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 »

16,428Medicare Part D Prescriptions Filled, Including Refills

Rank: 6 out of 369

$2.25M Total Retail Price of All Prescriptions

Rank: 7 out of 369

546 Patients Receiving at Least One Drug in Part D
23% Patients 65 Years and Older

82% 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

47% of this provider’s 128 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 36%.

More resources »

Antibiotics

0% of this provider’s 546 patients filled at least one prescription for an antibiotic drug, compared to an average of 2%.

More resources »

Risky Drugs for Seniors

19% of this provider’s 128 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 17%.

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

16% of this provider’s prescriptions were for brand-name drugs, compared to an average of 14%.

Prescription Price

$137 was the average price of a prescription from this provider, compared to $106 among peers.

Prescriptions per Patient

30 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

$1.99M

2012

$2.17M

2013

$2.22M

2014

$2.25M

2015

Number of Claims

12,388

2012

14,223

2013

15,527

2014

16,428

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

956

prescriptions, 6% of all prescriptions

234

prescriptions.

112

patients, 21% of all patients

1 3
TRAZODONE HCL

Trazodone is used to treat ... +

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

871

prescriptions, 5% of all prescriptions

127

prescriptions.

154

patients, 28% of all patients

2 1
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

669

prescriptions, 4% of all prescriptions

179

prescriptions.

75

patients, 14% of all patients

3 5
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

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

613

prescriptions, 4% of all prescriptions

146

prescriptions.

90

patients, 16% of all patients

4 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

612

prescriptions, 4% of all prescriptions

119

prescriptions.

71

patients, 13% of all patients

P 5 4
LAMOTRIGINE

Treats certain types of sei... +

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

600

prescriptions, 4% of all prescriptions

151

prescriptions.

80

patients, 15% of all patients

6 6
CITALOPRAM HBR

Citalopram is used to treat... +

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

547

prescriptions, 3% of all prescriptions

123

prescriptions.

80

patients, 15% of all patients

7 11
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

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

487

prescriptions, 3% of all prescriptions

43

prescriptions.

60

patients, 11% of all patients

R 8 14
TEMAZEPAM

Treats insomnia (trouble sl... +

Treats insomnia (trouble sleeping). Source: National Library of Medicine

463

prescriptions, 3% of all prescriptions

90

prescriptions.

87

patients, 16% of all patients

9 38
ABILIFY

Treats schizophrenia, bipol... +

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

445

prescriptions, 3% of all prescriptions

71

prescriptions.

76

patients, 14% of all patients

P 10 20
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

437

prescriptions, 3% of all prescriptions

121

prescriptions.

53

patients, 10% of all patients

11 13
ALPRAZOLAM

Treats anxiety, panic disor... +

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

429

prescriptions, 3% of all prescriptions

80

prescriptions.

55

patients, 10% of all patients

12 2
TOPIRAMATE

Helps control and prevent c... +

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

386

prescriptions, 2% of all prescriptions

11

prescriptions.

53

patients, 10% of all patients

13 29
SEROQUEL XR

Treats schizophrenia and sy... +

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

366

prescriptions, 2% of all prescriptions

30

prescriptions.

39

patients, 7% of all patients

P 14 32
CARBAMAZEPINE

Treats different types of s... +

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

361

prescriptions, 2% of all prescriptions

27

prescriptions.

68

patients, 12% of all patients

15 48
RISPERIDONE

Treats schizophrenia and ce... +

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

349

prescriptions, 2% of all prescriptions

87

prescriptions.

43

patients, 8% of all patients

P 16 9
OLANZAPINE

Treats psychotic mental dis... +

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

320

prescriptions, 2% of all prescriptions

23

prescriptions.

35

patients, 6% of all patients

P 17 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

317

prescriptions, 2% of all prescriptions

59

prescriptions.

51

patients, 9% of all patients

18 19
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

309

prescriptions, 2% of all prescriptions

98

prescriptions.

44

patients, 8% of all patients

19 17
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

302

prescriptions, 2% of all prescriptions

52

prescriptions.

38

patients, 7% of all patients

20 21
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

295

prescriptions, 2% of all prescriptions

30

prescriptions.

53

patients, 10% of all patients

R 21 12
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

293

prescriptions, 2% of all prescriptions

90

prescriptions.

38

patients, 7% of all patients

22 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

280

prescriptions, 2% of all prescriptions

89

prescriptions.

36

patients, 7% of all patients

23 8
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

257

prescriptions, 2% of all prescriptions

33

prescriptions.

36

patients, 7% of all patients

24 27
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

255

prescriptions, 2% of all prescriptions

71

prescriptions.

34

patients, 6% of all patients

P 25 31
THIOTHIXENE 254

prescriptions, 2% of all prescriptions

11

prescriptions.

53

patients, 10% of all patients

P 10 26 88
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

245

prescriptions, 1% of all prescriptions

84

prescriptions.

35

patients, 6% of all patients

27 15
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

241

prescriptions, 1% of all prescriptions

27

prescriptions.

39

patients, 7% of all patients

R 28 46
ARIPIPRAZOLE

Treats schizophrenia, bipol... +

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

220

prescriptions, 1% of all prescriptions

52

prescriptions.

56

patients, 10% of all patients

P 29 35
VIIBRYD

Used to treat depression in... +

Used to treat depression in adults. Source: National Library of Medicine

216

prescriptions, 1% of all prescriptions

35

prescriptions.

35

patients, 6% of all patients

30 53
LORAZEPAM

Treats anxiety, anxiety wit... +

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

208

prescriptions, 1% of all prescriptions

48

prescriptions.

42

patients, 8% of all patients

31 7
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

170

prescriptions, 1% of all prescriptions

5

prescriptions.

30

patients, 5% of all patients

32 33
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

148

prescriptions, 1% of all prescriptions

16

prescriptions.

26

patients, 5% of all patients

33 40
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

148

prescriptions, 1% of all prescriptions

38

prescriptions.

22

patients, 4% of all patients

33 28
TRIHEXYPHENIDYL HCL

Trihexyphenidyl is used to ... +

Trihexyphenidyl is used to treat the symptoms of Parkinson's disease and tremors caused by other medical problems or drugs. Source: National Library of Medicine

147

prescriptions, 1% of all prescriptions

12

prescriptions.

20

patients, 4% of all patients

R 35 47
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

138

prescriptions, 1% of all prescriptions

23

prescriptions.

16

patients, 3% of all patients

36 34
LATUDA

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

137

prescriptions, 1% of all prescriptions

0

prescriptions.

17

patients, 3% of all patients

P 37 23
HALOPERIDOL*

Treats symptoms of mental a... +

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

135

prescriptions, 1% of all prescriptions

44

prescriptions.

18

patients, 3% of all patients

P 38 30
INVEGA

Treats schizophrenia (a men... +

Treats schizophrenia (a mental disorder). Source: National Library of Medicine

134

prescriptions, 1% of all prescriptions

11

prescriptions.

14

patients, 3% of all patients

P 39 44
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

129

prescriptions, 1% of all prescriptions

83

prescriptions.

20

patients, 4% of all patients

40 41
INVEGA SUSTENNA

Used to treat the symptoms ... +

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

121

prescriptions, 1% of all prescriptions

5

prescriptions.

16

patients, 3% of all patients

P 41 37
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

112

prescriptions, 1% of all prescriptions

34

prescriptions.

13

patients, 2% of all patients

42 73
GABAPENTIN

Treats certain types of sei... +

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

111

prescriptions, 1% of all prescriptions

55

prescriptions.

14

patients, 3% of all patients

43 26
DIAZEPAM

Treats anxiety, muscle spas... +

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

101

prescriptions, 1% of all prescriptions

32

prescriptions.

17

patients, 3% of all patients

44 25
FANAPT 99

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 P 45 81
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

95

prescriptions, 1% of all prescriptions

0

prescriptions.

14

patients, 3% of all patients

46 49
RISPERDAL CONSTA

Treats schizophrenia and ce... +

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

94

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 P 47 50
CLOZAPINE

Treats schizophrenia. Also ... +

Treats schizophrenia. Source: National Library of Medicine

90

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 P 48 22
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

88

prescriptions, 1% of all prescriptions

5

prescriptions.

13

patients, 2% of all patients

49 65
NAMENDA XR

Used to treat the symptoms ... +

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

87

prescriptions, 1% of all prescriptions

53

prescriptions.

13

patients, 2% of all patients

50 42
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

84

prescriptions, 1% of all prescriptions

12

prescriptions.

<11 51 57
EPITOL 83

prescriptions, 1% of all prescriptions

0

prescriptions.

23

patients, 4% of all patients

10 52 149
PRISTIQ ER

Used to treat depression. D... +

Used to treat depression. Source: National Library of Medicine

79

prescriptions, 0% of all prescriptions

16

prescriptions.

<11 53 43
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

75

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 P 54 55
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

68

prescriptions, 0% of all prescriptions

5

prescriptions.

11

patients, 2% of all patients

55 51
CLOMIPRAMINE HCL 65

prescriptions, 0% of all prescriptions

5

prescriptions.

11

patients, 2% of all patients

R 56 97
HYDROXYZINE PAMOATE

Treats anxiety, tension, ne... +

Treats anxiety, tension, nervousness, nausea, vomiting, allergies, skin rash, hives, and itching. Source: National Library of Medicine

62

prescriptions, 0% of all prescriptions

5

prescriptions.

14

patients, 3% of all patients

R 57 39
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

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

52

prescriptions, 0% of all prescriptions

5

prescriptions.

13

patients, 2% of all patients

58 24
DOXEPIN HCL

Doxepin is used to treat de... +

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

52

prescriptions, 0% of all prescriptions

12

prescriptions.

<11 R 58 45
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

50

prescriptions, 0% of all prescriptions

5

prescriptions.

11

patients, 2% of all patients

R 60 54
SAPHRIS 50

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 P 60 66
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 April 30, 2015.
  • 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.