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 »

17,916Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 381

$1.35M Total Retail Price of All Prescriptions

Rank: 3 out of 381

688 Patients Receiving at Least One Drug in Part D
25% Patients 65 Years and Older

91% 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

60% of this provider’s 174 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 45%.

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

22% of this provider’s 174 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 19%.

More resources »

Opioids

4% of this provider’s 688 patients filled at least one prescription for an opioid, compared to an average of 2%.

More resources »

Brand Name Drugs

10% of this provider’s prescriptions were for brand-name drugs, compared to an average of 12%.

Prescription Price

$75 was the average price of a prescription from this provider, compared to $93 among peers.

Prescriptions per Patient

26 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

$709K

2012

$959K

2013

$1.23M

2014

$1.35M

2015

Number of Claims

6,603

2012

13,051

2013

16,977

2014

17,916

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
LORAZEPAM

Treats anxiety, anxiety wit... +

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

1,226

prescriptions, 7% of all prescriptions

196

prescriptions.

171

patients, 25% of all patients

1 6
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

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

1,070

prescriptions, 6% of all prescriptions

162

prescriptions.

125

patients, 18% of all patients

R 2 8
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

1,014

prescriptions, 6% of all prescriptions

183

prescriptions.

123

patients, 18% of all patients

P 3 1
ALPRAZOLAM

Treats anxiety, panic disor... +

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

921

prescriptions, 5% of all prescriptions

183

prescriptions.

105

patients, 15% of all patients

4 5
RISPERIDONE

Treats schizophrenia and ce... +

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

920

prescriptions, 5% of all prescriptions

207

prescriptions.

106

patients, 15% of all patients

P 5 4
OLANZAPINE

Treats psychotic mental dis... +

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

837

prescriptions, 5% of all prescriptions

231

prescriptions.

89

patients, 13% of all patients

P 6 9
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

649

prescriptions, 4% of all prescriptions

97

prescriptions.

72

patients, 10% of all patients

7 19
TRAZODONE HCL

Trazodone is used to treat ... +

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

646

prescriptions, 4% of all prescriptions

189

prescriptions.

104

patients, 15% of all patients

8 2
CITALOPRAM HBR

Citalopram is used to treat... +

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

548

prescriptions, 3% of all prescriptions

114

prescriptions.

76

patients, 11% of all patients

9 11
CLONAZEPAM

Treats seizures, panic diso... +

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

515

prescriptions, 3% of all prescriptions

98

prescriptions.

81

patients, 12% of all patients

10 3
HALOPERIDOL*

Treats symptoms of mental a... +

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

510

prescriptions, 3% of all prescriptions

93

prescriptions.

58

patients, 8% of all patients

P 11 22
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

405

prescriptions, 2% of all prescriptions

73

prescriptions.

68

patients, 10% of all patients

12 21
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

378

prescriptions, 2% of all prescriptions

119

prescriptions.

66

patients, 10% of all patients

13 18
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

351

prescriptions, 2% of all prescriptions

50

prescriptions.

60

patients, 9% of all patients

R 14 24
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

338

prescriptions, 2% of all prescriptions

76

prescriptions.

38

patients, 6% of all patients

P 15 29
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

290

prescriptions, 2% of all prescriptions

14

prescriptions.

34

patients, 5% of all patients

16 26
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

286

prescriptions, 2% of all prescriptions

108

prescriptions.

47

patients, 7% of all patients

17 10
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

276

prescriptions, 2% of all prescriptions

132

prescriptions.

36

patients, 5% of all patients

18 14
CLOZAPINE

Treats schizophrenia. Also ... +

Treats schizophrenia. Source: National Library of Medicine

268

prescriptions, 1% of all prescriptions

20

prescriptions.

16

patients, 2% of all patients

P 19 17
HALOPERIDOL DECANOATE 267

prescriptions, 1% of all prescriptions

0

prescriptions.

38

patients, 6% of all patients

P 20 41
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

248

prescriptions, 1% of all prescriptions

50

prescriptions.

47

patients, 7% of all patients

21 7
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

242

prescriptions, 1% of all prescriptions

22

prescriptions.

31

patients, 5% of all patients

22 30
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

223

prescriptions, 1% of all prescriptions

53

prescriptions.

38

patients, 6% of all patients

23 16
TEMAZEPAM

Treats insomnia (trouble sl... +

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

216

prescriptions, 1% of all prescriptions

45

prescriptions.

35

patients, 5% of all patients

24 40
LAMOTRIGINE

Treats certain types of sei... +

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

185

prescriptions, 1% of all prescriptions

38

prescriptions.

31

patients, 5% of all patients

25 13
TOPIRAMATE

Helps control and prevent c... +

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

175

prescriptions, 1% of all prescriptions

24

prescriptions.

26

patients, 4% of all patients

26 31
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

167

prescriptions, 1% of all prescriptions

22

prescriptions.

25

patients, 4% of all patients

27 36
CHLORPROMAZINE HCL

Chlorpromazine is used to t... +

Chlorpromazine 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) and other psychotic disorders (conditions that cause difficulty telling the difference between things or ideas that are real and things or ideas that are not real) and to treat the symptoms of mania (frenzied, abnormally excited mood) in people who have bipolar disorder (manic depressive disorder; a condition that causes episodes of mania, episodes of depression, and other abnormal moods). Source: National Library of Medicine

166

prescriptions, 1% of all prescriptions

5

prescriptions.

16

patients, 2% of all patients

P 28 44
GABAPENTIN

Treats certain types of sei... +

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

152

prescriptions, 1% of all prescriptions

19

prescriptions.

22

patients, 3% of all patients

29 23
DIAZEPAM

Treats anxiety, muscle spas... +

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

152

prescriptions, 1% of all prescriptions

29

prescriptions.

24

patients, 3% of all patients

29 32
ABILIFY

Treats schizophrenia, bipol... +

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

146

prescriptions, 1% of all prescriptions

23

prescriptions.

37

patients, 5% of all patients

P 31 28
SUBOXONE

Treats an addiction to or d... +

Treats an addiction to or dependence on narcotic medicine. Source: National Library of Medicine

141

prescriptions, 1% of all prescriptions

0

prescriptions.

15

patients, 2% of all patients

32 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

138

prescriptions, 1% of all prescriptions

29

prescriptions.

20

patients, 3% of all patients

33 27
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

131

prescriptions, 1% of all prescriptions

119

prescriptions.

16

patients, 2% of all patients

34 34
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

122

prescriptions, 1% of all prescriptions

16

prescriptions.

23

patients, 3% of all patients

35 20
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

121

prescriptions, 1% of all prescriptions

36

prescriptions.

20

patients, 3% of all patients

36 12
ARIPIPRAZOLE

Treats schizophrenia, bipol... +

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

120

prescriptions, 1% of all prescriptions

5

prescriptions.

26

patients, 4% of all patients

P 37 33
LEVETIRACETAM

Used to help control certai... +

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

120

prescriptions, 1% of all prescriptions

28

prescriptions.

15

patients, 2% of all patients

37 91
PANTOPRAZOLE SODIUM

Pantoprazole is used to tre... +

Pantoprazole is used to treat gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and possible injury of the esophagus (the tube between the throat and stomach). Source: National Library of Medicine

107

prescriptions, 1% of all prescriptions

5

prescriptions.

16

patients, 2% of all patients

39 96
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

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

104

prescriptions, 1% of all prescriptions

5

prescriptions.

24

patients, 3% of all patients

40 25
LEVOTHYROXINE SODIUM

Levothyroxine, a thyroid ho... +

Levothyroxine, a thyroid hormone, is used to treat hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormone. Source: National Library of Medicine

95

prescriptions, 1% of all prescriptions

18

prescriptions.

15

patients, 2% of all patients

41 60
RISPERDAL CONSTA

Treats schizophrenia and ce... +

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

93

prescriptions, 1% of all prescriptions

36

prescriptions.

<11 P 42 37
CARBAMAZEPINE

Treats different types of s... +

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

90

prescriptions, 1% of all prescriptions

5

prescriptions.

17

patients, 2% of all patients

43 49
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

89

prescriptions, 0% of all prescriptions

5

prescriptions.

14

patients, 2% of all patients

44 42
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

76

prescriptions, 0% of all prescriptions

5

prescriptions.

12

patients, 2% of all patients

45 56
INVEGA

Treats schizophrenia (a men... +

Treats schizophrenia (a mental disorder). Source: National Library of Medicine

75

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 P 46 51
AMLODIPINE BESYLATE

Amlodipine is used alone or... +

Amlodipine is used alone or in combination with other medications to treat high blood pressure and chest pain (angina). Source: National Library of Medicine

74

prescriptions, 0% of all prescriptions

5

prescriptions.

16

patients, 2% of all patients

47 83
SAPHRIS 72

prescriptions, 0% of all prescriptions

0

prescriptions.

12

patients, 2% of all patients

P 48 73
LOXAPINE 69

prescriptions, 0% of all prescriptions

45

prescriptions.

<11 P 49 58
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

67

prescriptions, 0% of all prescriptions

12

prescriptions.

<11 P 50 45
HYDROXYZINE PAMOATE

Treats anxiety, tension, ne... +

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

63

prescriptions, 0% of all prescriptions

5

prescriptions.

23

patients, 3% of all patients

R 51 39
FLUVOXAMINE MALEATE

Fluvoxamine is used to trea... +

Fluvoxamine is used to treat obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over) 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

63

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 51 43
PHENYTOIN SODIUM EXTENDED

Phenytoin is used to contro... +

Phenytoin is used to control certain type of seizures, and to treat and prevent seizures that may begin during or after surgery to the brain or nervous system. Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 53 113
DOXEPIN HCL

Doxepin is used to treat de... +

Doxepin is used to treat depression and anxiety. Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

14

prescriptions.

<11 R 53 55
SIMVASTATIN

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels in the blood. Source: National Library of Medicine

54

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 55 75
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

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

54

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 55 15
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 Sept. 12, 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.