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

451

prescriptions, 4% of all prescriptions

317

prescriptions.

135

patients, 15% of all patients

O 6 5
MORPHINE SULFATE ER

Morphine (extended release)... +

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

446

prescriptions, 4% of all prescriptions

198

prescriptions.

65

patients, 7% of all patients

O 7 3
OXYCODONE HCL

Oxycodone is used to reliev... +

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

402

prescriptions, 3% of all prescriptions

209

prescriptions.

58

patients, 6% of all patients

O 8 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

278

prescriptions, 2% of all prescriptions

142

prescriptions.

61

patients, 7% of all patients

9 9
TRAMADOL HCL ER 236

prescriptions, 2% of all prescriptions

140

prescriptions.

44

patients, 5% of all patients

O 10 10 33
HYDROMORPHONE HCL*

Used to relieve moderate to... +

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

235

prescriptions, 2% of all prescriptions

136

prescriptions.

46

patients, 5% of all patients

O 11 11
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

231

prescriptions, 2% of all prescriptions

72

prescriptions.

60

patients, 7% of all patients

R 12 14
METHOCARBAMOL

Treats muscle pain and spas... +

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

201

prescriptions, 2% of all prescriptions

84

prescriptions.

49

patients, 5% of all patients

R 13 25
OXYCONTIN

Oxycodone is used to reliev... +

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

190

prescriptions, 2% of all prescriptions

131

prescriptions.

25

patients, 3% of all patients

O 14 12
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

185

prescriptions, 2% of all prescriptions

85

prescriptions.

35

patients, 4% of all patients

15 17
MELOXICAM

Treats symptoms of osteoart... +

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

178

prescriptions, 1% of all prescriptions

102

prescriptions.

44

patients, 5% of all patients

16 16
BACLOFEN

Treats muscle spasms caused... +

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

171

prescriptions, 1% of all prescriptions

54

prescriptions.

50

patients, 6% of all patients

17 13
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

124

prescriptions, 1% of all prescriptions

36

prescriptions.

29

patients, 3% of all patients

18 36
SUBOXONE

Treats an addiction to or d... +

Treats an addiction to or dependence on narcotic medicine. Source: National Library of Medicine

83

prescriptions, 1% of all prescriptions

42

prescriptions.

<11 19 40
VOLTAREN

Treats pain caused by arthr... +

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

83

prescriptions, 1% of all prescriptions

48

prescriptions.

48

patients, 5% of all patients

19 23
CARISOPRODOL

Treats pain and stiffness o... +

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

73

prescriptions, 1% of all prescriptions

32

prescriptions.

11

patients, 1% of all patients

R 21 24
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

72

prescriptions, 1% of all prescriptions

31

prescriptions.

18

patients, 2% of all patients

22 37
LIDOCAINE

Causes numbness or loss of ... +

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

71

prescriptions, 1% of all prescriptions

66

prescriptions.

32

patients, 4% of all patients

23 32
ALPRAZOLAM

Treats anxiety, panic disor... +

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

68

prescriptions, 1% of all prescriptions

17

prescriptions.

12

patients, 1% of all patients

24 18
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

68

prescriptions, 1% of all prescriptions

49

prescriptions.

<11 O 24 10
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

67

prescriptions, 1% of all prescriptions

35

prescriptions.

15

patients, 2% of all patients

R 26 22
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

62

prescriptions, 1% of all prescriptions

43

prescriptions.

19

patients, 2% of all patients

O 27 15
OXYMORPHONE HCL ER 56

prescriptions, 0% of all prescriptions

37

prescriptions.

<11 O 28 58
TOPIRAMATE

Helps control and prevent c... +

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

56

prescriptions, 0% of all prescriptions

31

prescriptions.

<11 28 31
MORPHINE SULFATE

Morphine is used to relieve... +

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

50

prescriptions, 0% of all prescriptions

16

prescriptions.

13

patients, 1% of all patients

O 30 20
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 May 27, 2008.
  • 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.