Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Neurology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

7,954Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 26

$664K Total Retail Price of All Prescriptions

Rank: 8 out of 26

635 Patients Receiving at Least One Drug in Part D
63% Patients 65 Years and Older

79% 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 Hawaii
lower than average

Antipsychotics

Comparisons are not shown because we do not have exact prescribing data for enough providers in this specialty and state.

11 of this provider’s 398 patients who are 65 and older filled at least one prescription for an antipsychotic drug.

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

Comparisons are not shown because we do not have exact prescribing data for enough providers in this specialty and state.

26 of this provider’s 398 patients who are 65 and older filled at least one prescription for a potentially inappropriate drug.

More resources »

Opioids

Comparisons are not shown because we do not have exact prescribing data for enough providers in this specialty and state.

38 of this provider’s 635 patients filled at least one prescription for an opioid

More resources »

Brand Name Drugs

15% of this provider’s prescriptions were for brand-name drugs, compared to an average of 21%.

Prescription Price

$83 was the average price of a prescription from this provider, compared to $259 among peers.

Prescriptions per Patient

13 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

$650K

2012

$613K

2013

$694K

2014

$664K

2015

Number of Claims

6,386

2012

7,154

2013

7,759

2014

7,954

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
LEVETIRACETAM

Used to help control certai... +

Used to help control certain types of seizures caused by epilepsy. Source: National Library of Medicine

1,222

prescriptions, 15% of all prescriptions

390

prescriptions.

139

patients, 22% of all patients

10 1 3
LAMOTRIGINE

Treats certain types of sei... +

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

695

prescriptions, 9% of all prescriptions

89

prescriptions.

59

patients, 9% of all patients

2 5
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

379

prescriptions, 5% of all prescriptions

352

prescriptions.

68

patients, 11% of all patients

3 2
ROPINIROLE HCL

Ropinirole is used alone or... +

Ropinirole is used alone or with other medications to treat the symptoms of Parkinson's disease (PD; a disorder of the nervous system that causes difficulties with movement, muscle control, and balance), including shaking of parts of the body, stiffness, slowed movements, and problems with balance. Source: National Library of Medicine

307

prescriptions, 4% of all prescriptions

229

prescriptions.

47

patients, 7% of all patients

4 16
PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

302

prescriptions, 4% of all prescriptions

179

prescriptions.

42

patients, 7% of all patients

5 12
CARBIDOPA-LEVODOPA

The combination of levodopa... +

The combination of levodopa and carbidopa is used to treat the symptoms of Parkinson's disease and Parkinson's-like symptoms that may develop after encephalitis (swelling of the brain) or injury to the nervous system caused by carbon monoxide poisoning or manganese poisoning. Source: National Library of Medicine

288

prescriptions, 4% of all prescriptions

216

prescriptions.

51

patients, 8% of all patients

6 1
NAMENDA XR

Used to treat the symptoms ... +

Used to treat the symptoms of Alzheimer's disease. Source: National Library of Medicine

285

prescriptions, 4% of all prescriptions

272

prescriptions.

46

patients, 7% of all patients

7 6
GABAPENTIN

Treats certain types of sei... +

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

251

prescriptions, 3% of all prescriptions

174

prescriptions.

53

patients, 8% of all patients

8 4
TOPIRAMATE

Helps control and prevent c... +

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

231

prescriptions, 3% of all prescriptions

34

prescriptions.

29

patients, 5% of all patients

9 7
BACLOFEN

Treats muscle spasms caused... +

Treats muscle spasms caused by multiple sclerosis and spinal cord injury or disease. Source: National Library of Medicine

208

prescriptions, 3% of all prescriptions

51

prescriptions.

35

patients, 6% of all patients

10 29
CLONAZEPAM

Treats seizures, panic diso... +

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

208

prescriptions, 3% of all prescriptions

101

prescriptions.

30

patients, 5% of all patients

10 13
PHENOBARBITAL

Used to control seizures. P... +

Used to control seizures. Source: National Library of Medicine

185

prescriptions, 2% of all prescriptions

58

prescriptions.

20

patients, 3% of all patients

R 12 20
TIZANIDINE HCL

Tizanidine is used to relie... +

Tizanidine is used to relieve the spasms and increased muscle tone caused by multiple sclerosis (MS, 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), stroke, or brain or spinal injury. Source: National Library of Medicine

178

prescriptions, 2% of all prescriptions

36

prescriptions.

20

patients, 3% of all patients

13 34
LYRICA

Treats nerve and muscle pai... +

Treats nerve and muscle pain caused by diabetes, shingles, fibromyalgia, or a spinal cord injury. Source: National Library of Medicine

171

prescriptions, 2% of all prescriptions

126

prescriptions.

36

patients, 6% of all patients

14 9
MELOXICAM

Treats symptoms of osteoart... +

Treats symptoms of osteoarthritis (OA). Source: National Library of Medicine

148

prescriptions, 2% of all prescriptions

127

prescriptions.

57

patients, 9% of all patients

15 47
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

146

prescriptions, 2% of all prescriptions

40

prescriptions.

23

patients, 4% of all patients

16 18
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

144

prescriptions, 2% of all prescriptions

82

prescriptions.

37

patients, 6% of all patients

17 17
CITALOPRAM HBR

Citalopram is used to treat... +

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

127

prescriptions, 2% of all prescriptions

93

prescriptions.

30

patients, 5% of all patients

18 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

116

prescriptions, 1% of all prescriptions

36

prescriptions.

26

patients, 4% of all patients

R 19 46
VIMPAT

Used to control partial sei... +

Used to control partial seizures (convulsions) in the treatment of epilepsy. Source: National Library of Medicine

111

prescriptions, 1% of all prescriptions

12

prescriptions.

14

patients, 2% of all patients

20 8
CARBIDOPA-LEVODOPA-ENTACAPONE 106

prescriptions, 1% of all prescriptions

101

prescriptions.

19

patients, 3% of all patients

21 35
CARBAMAZEPINE

Treats different types of s... +

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

97

prescriptions, 1% of all prescriptions

49

prescriptions.

14

patients, 2% of all patients

22 36
LORAZEPAM

Treats anxiety, anxiety wit... +

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

94

prescriptions, 1% of all prescriptions

38

prescriptions.

20

patients, 3% of all patients

23 44
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

93

prescriptions, 1% of all prescriptions

44

prescriptions.

12

patients, 2% of all patients

P 24 38
AZILECT

Used alone or together with... +

Used alone or together with levodopa for the treatment of Parkinson's disease. Source: National Library of Medicine

89

prescriptions, 1% of all prescriptions

78

prescriptions.

12

patients, 2% of all patients

25 15
CARBAMAZEPINE ER

Treats certain types of se... +

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

86

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 26 43
ZONISAMIDE

Treats partial seizures in ... +

Treats partial seizures in adults with epilepsy. Source: National Library of Medicine

82

prescriptions, 1% of all prescriptions

12

prescriptions.

<11 27 24
ENTACAPONE 81

prescriptions, 1% of all prescriptions

57

prescriptions.

14

patients, 2% of all patients

28 28
AMANTADINE

Treats or prevents the flu ... +

Treats or prevents the flu (influenza type A). Source: National Library of Medicine

81

prescriptions, 1% of all prescriptions

67

prescriptions.

15

patients, 2% of all patients

28 29
CLOPIDOGREL

Helps prevent stroke, heart... +

Helps prevent stroke, heart attack, and other heart problems. Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

54

prescriptions.

<11 30 10
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

68

prescriptions, 1% of all prescriptions

63

prescriptions.

14

patients, 2% of all patients

31 14
ALPRAZOLAM

Treats anxiety, panic disor... +

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

62

prescriptions, 1% of all prescriptions

39

prescriptions.

16

patients, 3% of all patients

32 56
TRAMADOL HCL

Tramadol is used to relieve... +

Tramadol is used to relieve moderate to moderately severe pain. Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

36

prescriptions.

30

patients, 5% of all patients

O 33 31
CLORAZEPATE DIPOTASSIUM

Treats anxiety, trouble sle... +

Treats anxiety, trouble sleeping, symptoms of alcohol withdrawal, and certain types of epilepsy (seizures). Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

18

prescriptions.

<11 33 59
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

52

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 R 35 65
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 July 8, 2007.
  • 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.