Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Nephrology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

5,885Medicare Part D Prescriptions Filled, Including Refills

Rank: 24 out of 607

$2.57M Total Retail Price of All Prescriptions

Rank: 3 out of 607

363 Patients Receiving at Least One Drug in Part D
47% Patients 65 Years and Older

88% 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 170 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

9% of this provider’s 363 patients filled at least one prescription for an antibiotic drug, compared to an average of 18%.

More resources »

Risky Drugs for Seniors

This provider prescribed potentially inappropriate drugs 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 »

Opioids

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

More resources »

Brand Name Drugs

39% of this provider’s prescriptions were for brand-name drugs, compared to an average of 26%.

Prescription Price

$436 was the average price of a prescription from this provider, compared to $199 among peers.

Prescriptions per Patient

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


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

$1.7M

2012

$1.93M

2013

$2.32M

2014

$2.57M

2015

Number of Claims

5,851

2012

6,165

2013

6,240

2014

5,885

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
RENVELA

Lowers the amount of phosph... +

Lowers the amount of phosphorus in blood of patients receiving kidney dialysis. Source: National Library of Medicine

946

prescriptions, 16% of all prescriptions

269

prescriptions.

158

patients, 44% of all patients

10 1 3
SENSIPAR

Lowers the amount of calciu... +

Lowers the amount of calcium in your blood. Source: National Library of Medicine

451

prescriptions, 8% of all prescriptions

113

prescriptions.

74

patients, 20% of all patients

2 5
CARVEDILOL

Treats high blood pressure ... +

Treats high blood pressure and congestive heart failure (CHF). Source: National Library of Medicine

275

prescriptions, 5% of all prescriptions

45

prescriptions.

45

patients, 12% of all patients

3 6
CLONIDINE HCL

Clonidine is used alone or ... +

Clonidine is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

253

prescriptions, 4% of all prescriptions

55

prescriptions.

39

patients, 11% of all patients

4 13
LISINOPRIL

Treats high blood pressure ... +

Treats high blood pressure and heart failure. Source: National Library of Medicine

240

prescriptions, 4% of all prescriptions

108

prescriptions.

50

patients, 14% of all patients

5 4
NIFEDIPINE ER

Used for the treatment of v... +

Used for the treatment of vasospastic angina, chronic stable angina and hypertension. Source: National Library of Medicine

211

prescriptions, 4% of all prescriptions

79

prescriptions.

37

patients, 10% of all patients

6 14
AMLODIPINE BESYLATE

Amlodipine is used alone or... +

Amlodipine is used alone or in combination with other medications to treat high blood pressure and chest pain (angina). Source: National Library of Medicine

211

prescriptions, 4% of all prescriptions

52

prescriptions.

39

patients, 11% of all patients

6 2
HYDRALAZINE HCL

Hydralazine is used to trea... +

Hydralazine is used to treat high blood pressure. Source: National Library of Medicine

208

prescriptions, 4% of all prescriptions

58

prescriptions.

35

patients, 10% of all patients

8 8
CALCIUM ACETATE

Used to treat hyperphosphat... +

Used to treat hyperphosphatemia (too much phosphate in the blood) in patients with end stage kidney disease who are on dialysis. Source: National Library of Medicine

173

prescriptions, 3% of all prescriptions

33

prescriptions.

33

patients, 9% of all patients

9 7
MIDODRINE HCL

Midodrine hydrochloride tab... +

Midodrine hydrochloride tablets are indicated for the treatment of symptomatic orthostatic hypotension. Source: National Library of Medicine

140

prescriptions, 2% of all prescriptions

38

prescriptions.

23

patients, 6% of all patients

10 59
METOPROLOL TARTRATE

Metoprolol is used alone or... +

Metoprolol is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

128

prescriptions, 2% of all prescriptions

52

prescriptions.

27

patients, 7% of all patients

11 12
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels. Source: National Library of Medicine

106

prescriptions, 2% of all prescriptions

33

prescriptions.

19

patients, 5% of all patients

12 15
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

87

prescriptions, 1% of all prescriptions

26

prescriptions.

16

patients, 4% of all patients

13 41
CLOPIDOGREL

Helps prevent stroke, heart... +

Helps prevent stroke, heart attack, and other heart problems. Source: National Library of Medicine

86

prescriptions, 1% of all prescriptions

23

prescriptions.

12

patients, 3% of all patients

14 31
ALLOPURINOL

Treats gout and some kinds ... +

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

84

prescriptions, 1% of all prescriptions

73

prescriptions.

13

patients, 4% of all patients

15 11
SIMVASTATIN

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels in the blood. Source: National Library of Medicine

83

prescriptions, 1% of all prescriptions

58

prescriptions.

17

patients, 5% of all patients

16 19
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

82

prescriptions, 1% of all prescriptions

60

prescriptions.

23

patients, 6% of all patients

17 46
MINOXIDIL

Treats high blood pressure ... +

Treats high blood pressure that has not been controlled with other medicines. Source: National Library of Medicine

82

prescriptions, 1% of all prescriptions

0

prescriptions.

13

patients, 4% of all patients

17 45
GABAPENTIN

Treats certain types of sei... +

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

79

prescriptions, 1% of all prescriptions

15

prescriptions.

18

patients, 5% of all patients

19 20
FUROSEMIDE

Treats fluid retention (ede... +

Treats fluid retention (edema) and high blood pressure (hypertension). Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

55

prescriptions.

25

patients, 7% of all patients

20 1
OMEPRAZOLE

Treats heartburn, stomach u... +

Treats heartburn, stomach ulcers, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid, such as Zollinger-Ellison syndrome, endocrine tumors, and systemic mastocytosis. Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 21 24
METOPROLOL SUCCINATE

Metoprolol is used alone or... +

Metoprolol is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

17

prescriptions.

12

patients, 3% of all patients

21 21
ISOSORBIDE MONONITRATE ER

Isosorbide mononitrate is u... +

Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). Source: National Library of Medicine

68

prescriptions, 1% of all prescriptions

49

prescriptions.

14

patients, 4% of all patients

23 56
PANTOPRAZOLE SODIUM

Pantoprazole is used to tre... +

Pantoprazole is used to treat gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and possible injury of the esophagus (the tube between the throat and stomach). Source: National Library of Medicine

60

prescriptions, 1% of all prescriptions

20

prescriptions.

13

patients, 4% of all patients

24 22
CRESTOR

Lowers high levels of chole... +

Lowers high levels of cholesterol and triglycerides (fats) in your blood. Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

34

prescriptions.

11

patients, 3% of all patients

25 51
VALSARTAN

Valsartan is used alone or ... +

Valsartan is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

32

prescriptions.

12

patients, 3% of all patients

26 38
RENAGEL 54

prescriptions, 1% of all prescriptions

26

prescriptions.

13

patients, 4% of all patients

27 225
PRAVASTATIN SODIUM

Pravastatin is used with di... +

Pravastatin is used with diet, weight-loss, and exercise to reduce the risk of heart attack and stroke and to decrease the chance that heart surgery will be needed in people who have heart disease or who are at risk of developing heart disease. Source: National Library of Medicine

52

prescriptions, 1% of all prescriptions

22

prescriptions.

<11 28 27
SODIUM POLYSTYRENE SULFONATE 51

prescriptions, 1% of all prescriptions

46

prescriptions.

13

patients, 4% of all patients

29 234
FOSRENOL 50

prescriptions, 1% of all prescriptions

14

prescriptions.

11

patients, 3% of all patients

30 109
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 Sept. 8, 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.