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 »

11,356Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 73

$1.12M Total Retail Price of All Prescriptions

Rank: 1 out of 73

371 Patients Receiving at Least One Drug in Part D
22% Patients 65 Years and Older

90% 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 Pennsylvania
lower than average

Antipsychotics

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

37 of this provider’s 80 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 this provider has fewer than 100 patients who are 65 and older.

23 of this provider’s 80 patients who are 65 and older filled at least one prescription for a potentially inappropriate drug.

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

12% of this provider’s prescriptions were for brand-name drugs, compared to an average of 11%.

Prescription Price

$99 was the average price of a prescription from this provider, compared to $93 among peers.

Prescriptions per Patient

31 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

$1.17M

2012

$1.1M

2013

$1.06M

2014

$1.12M

2015

Number of Claims

9,238

2012

10,346

2013

10,503

2014

11,356

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
OLANZAPINE

Treats psychotic mental dis... +

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

653

prescriptions, 6% of all prescriptions

110

prescriptions.

68

patients, 18% of all patients

P 1 13
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

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

642

prescriptions, 6% of all prescriptions

92

prescriptions.

78

patients, 21% of all patients

R 2 9
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

505

prescriptions, 4% of all prescriptions

118

prescriptions.

50

patients, 13% of all patients

P 3 3
RISPERIDONE

Treats schizophrenia and ce... +

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

486

prescriptions, 4% of all prescriptions

56

prescriptions.

53

patients, 14% of all patients

P 4 4
CLOZAPINE

Treats schizophrenia. Also ... +

Treats schizophrenia. Source: National Library of Medicine

485

prescriptions, 4% of all prescriptions

0

prescriptions.

28

patients, 8% of all patients

P 5 21
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

402

prescriptions, 4% of all prescriptions

74

prescriptions.

49

patients, 13% of all patients

6 17
LAMOTRIGINE

Treats certain types of sei... +

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

396

prescriptions, 3% of all prescriptions

93

prescriptions.

55

patients, 15% of all patients

7 6
TRAZODONE HCL

Trazodone is used to treat ... +

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

378

prescriptions, 3% of all prescriptions

105

prescriptions.

72

patients, 19% of all patients

8 2
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

337

prescriptions, 3% of all prescriptions

23

prescriptions.

36

patients, 10% of all patients

9 20
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

335

prescriptions, 3% of all prescriptions

92

prescriptions.

39

patients, 11% of all patients

10 8
LORAZEPAM

Treats anxiety, anxiety wit... +

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

330

prescriptions, 3% of all prescriptions

67

prescriptions.

47

patients, 13% of all patients

11 7
CITALOPRAM HBR

Citalopram is used to treat... +

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

306

prescriptions, 3% of all prescriptions

79

prescriptions.

44

patients, 12% of all patients

12 10
GABAPENTIN

Treats certain types of sei... +

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

286

prescriptions, 3% of all prescriptions

40

prescriptions.

45

patients, 12% of all patients

13 15
PERPHENAZINE

Treats the symptoms of cert... +

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

285

prescriptions, 3% of all prescriptions

11

prescriptions.

46

patients, 12% of all patients

P 14 36
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

264

prescriptions, 2% of all prescriptions

26

prescriptions.

34

patients, 9% of all patients

15 5
CLONAZEPAM

Treats seizures, panic diso... +

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

259

prescriptions, 2% of all prescriptions

39

prescriptions.

34

patients, 9% of all patients

16 1
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

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

252

prescriptions, 2% of all prescriptions

77

prescriptions.

34

patients, 9% of all patients

17 22
TOPIRAMATE

Helps control and prevent c... +

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

248

prescriptions, 2% of all prescriptions

18

prescriptions.

27

patients, 7% of all patients

18 31
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

243

prescriptions, 2% of all prescriptions

59

prescriptions.

36

patients, 10% of all patients

19 11
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

239

prescriptions, 2% of all prescriptions

16

prescriptions.

30

patients, 8% of all patients

20 18
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

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

216

prescriptions, 2% of all prescriptions

60

prescriptions.

34

patients, 9% of all patients

21 16
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

171

prescriptions, 2% of all prescriptions

33

prescriptions.

21

patients, 6% of all patients

22 12
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

152

prescriptions, 1% of all prescriptions

20

prescriptions.

21

patients, 6% of all patients

23 25
ARIPIPRAZOLE

Treats schizophrenia, bipol... +

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

149

prescriptions, 1% of all prescriptions

23

prescriptions.

33

patients, 9% of all patients

P 24 23
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

146

prescriptions, 1% of all prescriptions

19

prescriptions.

23

patients, 6% of all patients

25 32
PRISTIQ ER

Used to treat depression. D... +

Used to treat depression. Source: National Library of Medicine

139

prescriptions, 1% of all prescriptions

76

prescriptions.

23

patients, 6% of all patients

26 44
LOXAPINE 134

prescriptions, 1% of all prescriptions

5

prescriptions.

20

patients, 5% of all patients

P 27 54
DOXEPIN HCL

Doxepin is used to treat de... +

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

134

prescriptions, 1% of all prescriptions

5

prescriptions.

22

patients, 6% of all patients

R 27 40
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

119

prescriptions, 1% of all prescriptions

5

prescriptions.

18

patients, 5% of all patients

29 46
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

118

prescriptions, 1% of all prescriptions

25

prescriptions.

19

patients, 5% of all patients

P 30 58
ABILIFY

Treats schizophrenia, bipol... +

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

117

prescriptions, 1% of all prescriptions

14

prescriptions.

29

patients, 8% of all patients

P 31 26
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

115

prescriptions, 1% of all prescriptions

5

prescriptions.

21

patients, 6% of all patients

R 32 38
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

110

prescriptions, 1% of all prescriptions

0

prescriptions.

11

patients, 3% of all patients

33 41
IMIPRAMINE HCL

Imipramine tablets and caps... +

Imipramine tablets and capsules are used to treat depression. Source: National Library of Medicine

106

prescriptions, 1% of all prescriptions

5

prescriptions.

15

patients, 4% of all patients

R 34 62
SEROQUEL XR

Treats schizophrenia and sy... +

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

100

prescriptions, 1% of all prescriptions

16

prescriptions.

11

patients, 3% of all patients

P 35 33
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

91

prescriptions, 1% of all prescriptions

43

prescriptions.

18

patients, 5% of all patients

36 19
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

88

prescriptions, 1% of all prescriptions

34

prescriptions.

19

patients, 5% of all patients

37 28
INVEGA SUSTENNA

Used to treat the symptoms ... +

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

86

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 P 38 50
HALOPERIDOL*

Treats symptoms of mental a... +

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

85

prescriptions, 1% of all prescriptions

26

prescriptions.

14

patients, 4% of all patients

P 39 29
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

44

prescriptions.

16

patients, 4% of all patients

40 67
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

76

prescriptions, 1% of all prescriptions

27

prescriptions.

<11 41 48
STRATTERA 75

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 42 54
CARBAMAZEPINE

Treats different types of s... +

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

67

prescriptions, 1% of all prescriptions

13

prescriptions.

<11 43 45
ALPRAZOLAM

Treats anxiety, panic disor... +

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

64

prescriptions, 1% of all prescriptions

5

prescriptions.

15

patients, 4% of all patients

44 14
NALTREXONE HCL 61

prescriptions, 1% of all prescriptions

14

prescriptions.

<11 45 57
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

59

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 P 46 49
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

54

prescriptions, 0% of all prescriptions

26

prescriptions.

<11 P 47 27
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 Dec. 5, 2011.
  • 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.