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 »

8,957Medicare Part D Prescriptions Filled, Including Refills

Rank: 33 out of 369

$616K Total Retail Price of All Prescriptions

Rank: 75 out of 369

583 Patients Receiving at Least One Drug in Part D
61% Patients 65 Years and Older

33% 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

23% of this provider’s 357 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 36%.

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

12% of this provider’s 357 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 17%.

More resources »

Opioids

0% of this provider’s 583 patients filled at least one prescription for an opioid, compared to an average of 2%.

More resources »

Brand Name Drugs

9% of this provider’s prescriptions were for brand-name drugs, compared to an average of 14%.

Prescription Price

$69 was the average price of a prescription from this provider, compared to $106 among peers.

Prescriptions per Patient

15 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

$573K

2012

$577K

2013

$607K

2014

$616K

2015

Number of Claims

6,145

2012

7,702

2013

8,248

2014

8,957

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
ALPRAZOLAM

Treats anxiety, panic disor... +

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

694

prescriptions, 8% of all prescriptions

368

prescriptions.

124

patients, 21% of all patients

1 2
TRAZODONE HCL

Trazodone is used to treat ... +

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

597

prescriptions, 7% of all prescriptions

267

prescriptions.

101

patients, 17% of all patients

2 1
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

583

prescriptions, 7% of all prescriptions

339

prescriptions.

102

patients, 17% of all patients

3 15
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

437

prescriptions, 5% of all prescriptions

301

prescriptions.

92

patients, 16% of all patients

4 5
LORAZEPAM

Treats anxiety, anxiety wit... +

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

407

prescriptions, 5% of all prescriptions

227

prescriptions.

68

patients, 12% of all patients

5 7
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

404

prescriptions, 5% of all prescriptions

241

prescriptions.

75

patients, 13% of all patients

6 13
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

392

prescriptions, 4% of all prescriptions

223

prescriptions.

81

patients, 14% of all patients

7 10
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

379

prescriptions, 4% of all prescriptions

271

prescriptions.

82

patients, 14% of all patients

8 28
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

369

prescriptions, 4% of all prescriptions

190

prescriptions.

78

patients, 13% of all patients

9 8
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

317

prescriptions, 4% of all prescriptions

230

prescriptions.

48

patients, 8% of all patients

10 17
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

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

277

prescriptions, 3% of all prescriptions

124

prescriptions.

59

patients, 10% of all patients

11 18
CITALOPRAM HBR

Citalopram is used to treat... +

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

265

prescriptions, 3% of all prescriptions

142

prescriptions.

52

patients, 9% of all patients

12 11
OLANZAPINE

Treats psychotic mental dis... +

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

265

prescriptions, 3% of all prescriptions

128

prescriptions.

41

patients, 7% of all patients

P 12 16
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

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

245

prescriptions, 3% of all prescriptions

200

prescriptions.

53

patients, 9% of all patients

14 24
LAMOTRIGINE

Treats certain types of sei... +

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

243

prescriptions, 3% of all prescriptions

86

prescriptions.

47

patients, 8% of all patients

15 6
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

213

prescriptions, 2% of all prescriptions

108

prescriptions.

38

patients, 7% of all patients

P 16 4
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

203

prescriptions, 2% of all prescriptions

106

prescriptions.

43

patients, 7% of all patients

R 17 12
RISPERIDONE

Treats schizophrenia and ce... +

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

182

prescriptions, 2% of all prescriptions

53

prescriptions.

31

patients, 5% of all patients

P 18 9
CLONAZEPAM

Treats seizures, panic diso... +

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

168

prescriptions, 2% of all prescriptions

43

prescriptions.

37

patients, 6% of all patients

19 3
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

164

prescriptions, 2% of all prescriptions

80

prescriptions.

34

patients, 6% of all patients

20 19
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

98

prescriptions, 1% of all prescriptions

63

prescriptions.

17

patients, 3% of all patients

21 77
DIAZEPAM

Treats anxiety, muscle spas... +

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

97

prescriptions, 1% of all prescriptions

5

prescriptions.

14

patients, 2% of all patients

22 25
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

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

94

prescriptions, 1% of all prescriptions

5

prescriptions.

11

patients, 2% of all patients

R 23 14
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

94

prescriptions, 1% of all prescriptions

37

prescriptions.

14

patients, 2% of all patients

23 33
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

87

prescriptions, 1% of all prescriptions

44

prescriptions.

18

patients, 3% of all patients

P 25 31
ARIPIPRAZOLE

Treats schizophrenia, bipol... +

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

83

prescriptions, 1% of all prescriptions

31

prescriptions.

19

patients, 3% of all patients

P 26 35
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

79

prescriptions, 1% of all prescriptions

14

prescriptions.

12

patients, 2% of all patients

27 36
PRISTIQ ER

Used to treat depression. D... +

Used to treat depression. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

57

prescriptions.

11

patients, 2% of all patients

28 43
ABILIFY

Treats schizophrenia, bipol... +

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

73

prescriptions, 1% of all prescriptions

13

prescriptions.

20

patients, 3% of all patients

P 29 20
VIIBRYD

Used to treat depression in... +

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

66

prescriptions, 1% of all prescriptions

15

prescriptions.

12

patients, 2% of all patients

30 53
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

66

prescriptions, 1% of all prescriptions

16

prescriptions.

14

patients, 2% of all patients

30 34
IMIPRAMINE HCL

Imipramine tablets and caps... +

Imipramine tablets and capsules are used to treat depression. Source: National Library of Medicine

55

prescriptions, 1% of all prescriptions

35

prescriptions.

<11 R 32 109
THIOTHIXENE 50

prescriptions, 1% of all prescriptions

25

prescriptions.

<11 P 33 88
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 Oct. 31, 2011.
  • 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.