Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Psychiatry

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

8,557Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 88

$447K Total Retail Price of All Prescriptions

Rank: 22 out of 88

330 Patients Receiving at Least One Drug in Part D
41% Patients 65 Years and Older

59% 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 Rhode Island
lower than average

Antipsychotics

22% of this provider’s 134 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 45%.

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

20% of this provider’s 134 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 17%.

More resources »

Opioids

12% of this provider’s 330 patients filled at least one prescription for an opioid, compared to an average of 3%.

More resources »

Brand Name Drugs *

7% of this provider’s prescriptions were for brand-name drugs, compared to an average of 10%.

* This is an estimate, see our methodology.

Prescription Price

$52 was the average price of a prescription from this provider, compared to $93 among peers.

Prescriptions per Patient

26 is the average number of prescriptions (including refills) per patient, compared to an average of 18.


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

$515K

2012

$309K

2013

$410K

2014

$447K

2015

Number of Claims

6,398

2012

5,441

2013

7,612

2014

8,557

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

966

prescriptions, 11% of all prescriptions

296

prescriptions.

113

patients, 34% of all patients

1 1
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

466

prescriptions, 5% of all prescriptions

48

prescriptions.

63

patients, 19% of all patients

2 31
LAMOTRIGINE

Treats certain types of sei... +

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

451

prescriptions, 5% of all prescriptions

148

prescriptions.

69

patients, 21% of all patients

3 8
DIAZEPAM

Treats anxiety, muscle spas... +

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

426

prescriptions, 5% of all prescriptions

129

prescriptions.

45

patients, 14% of all patients

4 30
TRAZODONE HCL

Trazodone is used to treat ... +

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

322

prescriptions, 4% of all prescriptions

78

prescriptions.

58

patients, 18% of all patients

5 2
LORAZEPAM

Treats anxiety, anxiety wit... +

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

307

prescriptions, 4% of all prescriptions

133

prescriptions.

47

patients, 14% of all patients

6 7
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

291

prescriptions, 3% of all prescriptions

130

prescriptions.

50

patients, 15% of all patients

7 6
ALPRAZOLAM

Treats anxiety, panic disor... +

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

258

prescriptions, 3% of all prescriptions

76

prescriptions.

38

patients, 12% of all patients

8 18
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

252

prescriptions, 3% of all prescriptions

49

prescriptions.

51

patients, 15% of all patients

P 9 3
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

217

prescriptions, 3% of all prescriptions

99

prescriptions.

35

patients, 11% of all patients

10 10
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

216

prescriptions, 3% of all prescriptions

21

prescriptions.

20

patients, 6% of all patients

O 11 63
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

194

prescriptions, 2% of all prescriptions

22

prescriptions.

34

patients, 10% of all patients

12 29
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

192

prescriptions, 2% of all prescriptions

73

prescriptions.

33

patients, 10% of all patients

13 4
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

187

prescriptions, 2% of all prescriptions

72

prescriptions.

31

patients, 9% of all patients

14 16
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

185

prescriptions, 2% of all prescriptions

63

prescriptions.

33

patients, 10% of all patients

R 15 40
LEVOTHYROXINE SODIUM

Levothyroxine, a thyroid ho... +

Levothyroxine, a thyroid hormone, is used to treat hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormone. Source: National Library of Medicine

176

prescriptions, 2% of all prescriptions

48

prescriptions.

24

patients, 7% of all patients

16 42
CITALOPRAM HBR

Citalopram is used to treat... +

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

166

prescriptions, 2% of all prescriptions

39

prescriptions.

27

patients, 8% of all patients

17 11
BUTALBITAL-ACETAMINOPHEN-CAFFE

This combination of drugs i... +

This combination of drugs is used to relieve tension headaches. Source: National Library of Medicine

150

prescriptions, 2% of all prescriptions

41

prescriptions.

<11 R 18 66
GABAPENTIN

Treats certain types of sei... +

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

148

prescriptions, 2% of all prescriptions

30

prescriptions.

18

patients, 5% of all patients

19 14
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

145

prescriptions, 2% of all prescriptions

5

prescriptions.

38

patients, 12% of all patients

20 44
CARBAMAZEPINE

Treats different types of s... +

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

143

prescriptions, 2% of all prescriptions

21

prescriptions.

28

patients, 8% of all patients

21 60
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

129

prescriptions, 2% of all prescriptions

28

prescriptions.

32

patients, 10% of all patients

22 32
RISPERIDONE

Treats schizophrenia and ce... +

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

112

prescriptions, 1% of all prescriptions

34

prescriptions.

20

patients, 6% of all patients

P 23 5
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

112

prescriptions, 1% of all prescriptions

33

prescriptions.

23

patients, 7% of all patients

R 23 15
VENLAFAXINE HCL

Venlafaxine is used to trea... +

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

100

prescriptions, 1% of all prescriptions

61

prescriptions.

17

patients, 5% of all patients

25 45
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

98

prescriptions, 1% of all prescriptions

57

prescriptions.

14

patients, 4% of all patients

26 12
PERPHENAZINE

Treats the symptoms of cert... +

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

86

prescriptions, 1% of all prescriptions

21

prescriptions.

15

patients, 5% of all patients

P 27 43
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

83

prescriptions, 1% of all prescriptions

54

prescriptions.

14

patients, 4% of all patients

28 48
OXYCODONE HCL

Oxycodone is used to reliev... +

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

79

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 O 29 55
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

76

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 P 30 46
SUBOXONE

Treats an addiction to or d... +

Treats an addiction to or dependence on narcotic medicine. Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 31 34
HALOPERIDOL*

Treats symptoms of mental a... +

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

69

prescriptions, 1% of all prescriptions

5

prescriptions.

12

patients, 4% of all patients

P 32 33
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

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

66

prescriptions, 1% of all prescriptions

39

prescriptions.

18

patients, 5% of all patients

33 20
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

61

prescriptions, 1% of all prescriptions

12

prescriptions.

<11 P 34 35
DOXEPIN HCL

Doxepin is used to treat de... +

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

56

prescriptions, 1% of all prescriptions

15

prescriptions.

11

patients, 3% of all patients

R 35 49
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

55

prescriptions, 1% of all prescriptions

35

prescriptions.

11

patients, 3% of all patients

36 22
BUPRENORPHINE-NALOXONE 55

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 36 53
DEXTROAMPHETAMINE-AMPHET ER

Used as part of a treatment... +

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

54

prescriptions, 1% of all prescriptions

5

prescriptions.

11

patients, 3% of all patients

38 65
PHENYTOIN SODIUM EXTENDED

Phenytoin is used to contro... +

Phenytoin is used to control certain type of seizures, and to treat and prevent seizures that may begin during or after surgery to the brain or nervous system. Source: National Library of Medicine

54

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 38 84
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

52

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 O 40 86
DEXTROAMPHETAMINE SULFATE ER 51

prescriptions, 1% of all prescriptions

19

prescriptions.

<11 41 88
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. 16, 2008.
  • 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.