Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Physician Assistant

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

9,660Medicare Part D Prescriptions Filled, Including Refills

Rank: 8 out of 1017

$7.05M Total Retail Price of All Prescriptions

Rank: 2 out of 1017

1,009 Patients Receiving at Least One Drug in Part D
68% Patients 65 Years and Older

92% 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 688 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 2%.

More resources »

Antibiotics

21% of this provider’s 1,009 patients filled at least one prescription for an antibiotic drug, compared to an average of 29%.

More resources »

Risky Drugs for Seniors

6% of this provider’s 688 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 1,009 patients filled at least one prescription for an opioid, compared to an average of 10%.

More resources »

Brand Name Drugs

49% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%. This is far more than peers.

Prescription Price

$730 was the average price of a prescription from this provider, compared to $136 among peers.

Prescriptions per Patient

10 is the average number of prescriptions (including refills) per patient, compared to an average of 7.


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

$3.06M

2012

$4.14M

2013

$6.32M

2014

$7.05M

2015

Number of Claims

4,526

2012

6,760

2013

9,882

2014

9,660

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
VOLTAREN

Treats pain caused by arthr... +

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

683

prescriptions, 7% of all prescriptions

481

prescriptions.

332

patients, 33% of all patients

1 89
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

652

prescriptions, 7% of all prescriptions

328

prescriptions.

241

patients, 24% of all patients

2 49
SULFASALAZINE

Treats ulcerative colitis. ... +

Treats ulcerative colitis. Source: National Library of Medicine

604

prescriptions, 6% of all prescriptions

433

prescriptions.

299

patients, 30% of all patients

10 3 116
TRAMADOL HCL

Tramadol is used to relieve... +

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

587

prescriptions, 6% of all prescriptions

391

prescriptions.

301

patients, 30% of all patients

O 4 9
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

550

prescriptions, 6% of all prescriptions

325

prescriptions.

239

patients, 24% of all patients

5 45
ENBREL

Treats rheumatoid arthritis... +

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

528

prescriptions, 5% of all prescriptions

304

prescriptions.

118

patients, 12% of all patients

10 6 112
GABAPENTIN

Treats certain types of sei... +

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

519

prescriptions, 5% of all prescriptions

358

prescriptions.

237

patients, 23% of all patients

7 7
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

509

prescriptions, 5% of all prescriptions

260

prescriptions.

239

patients, 24% of all patients

O 8 25
HYDROXYCHLOROQUINE SULFATE

Hydroxychloroquine is in a ... +

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

412

prescriptions, 4% of all prescriptions

276

prescriptions.

208

patients, 21% of all patients

9 65
LEFLUNOMIDE

Treats rheumatoid arthritis... +

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

396

prescriptions, 4% of all prescriptions

248

prescriptions.

190

patients, 19% of all patients

10 107
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

277

prescriptions, 3% of all prescriptions

178

prescriptions.

64

patients, 6% of all patients

11 169
LIDODERM

Treats nerve pain that is c... +

Treats nerve pain that is caused by herpes zoster, or "shingles. Source: National Library of Medicine

239

prescriptions, 2% of all prescriptions

161

prescriptions.

143

patients, 14% of all patients

12 180
LIDOCAINE

Causes numbness or loss of ... +

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

238

prescriptions, 2% of all prescriptions

162

prescriptions.

139

patients, 14% of all patients

13 183
DOXYCYCLINE HYCLATE

Doxycycline is used to trea... +

Doxycycline is used to treat bacterial infections, including pneumonia and other respiratory tract infections; Lyme disease; acne; infections of skin, genital, and urinary systems; and anthrax (after inhalational exposure). Source: National Library of Medicine

237

prescriptions, 2% of all prescriptions

130

prescriptions.

165

patients, 16% of all patients

A 14 95
FORTEO 230

prescriptions, 2% of all prescriptions

179

prescriptions.

66

patients, 7% of all patients

15 139
IBANDRONATE SODIUM

Used to prevent and treat o... +

Used to prevent and treat osteoporosis (a condition in which the bones become thin and weak and break easily) in women who have undergone menopause. Source: National Library of Medicine

224

prescriptions, 2% of all prescriptions

157

prescriptions.

119

patients, 12% of all patients

16 173
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

190

prescriptions, 2% of all prescriptions

112

prescriptions.

84

patients, 8% of all patients

17 33
HUMIRA 180

prescriptions, 2% of all prescriptions

98

prescriptions.

45

patients, 4% of all patients

10 18 212
ORENCIA* 175

prescriptions, 2% of all prescriptions

117

prescriptions.

68

patients, 7% of all patients

10 19 214
CIMZIA 166

prescriptions, 2% of all prescriptions

69

prescriptions.

38

patients, 4% of all patients

10 20 223
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

144

prescriptions, 1% of all prescriptions

110

prescriptions.

71

patients, 7% of all patients

21 1
ALLOPURINOL

Treats gout and some kinds ... +

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

140

prescriptions, 1% of all prescriptions

105

prescriptions.

76

patients, 8% of all patients

22 77
BUTRANS 119

prescriptions, 1% of all prescriptions

62

prescriptions.

59

patients, 6% of all patients

O 23 254
CELECOXIB

Treats mild to moderate pai... +

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

117

prescriptions, 1% of all prescriptions

66

prescriptions.

51

patients, 5% of all patients

24 123
PROLIA 91

prescriptions, 1% of all prescriptions

86

prescriptions.

66

patients, 7% of all patients

25 273
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

79

prescriptions, 1% of all prescriptions

32

prescriptions.

34

patients, 3% of all patients

R 26 38
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

78

prescriptions, 1% of all prescriptions

15

prescriptions.

32

patients, 3% of all patients

R 27 90
ULORIC

Used to treat hyperuricemia... +

Used to treat hyperuricemia (high uric acid in the blood) in patients with gout. Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

67

prescriptions.

28

patients, 3% of all patients

28 236
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

68

prescriptions, 1% of all prescriptions

49

prescriptions.

30

patients, 3% of all patients

29 31
ORENCIA* 63

prescriptions, 1% of all prescriptions

22

prescriptions.

17

patients, 2% of all patients

30 302
BD ULTRA-FINE PEN NEEDLE

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

61

prescriptions, 1% of all prescriptions

56

prescriptions.

18

patients, 2% of all patients

31 101
METHOTREXATE SODIUM 60

prescriptions, 1% of all prescriptions

29

prescriptions.

37

patients, 4% of all patients

32 310
LIDOCAINE-PRILOCAINE

This is used on the skin or... +

This is used on the skin or in the genital area to cause numbness or loss of feeling before certain medical procedures. Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

37

prescriptions.

12

patients, 1% of all patients

33 86
TRAMADOL HCL-ACETAMINOPHEN

Treats short-term, medium t... +

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

51

prescriptions, 1% of all prescriptions

46

prescriptions.

26

patients, 3% of all patients

O 34 96
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 Nov. 21, 2016.
  • 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.