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 »

11,674Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 118

$1.14M Total Retail Price of All Prescriptions

Rank: 1 out of 118

563 Patients Receiving at Least One Drug in Part D
19% Patients 65 Years and Older

98% 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 Massachusetts
lower than average

Antipsychotics

55% of this provider’s 105 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 44%.

More resources »

Antibiotics

0% of this provider’s 563 patients filled at least one prescription for an antibiotic drug, compared to an average of 1%.

More resources »

Risky Drugs for Seniors

23% of this provider’s 105 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 23%.

More resources »

Opioids

0% of this provider’s 563 patients filled at least one prescription for an opioid, compared to an average of 1%.

More resources »

Brand Name Drugs

10% of this provider’s prescriptions were for brand-name drugs, compared to an average of 10%.

Prescription Price

$98 was the average price of a prescription from this provider, compared to $82 among peers.

Prescriptions per Patient

21 is the average number of prescriptions (including refills) per patient, compared to an average of 16.


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

$279K

2013

$296K

2014

$1.14M

2015

Number of Claims

2012

3,074

2013

3,499

2014

11,674

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
RISPERIDONE

Treats schizophrenia and ce... +

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

1,114

prescriptions, 10% of all prescriptions

193

prescriptions.

118

patients, 21% of all patients

P 1 8
CITALOPRAM HBR

Citalopram is used to treat... +

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

699

prescriptions, 6% of all prescriptions

104

prescriptions.

82

patients, 15% of all patients

2 10
CLOZAPINE

Treats schizophrenia. Also ... +

Treats schizophrenia. Source: National Library of Medicine

664

prescriptions, 6% of all prescriptions

98

prescriptions.

40

patients, 7% of all patients

P 3 17
OLANZAPINE

Treats psychotic mental dis... +

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

566

prescriptions, 5% of all prescriptions

142

prescriptions.

56

patients, 10% of all patients

P 4 11
CLONAZEPAM

Treats seizures, panic diso... +

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

538

prescriptions, 5% of all prescriptions

113

prescriptions.

103

patients, 18% of all patients

5 1
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

537

prescriptions, 5% of all prescriptions

113

prescriptions.

76

patients, 13% of all patients

P 6 3
LORAZEPAM

Treats anxiety, anxiety wit... +

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

505

prescriptions, 4% of all prescriptions

141

prescriptions.

86

patients, 15% of all patients

7 4
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

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

472

prescriptions, 4% of all prescriptions

87

prescriptions.

58

patients, 10% of all patients

R 8 14
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

468

prescriptions, 4% of all prescriptions

28

prescriptions.

50

patients, 9% of all patients

9 25
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

456

prescriptions, 4% of all prescriptions

139

prescriptions.

67

patients, 12% of all patients

10 6
TRAZODONE HCL

Trazodone is used to treat ... +

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

429

prescriptions, 4% of all prescriptions

114

prescriptions.

73

patients, 13% of all patients

11 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

371

prescriptions, 3% of all prescriptions

77

prescriptions.

46

patients, 8% of all patients

12 7
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

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

345

prescriptions, 3% of all prescriptions

71

prescriptions.

60

patients, 11% of all patients

13 16
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

289

prescriptions, 2% of all prescriptions

76

prescriptions.

40

patients, 7% of all patients

14 21
LAMOTRIGINE

Treats certain types of sei... +

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

245

prescriptions, 2% of all prescriptions

58

prescriptions.

32

patients, 6% of all patients

15 5
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

222

prescriptions, 2% of all prescriptions

56

prescriptions.

27

patients, 5% of all patients

16 26
TOPIRAMATE

Helps control and prevent c... +

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

172

prescriptions, 1% of all prescriptions

54

prescriptions.

27

patients, 5% of all patients

17 29
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

169

prescriptions, 1% of all prescriptions

34

prescriptions.

25

patients, 4% of all patients

18 31
ABILIFY

Treats schizophrenia, bipol... +

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

168

prescriptions, 1% of all prescriptions

12

prescriptions.

33

patients, 6% of all patients

P 19 22
INVEGA SUSTENNA

Used to treat the symptoms ... +

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

163

prescriptions, 1% of all prescriptions

0

prescriptions.

20

patients, 4% of all patients

P 20 48
HALOPERIDOL*

Treats symptoms of mental a... +

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

154

prescriptions, 1% of all prescriptions

26

prescriptions.

13

patients, 2% of all patients

P 21 38
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

153

prescriptions, 1% of all prescriptions

13

prescriptions.

16

patients, 3% of all patients

22 39
GABAPENTIN

Treats certain types of sei... +

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

145

prescriptions, 1% of all prescriptions

12

prescriptions.

25

patients, 4% of all patients

23 9
ARIPIPRAZOLE

Treats schizophrenia, bipol... +

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

138

prescriptions, 1% of all prescriptions

18

prescriptions.

28

patients, 5% of all patients

P 24 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

122

prescriptions, 1% of all prescriptions

20

prescriptions.

11

patients, 2% of all patients

P 25 42
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

121

prescriptions, 1% of all prescriptions

11

prescriptions.

17

patients, 3% of all patients

26 12
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

119

prescriptions, 1% of all prescriptions

22

prescriptions.

16

patients, 3% of all patients

27 33
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

117

prescriptions, 1% of all prescriptions

37

prescriptions.

19

patients, 3% of all patients

28 27
FLUVOXAMINE MALEATE

Fluvoxamine is used to trea... +

Fluvoxamine is used to treat obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over) 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

110

prescriptions, 1% of all prescriptions

49

prescriptions.

12

patients, 2% of all patients

29 53
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

106

prescriptions, 1% of all prescriptions

5

prescriptions.

17

patients, 3% of all patients

30 15
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.

19

patients, 3% of all patients

31 28
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

90

prescriptions, 1% of all prescriptions

12

prescriptions.

<11 R 32 62
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

81

prescriptions, 1% of all prescriptions

5

prescriptions.

20

patients, 4% of all patients

R 33 18
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

74

prescriptions, 1% of all prescriptions

47

prescriptions.

13

patients, 2% of all patients

34 20
CLONIDINE HCL

Clonidine is used alone or ... +

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

73

prescriptions, 1% of all prescriptions

0

prescriptions.

17

patients, 3% of all patients

35 23
SEROQUEL XR

Treats schizophrenia and sy... +

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

69

prescriptions, 1% of all prescriptions

15

prescriptions.

<11 P 36 35
CARBAMAZEPINE ER

Treats certain types of se... +

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

68

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 37 54
CARBAMAZEPINE

Treats different types of s... +

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

62

prescriptions, 1% of all prescriptions

22

prescriptions.

<11 38 50
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

62

prescriptions, 1% of all prescriptions

5

prescriptions.

13

patients, 2% of all patients

R 38 44
THIORIDAZINE HCL 61

prescriptions, 1% of all prescriptions

35

prescriptions.

<11 P R 40 56
METHYLPHENIDATE ER 59

prescriptions, 1% of all prescriptions

13

prescriptions.

15

patients, 3% of all patients

41 51
LITHIUM CARBONATE ER

Lithium is used to treat th... +

Lithium is used to treat the manic episodes of bipolar disorder. Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

11

prescriptions.

<11 42 46
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 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.