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 »

6,002Medicare Part D Prescriptions Filled, Including Refills

Rank: 18 out of 381

$654K Total Retail Price of All Prescriptions

Rank: 18 out of 381

236 Patients Receiving at Least One Drug in Part D
17% Patients 65 Years and Older

90% 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 Virginia
lower than average

Antipsychotics

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

28 of this provider’s 39 patients who are 65 and older filled at least one prescription for an antipsychotic drug.

More resources »

Antibiotics

0% of this provider’s 236 patients filled at least one prescription for an antibiotic drug, compared to an average of 2%.

More resources »

Risky Drugs for Seniors

This provider prescribed potentially inappropriate drugs 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 »

Opioids

0% of this provider’s 236 patients filled at least one prescription for an opioid, compared to an average of 2%.

More resources »

Brand Name Drugs

15% of this provider’s prescriptions were for brand-name drugs, compared to an average of 12%.

Prescription Price

$109 was the average price of a prescription from this provider, compared to $93 among peers.

Prescriptions per Patient

25 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

$409K

2012

$473K

2013

$549K

2014

$654K

2015

Number of Claims

3,119

2012

4,135

2013

4,935

2014

6,002

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
OLANZAPINE

Treats psychotic mental dis... +

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

397

prescriptions, 7% of all prescriptions

91

prescriptions.

41

patients, 17% of all patients

P 1 9
CLONAZEPAM

Treats seizures, panic diso... +

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

369

prescriptions, 6% of all prescriptions

37

prescriptions.

46

patients, 19% of all patients

2 3
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

326

prescriptions, 5% of all prescriptions

53

prescriptions.

36

patients, 15% of all patients

P 3 1
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

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

291

prescriptions, 5% of all prescriptions

0

prescriptions.

42

patients, 18% of all patients

R 4 8
RISPERIDONE

Treats schizophrenia and ce... +

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

287

prescriptions, 5% of all prescriptions

22

prescriptions.

34

patients, 14% of all patients

P 5 4
TRAZODONE HCL

Trazodone is used to treat ... +

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

252

prescriptions, 4% of all prescriptions

32

prescriptions.

38

patients, 16% of all patients

6 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

233

prescriptions, 4% of all prescriptions

25

prescriptions.

33

patients, 14% of all patients

7 7
LORAZEPAM

Treats anxiety, anxiety wit... +

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

222

prescriptions, 4% of all prescriptions

47

prescriptions.

32

patients, 14% of all patients

8 6
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

182

prescriptions, 3% of all prescriptions

18

prescriptions.

21

patients, 9% of all patients

9 26
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

180

prescriptions, 3% of all prescriptions

5

prescriptions.

23

patients, 10% of all patients

10 14
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

169

prescriptions, 3% of all prescriptions

5

prescriptions.

23

patients, 10% of all patients

11 19
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

163

prescriptions, 3% of all prescriptions

0

prescriptions.

16

patients, 7% of all patients

P 12 29
FLUPHENAZINE HCL

Fluphenazine is an antipsyc... +

Fluphenazine is an antipsychotic medication used to treat schizophrenia and psychotic symptoms such as hallucinations, delusions, and hostility. Source: National Library of Medicine

158

prescriptions, 3% of all prescriptions

12

prescriptions.

16

patients, 7% of all patients

P 13 45
ALPRAZOLAM

Treats anxiety, panic disor... +

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

157

prescriptions, 3% of all prescriptions

5

prescriptions.

23

patients, 10% of all patients

14 5
HALOPERIDOL*

Treats symptoms of mental a... +

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

128

prescriptions, 2% of all prescriptions

15

prescriptions.

17

patients, 7% of all patients

P 15 22
LAMOTRIGINE

Treats certain types of sei... +

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

119

prescriptions, 2% of all prescriptions

0

prescriptions.

20

patients, 8% of all patients

16 13
HALOPERIDOL DECANOATE 118

prescriptions, 2% of all prescriptions

0

prescriptions.

18

patients, 8% of all patients

P 17 41
GABAPENTIN

Treats certain types of sei... +

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

114

prescriptions, 2% of all prescriptions

5

prescriptions.

16

patients, 7% of all patients

18 23
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

104

prescriptions, 2% of all prescriptions

23

prescriptions.

16

patients, 7% of all patients

19 18
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

104

prescriptions, 2% of all prescriptions

0

prescriptions.

12

patients, 5% of all patients

19 21
ARIPIPRAZOLE

Treats schizophrenia, bipol... +

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

92

prescriptions, 2% of all prescriptions

5

prescriptions.

17

patients, 7% of all patients

P 21 33
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

83

prescriptions, 1% of all prescriptions

0

prescriptions.

14

patients, 6% of all patients

22 20
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

80

prescriptions, 1% of all prescriptions

5

prescriptions.

11

patients, 5% of all patients

P 23 38
ABILIFY

Treats schizophrenia, bipol... +

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

78

prescriptions, 1% of all prescriptions

5

prescriptions.

16

patients, 7% of all patients

P 24 28
SEROQUEL XR

Treats schizophrenia and sy... +

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

78

prescriptions, 1% of all prescriptions

17

prescriptions.

<11 P 24 53
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

76

prescriptions, 1% of all prescriptions

21

prescriptions.

<11 26 27
RISPERDAL CONSTA

Treats schizophrenia and ce... +

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

75

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 P 27 37
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

74

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 28 42
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

67

prescriptions, 1% of all prescriptions

23

prescriptions.

14

patients, 6% of all patients

29 12
CITALOPRAM HBR

Citalopram is used to treat... +

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

66

prescriptions, 1% of all prescriptions

5

prescriptions.

14

patients, 6% of all patients

30 11
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

63

prescriptions, 1% of all prescriptions

12

prescriptions.

<11 31 10
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

51

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 R 32 62
THIOTHIXENE 50

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 P 33 65
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 Aug. 31, 2009.
  • 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.