Prescriber Checkup
The Doctors and Drugs in Medicare Part D
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CRAIG CHARLESTON MD
755 N 11TH ST SUITE P5600
Beaumont | Texas | 77702
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At A Glance: This Prescriber in 2015
Self-Reported Primary Specialty
Rank: 4 out of 122
Rank: 6 out of 122
How Does This Prescriber Compare to Peers?
In the same specialty and state. Caveats »
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.
Antibiotics
This provider prescribed antibiotics to at least one but fewer than 11 patients, so Medicare redacted the exact figure. Comparisons are not shown.
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%.
Opioids
91% of this provider’s 902 patients filled at least one prescription for an opioid, compared to an average of 84%.
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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An opioid drug. More » Prescription opioids (painkillers) can help alleviate certain kinds of pain in the short term but carry serious health risks.
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.
An antipsychotic drug. More » Antipsychotics are frequently given to dementia patients, though it increases their risk of death.
A risky drug for seniors. More » The American Geriatrics Society has said this drug is "potentially dangerous" for seniors and might be inappropriate.
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?
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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 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.