Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Nurse Practitioner, Psychiatric/Mental Health

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

12,817Medicare Part D Prescriptions Filled, Including Refills

Rank: 2 out of 129

$859K Total Retail Price of All Prescriptions

Rank: 5 out of 129

1,064 Patients Receiving at Least One Drug in Part D
64% Patients 65 Years and Older

48% 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 California
lower than average

Antipsychotics

36% of this provider’s 677 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 45%.

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

7% of this provider’s 677 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 17%.

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

7% of this provider’s prescriptions were for brand-name drugs, compared to an average of 13%.

Prescription Price

$67 was the average price of a prescription from this provider, compared to $119 among peers.

Prescriptions per Patient

12 is the average number of prescriptions (including refills) per patient, compared to an average of 13.


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

2012

2013

$92.4K

2014

$859K

2015

Number of Claims

2012

2013

1,449

2014

12,817

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
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

864

prescriptions, 7% of all prescriptions

446

prescriptions.

176

patients, 17% of all patients

P 1 1
TRAZODONE HCL

Trazodone is used to treat ... +

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

802

prescriptions, 6% of all prescriptions

416

prescriptions.

186

patients, 17% of all patients

2 2
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

774

prescriptions, 6% of all prescriptions

536

prescriptions.

185

patients, 17% of all patients

3 13
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

684

prescriptions, 5% of all prescriptions

573

prescriptions.

181

patients, 17% of all patients

4 11
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

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

632

prescriptions, 5% of all prescriptions

307

prescriptions.

130

patients, 12% of all patients

5 12
RISPERIDONE

Treats schizophrenia and ce... +

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

585

prescriptions, 5% of all prescriptions

290

prescriptions.

111

patients, 10% of all patients

P 6 3
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

544

prescriptions, 4% of all prescriptions

292

prescriptions.

107

patients, 10% of all patients

7 18
LAMOTRIGINE

Treats certain types of sei... +

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

532

prescriptions, 4% of all prescriptions

223

prescriptions.

129

patients, 12% of all patients

8 9
LORAZEPAM

Treats anxiety, anxiety wit... +

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

468

prescriptions, 4% of all prescriptions

345

prescriptions.

127

patients, 12% of all patients

9 7
CITALOPRAM HBR

Citalopram is used to treat... +

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

431

prescriptions, 3% of all prescriptions

236

prescriptions.

88

patients, 8% of all patients

10 17
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

420

prescriptions, 3% of all prescriptions

234

prescriptions.

88

patients, 8% of all patients

11 10
ALPRAZOLAM

Treats anxiety, panic disor... +

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

407

prescriptions, 3% of all prescriptions

245

prescriptions.

91

patients, 9% of all patients

12 16
CLONAZEPAM

Treats seizures, panic diso... +

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

407

prescriptions, 3% of all prescriptions

159

prescriptions.

79

patients, 7% of all patients

12 5
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

351

prescriptions, 3% of all prescriptions

225

prescriptions.

80

patients, 8% of all patients

14 8
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

343

prescriptions, 3% of all prescriptions

226

prescriptions.

80

patients, 8% of all patients

15 21
OLANZAPINE

Treats psychotic mental dis... +

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

341

prescriptions, 3% of all prescriptions

158

prescriptions.

81

patients, 8% of all patients

P 16 4
ARIPIPRAZOLE

Treats schizophrenia, bipol... +

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

321

prescriptions, 3% of all prescriptions

154

prescriptions.

99

patients, 9% of all patients

P 17 22
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

319

prescriptions, 2% of all prescriptions

187

prescriptions.

63

patients, 6% of all patients

18 25
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

318

prescriptions, 2% of all prescriptions

172

prescriptions.

77

patients, 7% of all patients

19 20
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

282

prescriptions, 2% of all prescriptions

243

prescriptions.

66

patients, 6% of all patients

20 35
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

268

prescriptions, 2% of all prescriptions

87

prescriptions.

61

patients, 6% of all patients

21 19
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

257

prescriptions, 2% of all prescriptions

80

prescriptions.

67

patients, 6% of all patients

R 22 28
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

240

prescriptions, 2% of all prescriptions

90

prescriptions.

49

patients, 5% of all patients

23 14
TEMAZEPAM

Treats insomnia (trouble sl... +

Treats insomnia (trouble sleeping). Source: National Library of Medicine

140

prescriptions, 1% of all prescriptions

78

prescriptions.

32

patients, 3% of all patients

24 26
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

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

135

prescriptions, 1% of all prescriptions

14

prescriptions.

27

patients, 3% of all patients

R 25 6
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

135

prescriptions, 1% of all prescriptions

42

prescriptions.

23

patients, 2% of all patients

25 30
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

131

prescriptions, 1% of all prescriptions

17

prescriptions.

22

patients, 2% of all patients

P 27 33
ABILIFY

Treats schizophrenia, bipol... +

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

111

prescriptions, 1% of all prescriptions

49

prescriptions.

50

patients, 5% of all patients

P 28 15
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

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

108

prescriptions, 1% of all prescriptions

57

prescriptions.

30

patients, 3% of all patients

29 29
TOPIRAMATE

Helps control and prevent c... +

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

99

prescriptions, 1% of all prescriptions

16

prescriptions.

25

patients, 2% of all patients

30 36
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

92

prescriptions, 1% of all prescriptions

24

prescriptions.

24

patients, 2% of all patients

31 38
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

89

prescriptions, 1% of all prescriptions

37

prescriptions.

20

patients, 2% of all patients

R 32 50
GABAPENTIN

Treats certain types of sei... +

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

71

prescriptions, 1% of all prescriptions

33

prescriptions.

19

patients, 2% of all patients

33 24
DEXTROAMPHETAMINE-AMPHETAMINE

The combination is used as ... +

The combination is used as part of a treatment program to control symptoms of attention deficit hyperactivity disorder (ADHD) in adults and children. Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

56

prescriptions.

15

patients, 1% of all patients

34 55
HALOPERIDOL*

Treats symptoms of mental a... +

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

67

prescriptions, 1% of all prescriptions

17

prescriptions.

11

patients, 1% of all patients

P 35 27
INVEGA SUSTENNA

Used to treat the symptoms ... +

Used to treat the symptoms of schizophrenia. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 P 36 34
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 Aug. 18, 2015.
  • 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.