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 »

7,873Medicare Part D Prescriptions Filled, Including Refills

Rank: 3 out of 187

$732K Total Retail Price of All Prescriptions

Rank: 68 out of 187

756 Patients Receiving at Least One Drug in Part D
55% Patients 65 Years and Older

42% 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

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

3% of this provider’s 756 patients filled at least one prescription for an antibiotic drug, compared to an average of 1%.

More resources »

Risky Drugs for Seniors

5% of this provider’s 413 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 6%.

More resources »

Opioids

81% of this provider’s 756 patients filled at least one prescription for an opioid, compared to an average of 6%.

More resources »

Brand Name Drugs *

14% of this provider’s prescriptions were for brand-name drugs, compared to an average of 18%.

* This is an estimate, see our methodology.

Prescription Price

$93 was the average price of a prescription from this provider, compared to $306 among peers.

Prescriptions per Patient

10 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

$728K

2012

$659K

2013

$640K

2014

$732K

2015

Number of Claims

7,266

2012

7,150

2013

7,839

2014

7,873

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
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

1,645

prescriptions, 21% of all prescriptions

869

prescriptions.

303

patients, 40% of all patients

O 1 11
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

822

prescriptions, 10% of all prescriptions

415

prescriptions.

143

patients, 19% of all patients

O 2 37
MORPHINE SULFATE ER

Morphine (extended release)... +

Morphine (extended release) is used to relieve moderate to severe pain. Source: National Library of Medicine

768

prescriptions, 10% of all prescriptions

363

prescriptions.

100

patients, 13% of all patients

O 3 38
GABAPENTIN

Treats certain types of sei... +

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

576

prescriptions, 7% of all prescriptions

340

prescriptions.

142

patients, 19% of all patients

4 1
OXYCODONE HCL

Oxycodone is used to reliev... +

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

419

prescriptions, 5% of all prescriptions

143

prescriptions.

79

patients, 10% of all patients

O 5 45
OXYCONTIN

Oxycodone is used to reliev... +

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

383

prescriptions, 5% of all prescriptions

164

prescriptions.

45

patients, 6% of all patients

O 6 60
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

341

prescriptions, 4% of all prescriptions

161

prescriptions.

49

patients, 6% of all patients

O 7 69
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

314

prescriptions, 4% of all prescriptions

79

prescriptions.

67

patients, 9% of all patients

8 13
TRAMADOL HCL

Tramadol is used to relieve... +

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

195

prescriptions, 2% of all prescriptions

135

prescriptions.

65

patients, 9% of all patients

O 9 31
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

172

prescriptions, 2% of all prescriptions

78

prescriptions.

38

patients, 5% of all patients

10 21
HYDROMORPHONE HCL*

Used to relieve moderate to... +

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

113

prescriptions, 1% of all prescriptions

34

prescriptions.

24

patients, 3% of all patients

O 11 107
BACLOFEN

Treats muscle spasms caused... +

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

100

prescriptions, 1% of all prescriptions

47

prescriptions.

26

patients, 3% of all patients

12 14
TOPIRAMATE

Helps control and prevent c... +

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

88

prescriptions, 1% of all prescriptions

16

prescriptions.

16

patients, 2% of all patients

13 5
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

86

prescriptions, 1% of all prescriptions

5

prescriptions.

28

patients, 4% of all patients

R 14 70
CLONAZEPAM

Treats seizures, panic diso... +

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

86

prescriptions, 1% of all prescriptions

47

prescriptions.

14

patients, 2% of all patients

14 8
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

81

prescriptions, 1% of all prescriptions

23

prescriptions.

12

patients, 2% of all patients

R 16 17
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

74

prescriptions, 1% of all prescriptions

26

prescriptions.

13

patients, 2% of all patients

17 39
CARISOPRODOL

Treats pain and stiffness o... +

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

72

prescriptions, 1% of all prescriptions

20

prescriptions.

15

patients, 2% of all patients

R 18 74
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

This combination of drugs is used to relieve mild to moderate pain. Source: National Library of Medicine

71

prescriptions, 1% of all prescriptions

32

prescriptions.

26

patients, 3% of all patients

O 19 90
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

70

prescriptions, 1% of all prescriptions

54

prescriptions.

18

patients, 2% of all patients

20 4
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

70

prescriptions, 1% of all prescriptions

26

prescriptions.

17

patients, 2% of all patients

20 56
MELOXICAM

Treats symptoms of osteoart... +

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

64

prescriptions, 1% of all prescriptions

20

prescriptions.

22

patients, 3% of all patients

22 73
METHADONE HCL

Methadone is used to reliev... +

Methadone is used to relieve moderate to severe pain that has not been relieved by non-narcotic pain relievers. Source: National Library of Medicine

58

prescriptions, 1% of all prescriptions

25

prescriptions.

11

patients, 1% of all patients

O 23 102
DEXAMETHASONE

Treats inflammation and man... +

Treats inflammation and many other medical problems. Source: National Library of Medicine

55

prescriptions, 1% of all prescriptions

34

prescriptions.

49

patients, 6% of all patients

24 141
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 [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected].

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. 7, 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.