Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Psychiatry

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

12,959Medicare Part D Prescriptions Filled, Including Refills

Rank: 11 out of 759

$1.56M Total Retail Price of All Prescriptions

Rank: 14 out of 759

617 Patients Receiving at Least One Drug in Part D
23% Patients 65 Years and Older

94% 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

67% of this provider’s 144 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 43%.

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

43% of this provider’s 144 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 20%.

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

14% of this provider’s prescriptions were for brand-name drugs, compared to an average of 14%.

Prescription Price

$120 was the average price of a prescription from this provider, compared to $114 among peers.

Prescriptions per Patient

21 is the average number of prescriptions (including refills) per patient, compared to an average of 14.


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

$2.15M

2012

$2.16M

2013

$1.82M

2014

$1.56M

2015

Number of Claims

13,150

2012

17,287

2013

14,629

2014

12,959

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
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

1,154

prescriptions, 9% of all prescriptions

155

prescriptions.

216

patients, 35% of all patients

R 1 8
LORAZEPAM

Treats anxiety, anxiety wit... +

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

843

prescriptions, 7% of all prescriptions

252

prescriptions.

135

patients, 22% of all patients

2 10
ALPRAZOLAM

Treats anxiety, panic disor... +

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

735

prescriptions, 6% of all prescriptions

118

prescriptions.

124

patients, 20% of all patients

3 4
TRAZODONE HCL

Trazodone is used to treat ... +

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

632

prescriptions, 5% of all prescriptions

163

prescriptions.

124

patients, 20% of all patients

4 2
CLONAZEPAM

Treats seizures, panic diso... +

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

579

prescriptions, 4% of all prescriptions

129

prescriptions.

125

patients, 20% of all patients

5 1
RISPERIDONE

Treats schizophrenia and ce... +

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

571

prescriptions, 4% of all prescriptions

165

prescriptions.

86

patients, 14% of all patients

P 6 5
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

474

prescriptions, 4% of all prescriptions

133

prescriptions.

79

patients, 13% of all patients

P 7 3
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

404

prescriptions, 3% of all prescriptions

114

prescriptions.

72

patients, 12% of all patients

8 6
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

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

398

prescriptions, 3% of all prescriptions

84

prescriptions.

76

patients, 12% of all patients

R 9 9
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

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

380

prescriptions, 3% of all prescriptions

30

prescriptions.

62

patients, 10% of all patients

10 18
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

347

prescriptions, 3% of all prescriptions

54

prescriptions.

70

patients, 11% of all patients

11 15
DIAZEPAM

Treats anxiety, muscle spas... +

Treats anxiety, muscle spasms, seizures, and other medical conditions. Source: National Library of Medicine

329

prescriptions, 3% of all prescriptions

46

prescriptions.

55

patients, 9% of all patients

12 28
TEMAZEPAM

Treats insomnia (trouble sl... +

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

317

prescriptions, 2% of all prescriptions

54

prescriptions.

55

patients, 9% of all patients

13 31
TRIHEXYPHENIDYL HCL

Trihexyphenidyl is used to ... +

Trihexyphenidyl is used to treat the symptoms of Parkinson's disease and tremors caused by other medical problems or drugs. Source: National Library of Medicine

296

prescriptions, 2% of all prescriptions

41

prescriptions.

54

patients, 9% of all patients

R 14 63
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

284

prescriptions, 2% of all prescriptions

102

prescriptions.

58

patients, 9% of all patients

15 13
OLANZAPINE

Treats psychotic mental dis... +

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

264

prescriptions, 2% of all prescriptions

28

prescriptions.

47

patients, 8% of all patients

P 16 11
ARIPIPRAZOLE

Treats schizophrenia, bipol... +

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

262

prescriptions, 2% of all prescriptions

27

prescriptions.

58

patients, 9% of all patients

P 17 27
SEROQUEL XR

Treats schizophrenia and sy... +

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

245

prescriptions, 2% of all prescriptions

83

prescriptions.

42

patients, 7% of all patients

P 18 37
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

244

prescriptions, 2% of all prescriptions

24

prescriptions.

49

patients, 8% of all patients

19 20
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

241

prescriptions, 2% of all prescriptions

51

prescriptions.

45

patients, 7% of all patients

20 12
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

222

prescriptions, 2% of all prescriptions

71

prescriptions.

33

patients, 5% of all patients

21 19
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

211

prescriptions, 2% of all prescriptions

30

prescriptions.

42

patients, 7% of all patients

22 7
CITALOPRAM HBR

Citalopram is used to treat... +

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

201

prescriptions, 2% of all prescriptions

35

prescriptions.

36

patients, 6% of all patients

23 17
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

180

prescriptions, 1% of all prescriptions

54

prescriptions.

27

patients, 4% of all patients

P 24 23
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

180

prescriptions, 1% of all prescriptions

19

prescriptions.

39

patients, 6% of all patients

P 24 34
ABILIFY

Treats schizophrenia, bipol... +

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

180

prescriptions, 1% of all prescriptions

36

prescriptions.

61

patients, 10% of all patients

P 24 21
INVEGA SUSTENNA

Used to treat the symptoms ... +

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

176

prescriptions, 1% of all prescriptions

36

prescriptions.

40

patients, 6% of all patients

P 27 39
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

169

prescriptions, 1% of all prescriptions

20

prescriptions.

29

patients, 5% of all patients

28 49
HALOPERIDOL*

Treats symptoms of mental a... +

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

162

prescriptions, 1% of all prescriptions

62

prescriptions.

28

patients, 5% of all patients

P 29 33
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

158

prescriptions, 1% of all prescriptions

69

prescriptions.

31

patients, 5% of all patients

30 16
PRISTIQ ER

Used to treat depression. D... +

Used to treat depression. Source: National Library of Medicine

143

prescriptions, 1% of all prescriptions

40

prescriptions.

25

patients, 4% of all patients

31 40
TOPIRAMATE

Helps control and prevent c... +

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

122

prescriptions, 1% of all prescriptions

0

prescriptions.

20

patients, 3% of all patients

32 38
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

119

prescriptions, 1% of all prescriptions

17

prescriptions.

20

patients, 3% of all patients

33 30
LAMOTRIGINE

Treats certain types of sei... +

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

106

prescriptions, 1% of all prescriptions

14

prescriptions.

20

patients, 3% of all patients

34 14
CLOZAPINE

Treats schizophrenia. Also ... +

Treats schizophrenia. Source: National Library of Medicine

100

prescriptions, 1% of all prescriptions

5

prescriptions.

13

patients, 2% of all patients

P 35 41
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

94

prescriptions, 1% of all prescriptions

75

prescriptions.

17

patients, 3% of all patients

36 35
DOXEPIN HCL

Doxepin is used to treat de... +

Doxepin is used to treat depression and anxiety. Source: National Library of Medicine

89

prescriptions, 1% of all prescriptions

0

prescriptions.

16

patients, 3% of all patients

R 37 42
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

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

84

prescriptions, 1% of all prescriptions

24

prescriptions.

22

patients, 4% of all patients

38 26
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

84

prescriptions, 1% of all prescriptions

5

prescriptions.

21

patients, 3% of all patients

38 25
PRAZOSIN HCL

Prazosin is used alone or i... +

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

78

prescriptions, 1% of all prescriptions

14

prescriptions.

19

patients, 3% of all patients

40 62
GABAPENTIN

Treats certain types of sei... +

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

75

prescriptions, 1% of all prescriptions

5

prescriptions.

20

patients, 3% of all patients

41 22
CARBAMAZEPINE

Treats different types of s... +

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

69

prescriptions, 1% of all prescriptions

21

prescriptions.

14

patients, 2% of all patients

42 43
HALOPERIDOL DECANOATE 68

prescriptions, 1% of all prescriptions

5

prescriptions.

12

patients, 2% of all patients

P 43 105
HALOPERIDOL DECANOATE 100 55

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 P 44 82
HYDROXYZINE HCL

Hydroxyzine is used to reli... +

Hydroxyzine is used to relieve the itching caused by allergies and to control the nausea and vomiting caused by various conditions, including motion sickness. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

0

prescriptions.

15

patients, 2% of all patients

R 45 52
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

50

prescriptions, 0% of all prescriptions

5

prescriptions.

13

patients, 2% of all patients

46 24
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 June 9, 2009.
  • 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.