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 »

8,523Medicare Part D Prescriptions Filled, Including Refills

Rank: 4 out of 118

$552K Total Retail Price of All Prescriptions

Rank: 10 out of 118

422 Patients Receiving at Least One Drug in Part D
20% Patients 65 Years and Older

85% 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.

22 of this provider’s 83 patients who are 65 and older filled at least one prescription for an antipsychotic drug.

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

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

22 of this provider’s 83 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

20 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

$329K

2012

$324K

2013

$455K

2014

$552K

2015

Number of Claims

3,565

2012

4,295

2013

6,122

2014

8,523

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.

Click to Filter by Category

Clear Filter


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

861

prescriptions, 10% of all prescriptions

180

prescriptions.

130

patients, 31% of all patients

1 1
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

610

prescriptions, 7% of all prescriptions

65

prescriptions.

79

patients, 19% of all patients

2 6
TRAZODONE HCL

Trazodone is used to treat ... +

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

547

prescriptions, 6% of all prescriptions

95

prescriptions.

79

patients, 19% of all patients

3 2
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

478

prescriptions, 6% of all prescriptions

61

prescriptions.

67

patients, 16% of all patients

P 4 3
LAMOTRIGINE

Treats certain types of sei... +

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

378

prescriptions, 4% of all prescriptions

42

prescriptions.

57

patients, 14% of all patients

5 5
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

377

prescriptions, 4% of all prescriptions

70

prescriptions.

49

patients, 12% of all patients

6 7
LORAZEPAM

Treats anxiety, anxiety wit... +

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

266

prescriptions, 3% of all prescriptions

103

prescriptions.

51

patients, 12% of all patients

7 4
OLANZAPINE

Treats psychotic mental dis... +

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

258

prescriptions, 3% of all prescriptions

21

prescriptions.

41

patients, 10% of all patients

P 8 11
CITALOPRAM HBR

Citalopram is used to treat... +

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

255

prescriptions, 3% of all prescriptions

67

prescriptions.

40

patients, 9% of all patients

9 10
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

250

prescriptions, 3% of all prescriptions

39

prescriptions.

37

patients, 9% of all patients

10 25
RISPERIDONE

Treats schizophrenia and ce... +

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

248

prescriptions, 3% of all prescriptions

5

prescriptions.

37

patients, 9% of all patients

P 11 8
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

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

240

prescriptions, 3% of all prescriptions

50

prescriptions.

41

patients, 10% of all patients

12 16
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

229

prescriptions, 3% of all prescriptions

100

prescriptions.

34

patients, 8% of all patients

13 20
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

206

prescriptions, 2% of all prescriptions

5

prescriptions.

32

patients, 8% of all patients

14 12
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

176

prescriptions, 2% of all prescriptions

21

prescriptions.

34

patients, 8% of all patients

15 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

175

prescriptions, 2% of all prescriptions

28

prescriptions.

31

patients, 7% of all patients

R 16 18
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

175

prescriptions, 2% of all prescriptions

36

prescriptions.

29

patients, 7% of all patients

16 23
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

153

prescriptions, 2% of all prescriptions

46

prescriptions.

29

patients, 7% of all patients

18 15
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

129

prescriptions, 2% of all prescriptions

13

prescriptions.

18

patients, 4% of all patients

19 33
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

122

prescriptions, 1% of all prescriptions

46

prescriptions.

17

patients, 4% of all patients

20 27
DIAZEPAM

Treats anxiety, muscle spas... +

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

118

prescriptions, 1% of all prescriptions

5

prescriptions.

23

patients, 5% of all patients

21 30
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

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

116

prescriptions, 1% of all prescriptions

13

prescriptions.

20

patients, 5% of all patients

R 22 14
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

115

prescriptions, 1% of all prescriptions

21

prescriptions.

19

patients, 5% of all patients

R 23 49
TOPIRAMATE

Helps control and prevent c... +

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

113

prescriptions, 1% of all prescriptions

12

prescriptions.

26

patients, 6% of all patients

24 29
GABAPENTIN

Treats certain types of sei... +

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

111

prescriptions, 1% of all prescriptions

5

prescriptions.

21

patients, 5% of all patients

25 9
ARIPIPRAZOLE

Treats schizophrenia, bipol... +

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

105

prescriptions, 1% of all prescriptions

5

prescriptions.

20

patients, 5% of all patients

P 26 32
ABILIFY

Treats schizophrenia, bipol... +

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

102

prescriptions, 1% of all prescriptions

12

prescriptions.

26

patients, 6% of all patients

P 27 22
HYDROXYZINE PAMOATE

Treats anxiety, tension, ne... +

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

97

prescriptions, 1% of all prescriptions

21

prescriptions.

27

patients, 6% of all patients

R 28 40
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

92

prescriptions, 1% of all prescriptions

25

prescriptions.

25

patients, 6% of all patients

R 29 44
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

91

prescriptions, 1% of all prescriptions

37

prescriptions.

15

patients, 4% of all patients

30 26
CLOZAPINE

Treats schizophrenia. Also ... +

Treats schizophrenia. Source: National Library of Medicine

86

prescriptions, 1% of all prescriptions

12

prescriptions.

<11 P 31 17
METHYLPHENIDATE ER 78

prescriptions, 1% of all prescriptions

5

prescriptions.

11

patients, 3% of all patients

32 51
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

11

prescriptions.

11

patients, 3% of all patients

33 46
ALPRAZOLAM

Treats anxiety, panic disor... +

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

72

prescriptions, 1% of all prescriptions

5

prescriptions.

12

patients, 3% of all patients

34 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

70

prescriptions, 1% of all prescriptions

5

prescriptions.

11

patients, 3% of all patients

35 28
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

65

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 P 36 42
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

64

prescriptions, 1% of all prescriptions

0

prescriptions.

11

patients, 3% of all patients

37 39
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

52

prescriptions, 1% of all prescriptions

24

prescriptions.

<11 38 31
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 Nov. 28, 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.