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 »

21,415Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 916

$3.74M Total Retail Price of All Prescriptions

Rank: 2 out of 916

720 Patients Receiving at Least One Drug in Part D
16% Patients 65 Years and Older

99% 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 Michigan
lower than average

Antipsychotics

72% of this provider’s 115 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 2%.

More resources »

Antibiotics

0% of this provider’s 720 patients filled at least one prescription for an antibiotic drug, compared to an average of 24%.

More resources »

Risky Drugs for Seniors

27% of this provider’s 115 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 8%.

More resources »

Opioids

0% of this provider’s 720 patients filled at least one prescription for an opioid, compared to an average of 24%.

More resources »

Brand Name Drugs *

18% of this provider’s prescriptions were for brand-name drugs, compared to an average of 16%.

* This is an estimate, see our methodology.

Prescription Price

$174 was the average price of a prescription from this provider, compared to $114 among peers.

Prescriptions per Patient

30 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

$92.1K

2012

2013

$1.63M

2014

$3.74M

2015

Number of Claims

1,712

2012

2013

9,723

2014

21,415

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
RISPERIDONE

Treats schizophrenia and ce... +

Treats schizophrenia and certain problems caused by bipolar disorder. Source: National Library of Medicine

1,331

prescriptions, 6% of all prescriptions

202

prescriptions.

151

patients, 21% of all patients

P 1 38
QUETIAPINE FUMARATE

Quetiapine is used to treat... +

Quetiapine is used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions). Source: National Library of Medicine

1,329

prescriptions, 6% of all prescriptions

146

prescriptions.

138

patients, 19% of all patients

P 2 28
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

Treats symptoms of Parkinson's disease or side effects of other drugs. Source: National Library of Medicine

1,211

prescriptions, 6% of all prescriptions

101

prescriptions.

145

patients, 20% of all patients

R 3 48
SEROQUEL XR

Treats schizophrenia and sy... +

Treats schizophrenia and symptoms of bipolar disorder (manic-depressive illness). Source: National Library of Medicine

1,204

prescriptions, 6% of all prescriptions

177

prescriptions.

142

patients, 20% of all patients

P 10 4 53
OLANZAPINE

Treats psychotic mental dis... +

Treats psychotic mental disorders, such as schizophrenia or bipolar disorder (manic-depressive illness). Source: National Library of Medicine

933

prescriptions, 4% of all prescriptions

167

prescriptions.

105

patients, 15% of all patients

P 5 43
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Source: National Library of Medicine

894

prescriptions, 4% of all prescriptions

91

prescriptions.

104

patients, 14% of all patients

6 57
TRAZODONE HCL

Trazodone is used to treat ... +

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

794

prescriptions, 4% of all prescriptions

150

prescriptions.

113

patients, 16% of all patients

7 19
FLUOXETINE HCL

Fluoxetine is used to treat... +

Fluoxetine is used to treat depression, obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), some eating disorders, and panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks). Source: National Library of Medicine

758

prescriptions, 4% of all prescriptions

133

prescriptions.

88

patients, 12% of all patients

8 41
TOPIRAMATE

Helps control and prevent c... +

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

706

prescriptions, 3% of all prescriptions

5

prescriptions.

102

patients, 14% of all patients

9 68
LORAZEPAM

Treats anxiety, anxiety wit... +

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

665

prescriptions, 3% of all prescriptions

102

prescriptions.

108

patients, 15% of all patients

10 22
PROPRANOLOL HCL

Propranolol is used to trea... +

Propranolol is used to treat high blood pressure, abnormal heart rhythms, heart disease, pheochromocytoma (tumor on a small gland near the kidneys), and certain types of tremor. Source: National Library of Medicine

637

prescriptions, 3% of all prescriptions

13

prescriptions.

88

patients, 12% of all patients

10 11 107
SERTRALINE HCL

Sertraline is used to treat... +

Sertraline is used to treat depression, obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks), posttraumatic stress disorder (disturbing psychological symptoms that develop after a frightening experience), and social anxiety disorder (extreme fear of interacting with others or performing in front of others that interferes with normal life). Source: National Library of Medicine

594

prescriptions, 3% of all prescriptions

139

prescriptions.

75

patients, 10% of all patients

12 17
LATUDA

Used to treat the symptoms ... +

Used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions). Source: National Library of Medicine

553

prescriptions, 3% of all prescriptions

21

prescriptions.

62

patients, 9% of all patients

P 13 92
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Source: National Library of Medicine

531

prescriptions, 2% of all prescriptions

33

prescriptions.

70

patients, 10% of all patients

14 75
CLONAZEPAM

Treats seizures, panic diso... +

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

509

prescriptions, 2% of all prescriptions

47

prescriptions.

81

patients, 11% of all patients

15 36
HALOPERIDOL*

Treats symptoms of mental a... +

Treats symptoms of mental and emotional disorders. Source: National Library of Medicine

460

prescriptions, 2% of all prescriptions

56

prescriptions.

61

patients, 8% of all patients

P 16 99
BUSPIRONE HCL

Buspirone is used to treat ... +

Buspirone is used to treat anxiety disorders or in the short-term treatment of symptoms of anxiety. Source: National Library of Medicine

398

prescriptions, 2% of all prescriptions

69

prescriptions.

57

patients, 8% of all patients

17 67
LAMOTRIGINE

Treats certain types of sei... +

Treats certain types of seizures and mood disorders. Source: National Library of Medicine

398

prescriptions, 2% of all prescriptions

0

prescriptions.

48

patients, 7% of all patients

17 52
CITALOPRAM HBR

Citalopram is used to treat... +

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

398

prescriptions, 2% of all prescriptions

39

prescriptions.

55

patients, 8% of all patients

17 32
PAROXETINE HCL

Paroxetine tablets, suspens... +

Paroxetine tablets, suspension (liquid), and extended-release (long-acting) tablets are used to treat depression, panic disorder (sudden, unexpected attacks of extreme fear and worry about these attacks), and social anxiety disorder (extreme fear of interacting with others or performing in front of others that interferes with normal life). Source: National Library of Medicine

347

prescriptions, 2% of all prescriptions

52

prescriptions.

48

patients, 7% of all patients

20 64
ABILIFY

Treats schizophrenia, bipol... +

Treats schizophrenia, bipolar disorder, and depression. Source: National Library of Medicine

345

prescriptions, 2% of all prescriptions

62

prescriptions.

61

patients, 8% of all patients

P 21 81
ZIPRASIDONE HCL

Used to treat the symptoms ... +

Used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions). Source: National Library of Medicine

318

prescriptions, 1% of all prescriptions

53

prescriptions.

28

patients, 4% of all patients

P 22 94
ESCITALOPRAM OXALATE

Escitalopram is used to tre... +

Escitalopram is used to treat depression and generalized anxiety disorder (excessive worry and tension that disrupts daily life and lasts for 6 months or longer). Source: National Library of Medicine

313

prescriptions, 1% of all prescriptions

72

prescriptions.

33

patients, 5% of all patients

23 49
DONEPEZIL HCL

Donepezil is used to treat ... +

Donepezil is used to treat dementia (a brain disorder that affects the ability to remember, think clearly, communicate, and perform daily activities and may cause changes in mood and personality) associated with Alzheimer's disease (AD; a brain disease that slowly destroys the memory and the ability to think, learn, communicate and handle daily activities). Source: National Library of Medicine

280

prescriptions, 1% of all prescriptions

145

prescriptions.

35

patients, 5% of all patients

24 72
ALPRAZOLAM

Treats anxiety, panic disor... +

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

257

prescriptions, 1% of all prescriptions

23

prescriptions.

45

patients, 6% of all patients

25 11
INVEGA

Treats schizophrenia (a men... +

Treats schizophrenia (a mental disorder). Source: National Library of Medicine

253

prescriptions, 1% of all prescriptions

46

prescriptions.

40

patients, 6% of all patients

P 10 26 147
ARIPIPRAZOLE

Treats schizophrenia, bipol... +

Treats schizophrenia, bipolar disorder, and depression. Source: National Library of Medicine

250

prescriptions, 1% of all prescriptions

11

prescriptions.

50

patients, 7% of all patients

P 27 87
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

250

prescriptions, 1% of all prescriptions

38

prescriptions.

35

patients, 5% of all patients

27 65
THIORIDAZINE HCL 242

prescriptions, 1% of all prescriptions

40

prescriptions.

28

patients, 4% of all patients

P R 10 29 150
OLANZAPINE ODT 232

prescriptions, 1% of all prescriptions

13

prescriptions.

30

patients, 4% of all patients

P 10 30 135
NALTREXONE HCL 225

prescriptions, 1% of all prescriptions

47

prescriptions.

33

patients, 5% of all patients

10 31 177
CARBAMAZEPINE

Treats different types of s... +

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

224

prescriptions, 1% of all prescriptions

18

prescriptions.

28

patients, 4% of all patients

32 157
NUEDEXTA

Used to treat pseudobulbar ... +

Used to treat pseudobulbar affect (PBA; a condition of sudden, frequent outbursts of crying or laughing that can not be controlled) in people with certain conditions such as amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease; condition in which the nerves that control muscle movement slowly die, causing the muscles to shrink and weaken) or multiple sclerosis (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). Source: National Library of Medicine

200

prescriptions, 1% of all prescriptions

22

prescriptions.

38

patients, 5% of all patients

33 183
CLOMIPRAMINE HCL 195

prescriptions, 1% of all prescriptions

68

prescriptions.

19

patients, 3% of all patients

R 10 34 165
CLOZAPINE

Treats schizophrenia. Also ... +

Treats schizophrenia. Source: National Library of Medicine

182

prescriptions, 1% of all prescriptions

0

prescriptions.

11

patients, 2% of all patients

P 35 78
OXCARBAZEPINE

Used alone or together with... +

Used alone or together with other medicines to treat seizures caused by epilepsy in adults and children 2 years of age and older. Source: National Library of Medicine

175

prescriptions, 1% of all prescriptions

28

prescriptions.

20

patients, 3% of all patients

36 97
FAZACLO 159

prescriptions, 1% of all prescriptions

5

prescriptions.

21

patients, 3% of all patients

P 37 194
FLUVOXAMINE MALEATE

Fluvoxamine is used to trea... +

Fluvoxamine is used to treat obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over) and social anxiety disorder (extreme fear of interacting with others or performing in front of others that interferes with normal life). Source: National Library of Medicine

150

prescriptions, 1% of all prescriptions

38

prescriptions.

19

patients, 3% of all patients

38 182
CHLORPROMAZINE HCL

Chlorpromazine is used to t... +

Chlorpromazine is used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions) and other psychotic disorders (conditions that cause difficulty telling the difference between things or ideas that are real and things or ideas that are not real) and to treat the symptoms of mania (frenzied, abnormally excited mood) in people who have bipolar disorder (manic depressive disorder; a condition that causes episodes of mania, episodes of depression, and other abnormal moods). Source: National Library of Medicine

113

prescriptions, 1% of all prescriptions

25

prescriptions.

11

patients, 2% of all patients

P 39 218
CLOZAPINE ODT 112

prescriptions, 1% of all prescriptions

5

prescriptions.

18

patients, 3% of all patients

P 40 219
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

109

prescriptions, 1% of all prescriptions

0

prescriptions.

15

patients, 2% of all patients

41 85
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

106

prescriptions, 0% of all prescriptions

18

prescriptions.

17

patients, 2% of all patients

42 84
NAMENDA

Treats dementia (memory los... +

Treats dementia (memory loss and mental changes) that is a sign of Alzheimer's disease. Source: National Library of Medicine

101

prescriptions, 0% of all prescriptions

40

prescriptions.

21

patients, 3% of all patients

43 195
PROPRANOLOL HCL ER

Propranolol is used to trea... +

Propranolol is used to treat high blood pressure, irregular heart rhythms, pheochromocytoma (tumor on a small gland near the kidneys), certain types of tremor, and hypertrophic subaortic stenosis (a heart muscle disease). Source: National Library of Medicine

93

prescriptions, 0% of all prescriptions

12

prescriptions.

17

patients, 2% of all patients

44 190
GABAPENTIN

Treats certain types of sei... +

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

92

prescriptions, 0% of all prescriptions

11

prescriptions.

13

patients, 2% of all patients

45 9
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

87

prescriptions, 0% of all prescriptions

12

prescriptions.

13

patients, 2% of all patients

R 46 90
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

84

prescriptions, 0% of all prescriptions

17

prescriptions.

12

patients, 2% of all patients

47 31
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

Bupropion (Aplenzin, Wellbutrin, Wellbutrin SR, Wellbutrin XL) is used to treat depression. Source: National Library of Medicine

78

prescriptions, 0% of all prescriptions

16

prescriptions.

12

patients, 2% of all patients

48 126
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

Bupropion (Aplenzin, Wellbutrin, Wellbutrin SR, Wellbutrin XL) is used to treat depression. Source: National Library of Medicine

75

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 49 89
GLYCOPYRROLATE 73

prescriptions, 0% of all prescriptions

23

prescriptions.

11

patients, 2% of all patients

50 251
FLUPHENAZINE HCL

Fluphenazine is an antipsyc... +

Fluphenazine is an antipsychotic medication used to treat schizophrenia and psychotic symptoms such as hallucinations, delusions, and hostility. Source: National Library of Medicine

71

prescriptions, 0% of all prescriptions

24

prescriptions.

<11 P 51 204
MEMANTINE HCL

Treats moderate to severe ... +

Treats moderate to severe Alzheimer's disease. Source: National Library of Medicine

68

prescriptions, 0% of all prescriptions

27

prescriptions.

17

patients, 2% of all patients

52 199
LITHIUM CARBONATE

Lithium is used to treat an... +

Lithium is used to treat and prevent episodes of mania (frenzied, abnormally excited mood) in people with bipolar disorder (manic-depressive disorder; a disease that causes episodes of depression, episodes of mania, and other abnormal moods). Source: National Library of Medicine

66

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 53 168
VALPROIC ACID*

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Source: National Library of Medicine

64

prescriptions, 0% of all prescriptions

20

prescriptions.

<11 54 265
RISPERDAL CONSTA

Treats schizophrenia and ce... +

Treats schizophrenia and certain problems caused by bipolar disorder. Source: National Library of Medicine

62

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 P 55 198
PRISTIQ ER

Used to treat depression. D... +

Used to treat depression. Source: National Library of Medicine

62

prescriptions, 0% of all prescriptions

11

prescriptions.

<11 55 144
FANAPT 53

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 P 57 293
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 checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org.

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 Feb. 13, 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.