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 »

11,327Medicare Part D Prescriptions Filled, Including Refills

Rank: 2 out of 101

$3.01M Total Retail Price of All Prescriptions

Rank: 5 out of 101

783 Patients Receiving at Least One Drug in Part D
57% Patients 65 Years and Older

49% 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 South Carolina
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

2% of this provider’s 783 patients filled at least one prescription for an antibiotic drug, compared to an average of 1%.

More resources »

Risky Drugs for Seniors

9% of this provider’s 445 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 7%.

More resources »

Opioids

22% of this provider’s 783 patients filled at least one prescription for an opioid, compared to an average of 10%.

More resources »

Brand Name Drugs

13% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$266 was the average price of a prescription from this provider, compared to $324 among peers.

Prescriptions per Patient

14 is the average number of prescriptions (including refills) per patient, compared to an average of 9.


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

$2.37M

2012

$3.07M

2013

$2.78M

2014

$3.01M

2015

Number of Claims

9,104

2012

10,025

2013

10,728

2014

11,327

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
GABAPENTIN

Treats certain types of sei... +

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

1,144

prescriptions, 10% of all prescriptions

540

prescriptions.

220

patients, 28% of all patients

1 1
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

824

prescriptions, 7% of all prescriptions

289

prescriptions.

123

patients, 16% of all patients

O 2 7
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

481

prescriptions, 4% of all prescriptions

431

prescriptions.

91

patients, 12% of all patients

3 4
TOPIRAMATE

Helps control and prevent c... +

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

335

prescriptions, 3% of all prescriptions

80

prescriptions.

61

patients, 8% of all patients

4 5
CLONAZEPAM

Treats seizures, panic diso... +

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

305

prescriptions, 3% of all prescriptions

58

prescriptions.

52

patients, 7% of all patients

5 6
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

302

prescriptions, 3% of all prescriptions

272

prescriptions.

50

patients, 6% of all patients

6 3
LEVETIRACETAM

Used to help control certai... +

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

293

prescriptions, 3% of all prescriptions

91

prescriptions.

52

patients, 7% of all patients

7 2
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

245

prescriptions, 2% of all prescriptions

103

prescriptions.

37

patients, 5% of all patients

O 8 18
BACLOFEN

Treats muscle spasms caused... +

Treats muscle spasms caused by multiple sclerosis and spinal cord injury or disease. Source: National Library of Medicine

225

prescriptions, 2% of all prescriptions

34

prescriptions.

44

patients, 6% of all patients

9 13
CITALOPRAM HBR

Citalopram is used to treat... +

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

224

prescriptions, 2% of all prescriptions

133

prescriptions.

37

patients, 5% of all patients

10 38
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

215

prescriptions, 2% of all prescriptions

45

prescriptions.

39

patients, 5% of all patients

11 12
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

212

prescriptions, 2% of all prescriptions

95

prescriptions.

36

patients, 5% of all patients

12 16
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

209

prescriptions, 2% of all prescriptions

31

prescriptions.

35

patients, 4% of all patients

R 13 41
PRAMIPEXOLE DIHYDROCHLORIDE

Pramipexole is used alone o... +

Pramipexole 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

205

prescriptions, 2% of all prescriptions

86

prescriptions.

32

patients, 4% of all patients

14 30
ALPRAZOLAM

Treats anxiety, panic disor... +

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

179

prescriptions, 2% of all prescriptions

53

prescriptions.

40

patients, 5% of all patients

15 21
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

169

prescriptions, 1% of all prescriptions

58

prescriptions.

27

patients, 3% of all patients

16 10
CYCLOBENZAPRINE HCL

Cyclobenzaprine, a muscle r... +

Cyclobenzaprine, a muscle relaxant, is used with rest, physical therapy, and other measures to relax muscles and relieve pain and discomfort caused by strains, sprains, and other muscle injuries. Source: National Library of Medicine

169

prescriptions, 1% of all prescriptions

31

prescriptions.

44

patients, 6% of all patients

R 16 54
LAMOTRIGINE

Treats certain types of sei... +

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

152

prescriptions, 1% of all prescriptions

5

prescriptions.

24

patients, 3% of all patients

18 9
TRAMADOL HCL

Tramadol is used to relieve... +

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

151

prescriptions, 1% of all prescriptions

53

prescriptions.

29

patients, 4% of all patients

O 19 24
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

149

prescriptions, 1% of all prescriptions

89

prescriptions.

33

patients, 4% of all patients

20 49
LORAZEPAM

Treats anxiety, anxiety wit... +

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

148

prescriptions, 1% of all prescriptions

41

prescriptions.

33

patients, 4% of all patients

21 40
SUMATRIPTAN SUCCINATE

Sumatriptan is used to trea... +

Sumatriptan is used to treat the symptoms of migraine headaches (severe, throbbing headaches that sometimes is accompanied by nausea or sensitivity to sound and light). Source: National Library of Medicine

135

prescriptions, 1% of all prescriptions

56

prescriptions.

31

patients, 4% of all patients

22 22
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

135

prescriptions, 1% of all prescriptions

35

prescriptions.

24

patients, 3% of all patients

22 58
COPAXONE

This is used to reduce the ... +

This is used to reduce the frequency of relapses (flare-ups) in patients with relapsing-remitting multiple sclerosis (RMMS). Source: National Library of Medicine

132

prescriptions, 1% of all prescriptions

61

prescriptions.

17

patients, 2% of all patients

24 42
CARISOPRODOL

Treats pain and stiffness o... +

Treats pain and stiffness of muscle spasms. Source: National Library of Medicine

130

prescriptions, 1% of all prescriptions

24

prescriptions.

22

patients, 3% of all patients

R 25 67
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

129

prescriptions, 1% of all prescriptions

33

prescriptions.

24

patients, 3% of all patients

R 26 31
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

120

prescriptions, 1% of all prescriptions

14

prescriptions.

15

patients, 2% of all patients

27 63
NAMENDA XR

Used to treat the symptoms ... +

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

119

prescriptions, 1% of all prescriptions

104

prescriptions.

20

patients, 3% of all patients

28 8
RIZATRIPTAN

Rizatriptan is used to trea... +

Rizatriptan is used to treat the symptoms of migraine headaches (severe, throbbing headaches that sometimes are accompanied by nausea and sensitivity to sound and light). Source: National Library of Medicine

118

prescriptions, 1% of all prescriptions

38

prescriptions.

26

patients, 3% of all patients

29 71
PREDNISONE

Treats inflammation (swelli... +

Treats inflammation (swelling), severe allergies, complications of chronic illnesses, and other medical problems. Source: National Library of Medicine

117

prescriptions, 1% of all prescriptions

55

prescriptions.

25

patients, 3% of all patients

30 55
PYRIDOSTIGMINE BROMIDE 112

prescriptions, 1% of all prescriptions

73

prescriptions.

17

patients, 2% of all patients

31 64
PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

108

prescriptions, 1% of all prescriptions

103

prescriptions.

22

patients, 3% of all patients

32 11
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

106

prescriptions, 1% of all prescriptions

71

prescriptions.

15

patients, 2% of all patients

33 19
PROMETHAZINE HCL

Promethazine is used to rel... +

Promethazine is used to relieve the symptoms of allergic reactions such as allergic rhinitis (runny nose and watery eyes caused by allergy to pollen, mold or dust), allergic conjunctivitis (red, watery eyes caused by allergies), allergic skin reactions, and allergic reactions to blood or plasma products. Source: National Library of Medicine

104

prescriptions, 1% of all prescriptions

17

prescriptions.

26

patients, 3% of all patients

R 34 62
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

101

prescriptions, 1% of all prescriptions

79

prescriptions.

21

patients, 3% of all patients

35 43
TRAZODONE HCL

Trazodone is used to treat ... +

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

100

prescriptions, 1% of all prescriptions

13

prescriptions.

15

patients, 2% of all patients

36 29
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

89

prescriptions, 1% of all prescriptions

48

prescriptions.

16

patients, 2% of all patients

37 33
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

81

prescriptions, 1% of all prescriptions

35

prescriptions.

18

patients, 2% of all patients

38 61
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

79

prescriptions, 1% of all prescriptions

30

prescriptions.

18

patients, 2% of all patients

39 46
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

77

prescriptions, 1% of all prescriptions

29

prescriptions.

13

patients, 2% of all patients

40 76
CLOPIDOGREL

Helps prevent stroke, heart... +

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

76

prescriptions, 1% of all prescriptions

62

prescriptions.

14

patients, 2% of all patients

41 25
FENTANYL

Treats severe, ongoing pain... +

Treats severe, ongoing pain (during and after surgery, cancer pain) that cannot be controlled with other medicines. Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

28

prescriptions.

<11 O 42 47
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

71

prescriptions, 1% of all prescriptions

22

prescriptions.

17

patients, 2% of all patients

43 23
TEMAZEPAM

Treats insomnia (trouble sl... +

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

70

prescriptions, 1% of all prescriptions

27

prescriptions.

12

patients, 2% of all patients

44 57
MELOXICAM

Treats symptoms of osteoart... +

Treats symptoms of osteoarthritis (OA). Source: National Library of Medicine

70

prescriptions, 1% of all prescriptions

18

prescriptions.

<11 44 51
CARBAMAZEPINE ER

Treats certain types of se... +

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

68

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 46 45
MEMANTINE HCL

Treats moderate to severe ... +

Treats moderate to severe Alzheimer's disease. Source: National Library of Medicine

61

prescriptions, 1% of all prescriptions

56

prescriptions.

19

patients, 2% of all patients

47 65
MONTELUKAST SODIUM

Montelukast is used to prev... +

Montelukast is used to prevent wheezing, difficulty breathing, chest tightness, and coughing caused by asthma. Source: National Library of Medicine

61

prescriptions, 1% of all prescriptions

11

prescriptions.

<11 47 126
CARBAMAZEPINE

Treats different types of s... +

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

60

prescriptions, 1% of all prescriptions

37

prescriptions.

14

patients, 2% of all patients

49 36
GALANTAMINE HBR

Galantamine is used to trea... +

Galantamine is used to treat the symptoms of 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

58

prescriptions, 1% of all prescriptions

53

prescriptions.

<11 50 59
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

54

prescriptions, 0% of all prescriptions

21

prescriptions.

13

patients, 2% of all patients

51 35
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. 23, 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.