Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Specialist

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

6,430Medicare Part D Prescriptions Filled, Including Refills

Rank: 14 out of 158

$2.61M Total Retail Price of All Prescriptions

Rank: 1 out of 158

484 Patients Receiving at Least One Drug in Part D
50% Patients 65 Years and Older

65% 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 Missouri
lower than average

Antipsychotics

8% of this provider’s 244 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 1%.

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

6% of this provider’s 244 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 7%.

More resources »

Opioids

12% of this provider’s 484 patients filled at least one prescription for an opioid, compared to an average of 17%.

More resources »

Brand Name Drugs

20% of this provider’s prescriptions were for brand-name drugs, compared to an average of 24%.

Prescription Price

$406 was the average price of a prescription from this provider, compared to $116 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

$1.28M

2012

$1.52M

2013

$1.98M

2014

$2.61M

2015

Number of Claims

7,006

2012

7,296

2013

7,121

2014

6,430

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
CITALOPRAM HBR

Citalopram is used to treat... +

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

336

prescriptions, 5% of all prescriptions

195

prescriptions.

60

patients, 12% of all patients

1 37
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

320

prescriptions, 5% of all prescriptions

86

prescriptions.

43

patients, 9% of all patients

2 99
VIMPAT

Used to control partial sei... +

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

287

prescriptions, 4% of all prescriptions

28

prescriptions.

33

patients, 7% of all patients

3 129
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

283

prescriptions, 4% of all prescriptions

225

prescriptions.

64

patients, 13% of all patients

4 35
LAMOTRIGINE

Treats certain types of sei... +

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

270

prescriptions, 4% of all prescriptions

80

prescriptions.

34

patients, 7% of all patients

5 94
TOPIRAMATE

Helps control and prevent c... +

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

230

prescriptions, 4% of all prescriptions

32

prescriptions.

49

patients, 10% of all patients

6 60
GABAPENTIN

Treats certain types of sei... +

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

204

prescriptions, 3% of all prescriptions

114

prescriptions.

42

patients, 9% of all patients

7 14
LEVETIRACETAM

Used to help control certai... +

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

195

prescriptions, 3% of all prescriptions

88

prescriptions.

34

patients, 7% of all patients

8 44
CLONAZEPAM

Treats seizures, panic diso... +

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

156

prescriptions, 2% of all prescriptions

42

prescriptions.

19

patients, 4% of all patients

9 59
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

150

prescriptions, 2% of all prescriptions

83

prescriptions.

24

patients, 5% of all patients

P 10 101
BACLOFEN

Treats muscle spasms caused... +

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

144

prescriptions, 2% of all prescriptions

25

prescriptions.

23

patients, 5% of all patients

11 80
ZONISAMIDE

Treats partial seizures in ... +

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

141

prescriptions, 2% of all prescriptions

26

prescriptions.

22

patients, 5% of all patients

12 223
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

Used to relieve moderate to severe pain. Source: National Library of Medicine

136

prescriptions, 2% of all prescriptions

63

prescriptions.

27

patients, 6% of all patients

O 13 7
METHADONE HCL

Methadone is used to reliev... +

Methadone is used to relieve moderate to severe pain that has not been relieved by non-narcotic pain relievers. Source: National Library of Medicine

129

prescriptions, 2% of all prescriptions

87

prescriptions.

17

patients, 4% of all patients

O 14 164
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

121

prescriptions, 2% of all prescriptions

104

prescriptions.

28

patients, 6% of all patients

15 52
LEVETIRACETAM ER 113

prescriptions, 2% of all prescriptions

38

prescriptions.

22

patients, 5% of all patients

16 246
DIAZEPAM

Treats anxiety, muscle spas... +

Treats anxiety, muscle spasms, seizures, and other medical conditions. Source: National Library of Medicine

106

prescriptions, 2% of all prescriptions

39

prescriptions.

26

patients, 5% of all patients

17 138
TECFIDERA 98

prescriptions, 2% of all prescriptions

5

prescriptions.

12

patients, 2% of all patients

18 174
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

94

prescriptions, 1% of all prescriptions

47

prescriptions.

<11 19 70
TRAZODONE HCL

Trazodone is used to treat ... +

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

93

prescriptions, 1% of all prescriptions

45

prescriptions.

19

patients, 4% of all patients

20 34
SUMATRIPTAN SUCCINATE

Sumatriptan is used to trea... +

Sumatriptan is used to treat the symptoms of migraine headaches (severe, throbbing headaches that sometimes is accompanied by nausea or sensitivity to sound and light). Source: National Library of Medicine

90

prescriptions, 1% of all prescriptions

23

prescriptions.

20

patients, 4% of all patients

21 225
OLANZAPINE

Treats psychotic mental dis... +

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

82

prescriptions, 1% of all prescriptions

30

prescriptions.

<11 P 22 187
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

80

prescriptions, 1% of all prescriptions

19

prescriptions.

17

patients, 4% of all patients

23 180
CARBAMAZEPINE ER

Treats certain types of se... +

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

79

prescriptions, 1% of all prescriptions

17

prescriptions.

<11 24 210
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

77

prescriptions, 1% of all prescriptions

35

prescriptions.

18

patients, 4% of all patients

25 99
AMPYRA 77

prescriptions, 1% of all prescriptions

11

prescriptions.

<11 25 272
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

77

prescriptions, 1% of all prescriptions

11

prescriptions.

<11 25 133
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

70

prescriptions, 1% of all prescriptions

22

prescriptions.

12

patients, 2% of all patients

R 28 110
METHYLPHENIDATE HCL

Methylphenidate is used as ... +

Methylphenidate is used as part of a treatment program to control symptoms of attention deficit hyperactivity disorder (ADHD; more difficulty focusing, controlling actions, and remaining still or quiet than other people who are the same age) in adults and children. Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

21

prescriptions.

13

patients, 3% of all patients

28 279
NAMENDA

Treats dementia (memory los... +

Treats dementia (memory loss and mental changes) that is a sign of Alzheimer's disease. Source: National Library of Medicine

65

prescriptions, 1% of all prescriptions

60

prescriptions.

19

patients, 4% of all patients

30 199
LORAZEPAM

Treats anxiety, anxiety wit... +

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

63

prescriptions, 1% of all prescriptions

5

prescriptions.

11

patients, 2% of all patients

31 54
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

61

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 32 185
CLOPIDOGREL

Helps prevent stroke, heart... +

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

55

prescriptions, 1% of all prescriptions

40

prescriptions.

12

patients, 2% of all patients

33 10
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

55

prescriptions, 1% of all prescriptions

29

prescriptions.

13

patients, 3% of all patients

33 113
PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

53

prescriptions, 1% of all prescriptions

34

prescriptions.

13

patients, 3% of all patients

35 104
MEMANTINE HCL

Treats moderate to severe ... +

Treats moderate to severe Alzheimer's disease. Source: National Library of Medicine

50

prescriptions, 1% of all prescriptions

45

prescriptions.

15

patients, 3% of all patients

36 334
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 Jan. 27, 2017.
  • 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.