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 »

9,713Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 194

$1.29M Total Retail Price of All Prescriptions

Rank: 4 out of 194

658 Patients Receiving at Least One Drug in Part D
13% Patients 65 Years and Older

95% 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 Florida
lower than average

Antipsychotics

Comparisons are not shown because this provider has fewer than 100 patients who are 65 and older.

53 of this provider’s 87 patients who are 65 and older filled at least one prescription for an antipsychotic drug.

More resources »

Antibiotics

0% of this provider’s 658 patients filled at least one prescription for an antibiotic drug, compared to an average of 1%.

More resources »

Risky Drugs for Seniors

Comparisons are not shown because this provider has fewer than 100 patients who are 65 and older.

24 of this provider’s 87 patients who are 65 and older filled at least one prescription for a potentially inappropriate drug.

More resources »

Opioids

0% of this provider’s 658 patients filled at least one prescription for an opioid, compared to an average of 0%.

More resources »

Brand Name Drugs

15% of this provider’s prescriptions were for brand-name drugs, compared to an average of 13%.

Prescription Price

$133 was the average price of a prescription from this provider, compared to $124 among peers.

Prescriptions per Patient

15 is the average number of prescriptions (including refills) per patient, compared to an average of 11.


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

$96.9K

2012

$231K

2013

$273K

2014

$1.29M

2015

Number of Claims

973

2012

3,087

2013

2,752

2014

9,713

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
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

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

785

prescriptions, 8% of all prescriptions

51

prescriptions.

165

patients, 25% of all patients

R 1 4
TRAZODONE HCL

Trazodone is used to treat ... +

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

567

prescriptions, 6% of all prescriptions

73

prescriptions.

147

patients, 22% of all patients

2 1
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

436

prescriptions, 4% of all prescriptions

47

prescriptions.

101

patients, 15% of all patients

3 8
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

432

prescriptions, 4% of all prescriptions

36

prescriptions.

87

patients, 13% of all patients

P 4 3
RISPERIDONE

Treats schizophrenia and ce... +

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

430

prescriptions, 4% of all prescriptions

29

prescriptions.

84

patients, 13% of all patients

P 5 2
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

425

prescriptions, 4% of all prescriptions

38

prescriptions.

89

patients, 14% of all patients

6 5
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

398

prescriptions, 4% of all prescriptions

32

prescriptions.

75

patients, 11% of all patients

7 6
DOXEPIN HCL

Doxepin is used to treat de... +

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

393

prescriptions, 4% of all prescriptions

5

prescriptions.

90

patients, 14% of all patients

R 8 35
OLANZAPINE

Treats psychotic mental dis... +

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

321

prescriptions, 3% of all prescriptions

41

prescriptions.

61

patients, 9% of all patients

P 9 12
CITALOPRAM HBR

Citalopram is used to treat... +

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

296

prescriptions, 3% of all prescriptions

34

prescriptions.

70

patients, 11% of all patients

10 7
SEROQUEL XR

Treats schizophrenia and sy... +

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

279

prescriptions, 3% of all prescriptions

5

prescriptions.

48

patients, 7% of all patients

P 11 14
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

235

prescriptions, 2% of all prescriptions

5

prescriptions.

39

patients, 6% of all patients

12 16
HALOPERIDOL*

Treats symptoms of mental a... +

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

222

prescriptions, 2% of all prescriptions

5

prescriptions.

52

patients, 8% of all patients

P 13 21
LAMOTRIGINE

Treats certain types of sei... +

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

213

prescriptions, 2% of all prescriptions

30

prescriptions.

43

patients, 7% of all patients

14 9
GABAPENTIN

Treats certain types of sei... +

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

213

prescriptions, 2% of all prescriptions

16

prescriptions.

56

patients, 9% of all patients

14 25
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

198

prescriptions, 2% of all prescriptions

46

prescriptions.

56

patients, 9% of all patients

16 10
HYDROXYZINE PAMOATE

Treats anxiety, tension, ne... +

Treats anxiety, tension, nervousness, nausea, vomiting, allergies, skin rash, hives, and itching. Source: National Library of Medicine

198

prescriptions, 2% of all prescriptions

5

prescriptions.

59

patients, 9% of all patients

R 16 23
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

191

prescriptions, 2% of all prescriptions

5

prescriptions.

41

patients, 6% of all patients

18 11
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

159

prescriptions, 2% of all prescriptions

5

prescriptions.

30

patients, 5% of all patients

19 27
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

154

prescriptions, 2% of all prescriptions

16

prescriptions.

37

patients, 6% of all patients

20 18
CLOZAPINE

Treats schizophrenia. Also ... +

Treats schizophrenia. Source: National Library of Medicine

152

prescriptions, 2% of all prescriptions

22

prescriptions.

15

patients, 2% of all patients

P 21 28
ARIPIPRAZOLE

Treats schizophrenia, bipol... +

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

148

prescriptions, 2% of all prescriptions

5

prescriptions.

48

patients, 7% of all patients

P 22 19
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

140

prescriptions, 1% of all prescriptions

16

prescriptions.

50

patients, 8% of all patients

23 46
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

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

139

prescriptions, 1% of all prescriptions

5

prescriptions.

44

patients, 7% of all patients

24 15
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

138

prescriptions, 1% of all prescriptions

17

prescriptions.

25

patients, 4% of all patients

P 25 33
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

126

prescriptions, 1% of all prescriptions

5

prescriptions.

31

patients, 5% of all patients

26 13
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

126

prescriptions, 1% of all prescriptions

5

prescriptions.

31

patients, 5% of all patients

26 32
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

121

prescriptions, 1% of all prescriptions

0

prescriptions.

29

patients, 4% of all patients

P 28 24
HALOPERIDOL DECANOATE 100 112

prescriptions, 1% of all prescriptions

5

prescriptions.

19

patients, 3% of all patients

P 29 40
ABILIFY

Treats schizophrenia, bipol... +

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

111

prescriptions, 1% of all prescriptions

17

prescriptions.

42

patients, 6% of all patients

P 30 22
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

109

prescriptions, 1% of all prescriptions

5

prescriptions.

22

patients, 3% of all patients

R 31 34
INVEGA

Treats schizophrenia (a men... +

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

103

prescriptions, 1% of all prescriptions

5

prescriptions.

27

patients, 4% of all patients

P 32 47
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

103

prescriptions, 1% of all prescriptions

0

prescriptions.

20

patients, 3% of all patients

P 32 31
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

100

prescriptions, 1% of all prescriptions

20

prescriptions.

29

patients, 4% of all patients

R 34 37
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

83

prescriptions, 1% of all prescriptions

5

prescriptions.

16

patients, 2% of all patients

P 35 51
INVEGA SUSTENNA

Used to treat the symptoms ... +

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

82

prescriptions, 1% of all prescriptions

5

prescriptions.

20

patients, 3% of all patients

P 36 29
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

76

prescriptions, 1% of all prescriptions

5

prescriptions.

21

patients, 3% of all patients

37 20
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

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

74

prescriptions, 1% of all prescriptions

12

prescriptions.

22

patients, 3% of all patients

38 26
FLUPHENAZINE DECANOATE 74

prescriptions, 1% of all prescriptions

5

prescriptions.

13

patients, 2% of all patients

P 38 45
TOPIRAMATE

Helps control and prevent c... +

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

71

prescriptions, 1% of all prescriptions

0

prescriptions.

20

patients, 3% of all patients

40 36
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

62

prescriptions, 1% of all prescriptions

5

prescriptions.

16

patients, 2% of all patients

41 17
PERPHENAZINE

Treats the symptoms of cert... +

Treats the symptoms of certain mental disorders. Source: National Library of Medicine

57

prescriptions, 1% of all prescriptions

15

prescriptions.

13

patients, 2% of all patients

P 42 41
RISPERDAL CONSTA

Treats schizophrenia and ce... +

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

51

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 P 43 39
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 22, 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.