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 »

4,347Medicare Part D Prescriptions Filled, Including Refills

Rank: 16 out of 118

$284K Total Retail Price of All Prescriptions

Rank: 31 out of 118

277 Patients Receiving at Least One Drug in Part D
13% 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 than average Average for
this specialty
in Massachusetts
lower than average

Antipsychotics

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

12 of this provider’s 35 patients who are 65 and older filled at least one prescription for an antipsychotic drug.

More resources »

Antibiotics

0% of this provider’s 277 patients filled at least one prescription for an antibiotic drug, compared to an average of 1%.

More resources »

Risky Drugs for Seniors

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

14 of this provider’s 35 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

6% of this provider’s prescriptions were for brand-name drugs, compared to an average of 10%.

Prescription Price

$65 was the average price of a prescription from this provider, compared to $82 among peers.

Prescriptions per Patient

16 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

$113K

2012

$213K

2013

$263K

2014

$284K

2015

Number of Claims

1,574

2012

3,315

2013

4,153

2014

4,347

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
CLONAZEPAM

Treats seizures, panic diso... +

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

345

prescriptions, 8% of all prescriptions

51

prescriptions.

64

patients, 23% of all patients

1 1
ALPRAZOLAM

Treats anxiety, panic disor... +

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

205

prescriptions, 5% of all prescriptions

5

prescriptions.

39

patients, 14% of all patients

2 13
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

204

prescriptions, 5% of all prescriptions

11

prescriptions.

62

patients, 22% of all patients

3 28
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, 4% of all prescriptions

27

prescriptions.

43

patients, 16% of all patients

4 6
DOXEPIN HCL

Doxepin is used to treat de... +

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

167

prescriptions, 4% of all prescriptions

26

prescriptions.

50

patients, 18% of all patients

R 5 45
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

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

158

prescriptions, 4% of all prescriptions

24

prescriptions.

44

patients, 16% of all patients

6 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

158

prescriptions, 4% of all prescriptions

43

prescriptions.

40

patients, 14% of all patients

6 21
DEXTROAMPHETAMINE-AMPHETAMINE

The combination is used as ... +

The combination is used as part of a treatment program to control symptoms of attention deficit hyperactivity disorder (ADHD) in adults and children. Source: National Library of Medicine

158

prescriptions, 4% of all prescriptions

15

prescriptions.

37

patients, 13% of all patients

6 19
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

157

prescriptions, 4% of all prescriptions

5

prescriptions.

38

patients, 14% of all patients

P 9 3
TRAZODONE HCL

Trazodone is used to treat ... +

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

146

prescriptions, 3% of all prescriptions

27

prescriptions.

34

patients, 12% of all patients

10 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

132

prescriptions, 3% of all prescriptions

18

prescriptions.

35

patients, 13% of all patients

11 7
LORAZEPAM

Treats anxiety, anxiety wit... +

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

131

prescriptions, 3% of all prescriptions

12

prescriptions.

30

patients, 11% of all patients

12 4
CITALOPRAM HBR

Citalopram is used to treat... +

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

125

prescriptions, 3% of all prescriptions

42

prescriptions.

31

patients, 11% of all patients

13 10
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

118

prescriptions, 3% of all prescriptions

16

prescriptions.

23

patients, 8% of all patients

14 20
RISPERIDONE

Treats schizophrenia and ce... +

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

117

prescriptions, 3% of all prescriptions

18

prescriptions.

19

patients, 7% of all patients

P 15 8
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

111

prescriptions, 3% of all prescriptions

22

prescriptions.

28

patients, 10% of all patients

16 15
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

100

prescriptions, 2% of all prescriptions

21

prescriptions.

21

patients, 8% of all patients

17 12
GABAPENTIN

Treats certain types of sei... +

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

99

prescriptions, 2% of all prescriptions

13

prescriptions.

26

patients, 9% of all patients

18 9
OLANZAPINE

Treats psychotic mental dis... +

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

98

prescriptions, 2% of all prescriptions

5

prescriptions.

28

patients, 10% of all patients

P 19 11
TOPIRAMATE

Helps control and prevent c... +

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

82

prescriptions, 2% of all prescriptions

5

prescriptions.

25

patients, 9% of all patients

20 29
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

80

prescriptions, 2% of all prescriptions

0

prescriptions.

20

patients, 7% of all patients

21 23
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

77

prescriptions, 2% of all prescriptions

13

prescriptions.

24

patients, 9% of all patients

R 22 49
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

75

prescriptions, 2% of all prescriptions

5

prescriptions.

15

patients, 5% of all patients

23 26
LAMOTRIGINE

Treats certain types of sei... +

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

71

prescriptions, 2% of all prescriptions

5

prescriptions.

22

patients, 8% of all patients

24 5
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

60

prescriptions, 1% of all prescriptions

5

prescriptions.

26

patients, 9% of all patients

25 39
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

58

prescriptions, 1% of all prescriptions

5

prescriptions.

12

patients, 4% of all patients

26 27
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

57

prescriptions, 1% of all prescriptions

19

prescriptions.

14

patients, 5% of all patients

R 27 18
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

56

prescriptions, 1% of all prescriptions

5

prescriptions.

17

patients, 6% of all patients

R 28 44
CLOMIPRAMINE HCL 54

prescriptions, 1% of all prescriptions

0

prescriptions.

20

patients, 7% of all patients

R 29 75
ABILIFY

Treats schizophrenia, bipol... +

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

54

prescriptions, 1% of all prescriptions

5

prescriptions.

13

patients, 5% of all patients

P 29 22
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

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

51

prescriptions, 1% of all prescriptions

5

prescriptions.

18

patients, 6% of all patients

R 31 14
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 Nov. 3, 2016.
  • 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.