Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Neurology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

3,691Medicare Part D Prescriptions Filled, Including Refills

Rank: 102 out of 576

$753K Total Retail Price of All Prescriptions

Rank: 184 out of 576

373 Patients Receiving at Least One Drug in Part D
68% Patients 65 Years and Older

41% 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 Florida
lower than average

Antipsychotics

This provider prescribed antipsychotics to at least one but fewer than 11 patients who are 65 and older, so Medicare redacted the exact figure. Comparisons are not shown.

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

9% of this provider’s 253 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

17% of this provider’s 373 patients filled at least one prescription for an opioid, compared to an average of 9%.

More resources »

Brand Name Drugs

18% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

Prescription Price

$204 was the average price of a prescription from this provider, compared to $299 among peers.

Prescriptions per Patient

10 is the average number of prescriptions (including refills) per patient, compared to an average of 8.


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

$178K

2012

$288K

2013

$577K

2014

$753K

2015

Number of Claims

1,799

2012

2,148

2013

3,005

2014

3,691

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
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

290

prescriptions, 8% of all prescriptions

271

prescriptions.

75

patients, 20% of all patients

1 2
GABAPENTIN

Treats certain types of sei... +

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

220

prescriptions, 6% of all prescriptions

92

prescriptions.

50

patients, 13% of all patients

2 1
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

166

prescriptions, 4% of all prescriptions

87

prescriptions.

26

patients, 7% of all patients

O 3 9
LEVETIRACETAM

Used to help control certai... +

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

164

prescriptions, 4% of all prescriptions

99

prescriptions.

31

patients, 8% of all patients

4 4
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

121

prescriptions, 3% of all prescriptions

106

prescriptions.

29

patients, 8% of all patients

5 13
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

114

prescriptions, 3% of all prescriptions

109

prescriptions.

30

patients, 8% of all patients

6 3
NAMENDA XR

Used to treat the symptoms ... +

Used to treat the symptoms of Alzheimer's disease. Source: National Library of Medicine

113

prescriptions, 3% of all prescriptions

108

prescriptions.

24

patients, 6% of all patients

7 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

109

prescriptions, 3% of all prescriptions

31

prescriptions.

18

patients, 5% of all patients

R 8 43
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

104

prescriptions, 3% of all prescriptions

76

prescriptions.

25

patients, 7% of all patients

9 11
CLONAZEPAM

Treats seizures, panic diso... +

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

98

prescriptions, 3% of all prescriptions

59

prescriptions.

15

patients, 4% of all patients

10 7
TOPIRAMATE

Helps control and prevent c... +

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

93

prescriptions, 3% of all prescriptions

26

prescriptions.

24

patients, 6% of all patients

11 6
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

76

prescriptions, 2% of all prescriptions

30

prescriptions.

13

patients, 3% of all patients

12 15
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

73

prescriptions, 2% of all prescriptions

48

prescriptions.

11

patients, 3% of all patients

13 22
TIZANIDINE HCL

Tizanidine is used to relie... +

Tizanidine is used to relieve the spasms and increased muscle tone caused by multiple sclerosis (MS, a disease in which the nerves do not function properly and patients may experience weakness, numbness, loss of muscle coordination and problems with vision, speech, and bladder control), stroke, or brain or spinal injury. Source: National Library of Medicine

68

prescriptions, 2% of all prescriptions

5

prescriptions.

18

patients, 5% of all patients

14 23
LAMOTRIGINE

Treats certain types of sei... +

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

66

prescriptions, 2% of all prescriptions

17

prescriptions.

14

patients, 4% of all patients

15 10
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

61

prescriptions, 2% of all prescriptions

34

prescriptions.

16

patients, 4% of all patients

16 20
TRAMADOL HCL

Tramadol is used to relieve... +

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

54

prescriptions, 1% of all prescriptions

49

prescriptions.

15

patients, 4% of all patients

O 17 30
OXYCODONE HCL

Oxycodone is used to reliev... +

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

53

prescriptions, 1% of all prescriptions

16

prescriptions.

<11 O 18 29
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

51

prescriptions, 1% of all prescriptions

16

prescriptions.

<11 19 38
DIAZEPAM

Treats anxiety, muscle spas... +

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

51

prescriptions, 1% of all prescriptions

23

prescriptions.

15

patients, 4% of all patients

19 42
CLOPIDOGREL

Helps prevent stroke, heart... +

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

50

prescriptions, 1% of all prescriptions

25

prescriptions.

<11 21 25
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

50

prescriptions, 1% of all prescriptions

21

prescriptions.

<11 21 63
EXELON

Rivastigmine is used to tre... +

Rivastigmine is used to treat mild to moderate dementia (memory loss) associated with Alzheimer's disease or Parkinson's disease. Source: National Library of Medicine

50

prescriptions, 1% of all prescriptions

50

prescriptions.

13

patients, 3% of all patients

21 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?

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 July 30, 2012.
  • 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.