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Prescriber Checkup

JOHN NAPOLI PHD

76 WEST HUMBOLDT PARKWAY MONSIGNOR CARR CLINIC

Buffalo | New York | 14214

(716) 835-9745

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At A Glance: This Prescriber in 2012

Psychiatry

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

7,867Medicare Part D Prescriptions Filled, Including Refills

Rank: 11 out of 1478

$1.19M Total Retail Price of All Prescriptions

Rank: 12 out of 1478

544 Patients Receiving at Least One Drug in Part D
16%Patients 65 Years and Older
93% 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 avg Average for
this specialty
in New York
Lower avg

Schedule Two
Controlled Substances

9% of this provider’s 544 patients filled at least one prescription for a schedule two drug, compared to an average of 1%.

Schedule Three
Controlled Substances

N/A

Risky Drugs to Seniors

6% of this provider’s 935 prescriptions for patients 65 and older were for "potentially dangerous" drugs, compared to an average of 3%.

Brand Name Drugs

27% of this provider’s prescriptions were for brand-name drugs, compared to an average of 25%.

Prescription Price

$152 was the average price of a prescription from this provider, compared to $124 among peers.

Prescriptions per Patient

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


Another View

This chart shows a different comparison of all providers in this specialty based on their mix of drugs and volume. Providers are grouped by similarity; those least like their peers are farthest to the right. Hover over the bars to see names of other prescribers.

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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.

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S2

A schedule two drug. More » Schedule two drugs have a high potential for abuse and severe dependence, according to the Drug Enforcement Administration.

S3

A schedule three drug. More » Schedule three drugs have potential for abuse and dependence, according to the Drug Enforcement Administration.

A

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
Including Refills
Prescriptions
to 65+
Category For this Prescriber For All Prescribers in
This Specialty in New York
ZOLPIDEM TARTRATE 585 72 1 2
RISPERIDONE 462 105 2 1
ABILIFY 421 37 3 5
TRAZODONE HCL 362 37 4 8
CYMBALTA 331 37 5 13
CITALOPRAM HBR 307 36 6 6
BENZTROPINE MESYLATE 275 13 R 7 4
SERTRALINE HCL 272 0 8 3
BUPROPION XL 243 33 9 16
SEROQUEL XR 239 28 10 25
ESCITALOPRAM OXALATE 239 39 10 18
GABAPENTIN 214 20 12 24
BUPROPION HCL SR 195 29 13 29
FLUOXETINE HCL 192 29 14 12
QUETIAPINE FUMARATE 188 30 15 7
LITHIUM CARBONATE 174 26 16 21
BUSPIRONE HCL 172 29 17 23
DIVALPROEX SODIUM ER 162 37 18 14
VENLAFAXINE HCL ER 149 0 19 20
CLOZAPINE 148 33 20 10
PAROXETINE HCL 143 0 21 19
PRISTIQ ER 136 13 22 36
OLANZAPINE 133 14 23 9
ZIPRASIDONE HCL 129 0 24 31
MIRTAZAPINE 108 35 25 11
HYDROXYZINE PAMOATE 95 14 R 26 34
TOPIRAMATE 87 0 27 33
LAMOTRIGINE 76 0 28 15
LEXAPRO 74 0 29 30
INVEGA 69 12 30 54
FLUVOXAMINE MALEATE 66 0 31 46
LATUDA 64 12 32 58
TRIHEXYPHENIDYL HCL 64 25 R 32 39
METHYLPHENIDATE HCL 64 0 32 104
AMPHETAMINE SALT COMBO 57 0 S2 35 61
SEROQUEL 55 0 36 27
HALOPERIDOL 54 0 37 22
DIVALPROEX SODIUM 53 0 38 17
About This Data

ProPublica obtained prescribing data from Medicare’s prescription drug benefit, known as Part D, under the Freedom of Information Act. The data for 2012 includes more than 1.2 billion prescriptions written by nearly 1.5 million doctors, nurses and other providers. This database lists about 382,000 of those providers who wrote 50 or more prescriptions for at least one drug that year. Almost three-fourths 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 drugs@propublica.org and we will update your information. If you have other questions about this data, send a note to drugs@propublica.org.

Caveats
  • No comparisons are shown if 10 or fewer prescribers in the state share this specialty.
  • The list of top drugs includes only those for which this provider wrote 50 or more prescriptions, but all prescriptions are counted in the summary totals at the top.
  • The calculation of “Risky Drugs to Seniors” does not include drugs for which a provider wrote 11 or fewer prescriptions because Medicare redacted the information to protect patient privacy.
  • 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 Jan. 11, 2012.
  • Comparisons are based on each provider’s current address, not necessarily where he or she worked during the time period covered in this database.