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 »

25,986Medicare Part D Prescriptions Filled, Including Refills

Rank: 2 out of 369

$2.82M Total Retail Price of All Prescriptions

Rank: 4 out of 369

1,040 Patients Receiving at Least One Drug in Part D
31% Patients 65 Years and Older

93% 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

39% of this provider’s 320 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 320 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 17%.

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

16% of this provider’s prescriptions were for brand-name drugs, compared to an average of 14%.

Prescription Price

$109 was the average price of a prescription from this provider, compared to $106 among peers.

Prescriptions per Patient

25 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

$2.09M

2012

$2.1M

2013

$2.62M

2014

$2.82M

2015

Number of Claims

20,206

2012

22,489

2013

24,510

2014

25,986

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
TRAZODONE HCL

Trazodone is used to treat ... +

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

1,578

prescriptions, 6% of all prescriptions

189

prescriptions.

217

patients, 21% of all patients

1 1
RISPERIDONE

Treats schizophrenia and ce... +

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

1,289

prescriptions, 5% of all prescriptions

170

prescriptions.

136

patients, 13% of all patients

P 2 9
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

1,204

prescriptions, 5% of all prescriptions

466

prescriptions.

150

patients, 14% of all patients

3 8
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

1,057

prescriptions, 4% of all prescriptions

315

prescriptions.

162

patients, 16% of all patients

4 19
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

1,049

prescriptions, 4% of all prescriptions

249

prescriptions.

119

patients, 11% of all patients

P 5 4
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

936

prescriptions, 4% of all prescriptions

199

prescriptions.

125

patients, 12% of all patients

6 10
CLONAZEPAM

Treats seizures, panic diso... +

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

925

prescriptions, 4% of all prescriptions

159

prescriptions.

112

patients, 11% of all patients

7 3
LAMOTRIGINE

Treats certain types of sei... +

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

905

prescriptions, 3% of all prescriptions

171

prescriptions.

128

patients, 12% of all patients

8 6
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

826

prescriptions, 3% of all prescriptions

72

prescriptions.

79

patients, 8% of all patients

9 21
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

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

788

prescriptions, 3% of all prescriptions

14

prescriptions.

85

patients, 8% of all patients

R 10 14
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

674

prescriptions, 3% of all prescriptions

230

prescriptions.

81

patients, 8% of all patients

11 5
TOPIRAMATE

Helps control and prevent c... +

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

668

prescriptions, 3% of all prescriptions

22

prescriptions.

86

patients, 8% of all patients

12 29
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

620

prescriptions, 2% of all prescriptions

55

prescriptions.

56

patients, 5% of all patients

P 10 13 31
CITALOPRAM HBR

Citalopram is used to treat... +

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

617

prescriptions, 2% of all prescriptions

205

prescriptions.

86

patients, 8% of all patients

14 11
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

591

prescriptions, 2% of all prescriptions

138

prescriptions.

71

patients, 7% of all patients

15 27
OLANZAPINE

Treats psychotic mental dis... +

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

542

prescriptions, 2% of all prescriptions

124

prescriptions.

55

patients, 5% of all patients

P 16 16
HYDROXYZINE PAMOATE

Treats anxiety, tension, ne... +

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

503

prescriptions, 2% of all prescriptions

74

prescriptions.

105

patients, 10% of all patients

R 10 17 39
ABILIFY

Treats schizophrenia, bipol... +

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

467

prescriptions, 2% of all prescriptions

52

prescriptions.

82

patients, 8% of all patients

P 18 20
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

457

prescriptions, 2% of all prescriptions

132

prescriptions.

75

patients, 7% of all patients

19 17
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

451

prescriptions, 2% of all prescriptions

36

prescriptions.

67

patients, 6% of all patients

R 20 46
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

450

prescriptions, 2% of all prescriptions

57

prescriptions.

59

patients, 6% of all patients

R 21 12
LORAZEPAM

Treats anxiety, anxiety wit... +

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

418

prescriptions, 2% of all prescriptions

28

prescriptions.

60

patients, 6% of all patients

22 7
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

408

prescriptions, 2% of all prescriptions

92

prescriptions.

52

patients, 5% of all patients

23 13
HALOPERIDOL*

Treats symptoms of mental a... +

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

349

prescriptions, 1% of all prescriptions

111

prescriptions.

39

patients, 4% of all patients

P 24 30
PRISTIQ ER

Used to treat depression. D... +

Used to treat depression. Source: National Library of Medicine

343

prescriptions, 1% of all prescriptions

49

prescriptions.

45

patients, 4% of all patients

10 25 43
INVEGA SUSTENNA

Used to treat the symptoms ... +

Used to treat the symptoms of schizophrenia. Source: National Library of Medicine

320

prescriptions, 1% of all prescriptions

35

prescriptions.

40

patients, 4% of all patients

P 26 37
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

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

314

prescriptions, 1% of all prescriptions

5

prescriptions.

51

patients, 5% of all patients

27 18
SEROQUEL XR

Treats schizophrenia and sy... +

Treats schizophrenia and symptoms of bipolar disorder (manic-depressive illness). Source: National Library of Medicine

313

prescriptions, 1% of all prescriptions

57

prescriptions.

43

patients, 4% of all patients

P 28 32
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

297

prescriptions, 1% of all prescriptions

23

prescriptions.

30

patients, 3% of all patients

P 29 55
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

285

prescriptions, 1% of all prescriptions

78

prescriptions.

45

patients, 4% of all patients

30 36
TRIHEXYPHENIDYL HCL

Trihexyphenidyl is used to ... +

Trihexyphenidyl is used to treat the symptoms of Parkinson's disease and tremors caused by other medical problems or drugs. Source: National Library of Medicine

282

prescriptions, 1% of all prescriptions

54

prescriptions.

33

patients, 3% of all patients

R 31 47
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

279

prescriptions, 1% of all prescriptions

60

prescriptions.

42

patients, 4% of all patients

32 15
PERPHENAZINE

Treats the symptoms of cert... +

Treats the symptoms of certain mental disorders. Source: National Library of Medicine

277

prescriptions, 1% of all prescriptions

12

prescriptions.

48

patients, 5% of all patients

P 33 69
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

256

prescriptions, 1% of all prescriptions

229

prescriptions.

24

patients, 2% of all patients

34 41
GABAPENTIN

Treats certain types of sei... +

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

256

prescriptions, 1% of all prescriptions

17

prescriptions.

40

patients, 4% of all patients

34 26
INVEGA

Treats schizophrenia (a men... +

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

243

prescriptions, 1% of all prescriptions

35

prescriptions.

29

patients, 3% of all patients

P 36 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

235

prescriptions, 1% of all prescriptions

50

prescriptions.

35

patients, 3% of all patients

37 28
NAMENDA XR

Used to treat the symptoms ... +

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

209

prescriptions, 1% of all prescriptions

209

prescriptions.

24

patients, 2% of all patients

38 42
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

205

prescriptions, 1% of all prescriptions

5

prescriptions.

29

patients, 3% of all patients

39 33
DOXEPIN HCL

Doxepin is used to treat de... +

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

200

prescriptions, 1% of all prescriptions

12

prescriptions.

29

patients, 3% of all patients

R 40 45
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

191

prescriptions, 1% of all prescriptions

5

prescriptions.

33

patients, 3% of all patients

41 51
LATUDA

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

186

prescriptions, 1% of all prescriptions

5

prescriptions.

32

patients, 3% of all patients

P 42 23
CLOZAPINE

Treats schizophrenia. Also ... +

Treats schizophrenia. Source: National Library of Medicine

161

prescriptions, 1% of all prescriptions

33

prescriptions.

11

patients, 1% of all patients

P 43 22
CARBAMAZEPINE

Treats different types of s... +

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

152

prescriptions, 1% of all prescriptions

5

prescriptions.

21

patients, 2% of all patients

44 48
CARBAMAZEPINE ER

Treats certain types of se... +

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

151

prescriptions, 1% of all prescriptions

22

prescriptions.

15

patients, 1% of all patients

45 70
TIAGABINE HCL 151

prescriptions, 1% of all prescriptions

29

prescriptions.

13

patients, 1% of all patients

10 45 115
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

151

prescriptions, 1% of all prescriptions

33

prescriptions.

11

patients, 1% of all patients

45 65
PRAZOSIN HCL

Prazosin is used alone or i... +

Prazosin is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

142

prescriptions, 1% of all prescriptions

0

prescriptions.

21

patients, 2% of all patients

48 40
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

127

prescriptions, 0% of all prescriptions

122

prescriptions.

20

patients, 2% of all patients

49 59
VIIBRYD

Used to treat depression in... +

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

119

prescriptions, 0% of all prescriptions

5

prescriptions.

20

patients, 2% of all patients

50 53
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

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

118

prescriptions, 0% of all prescriptions

11

prescriptions.

23

patients, 2% of all patients

51 24
ARIPIPRAZOLE

Treats schizophrenia, bipol... +

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

117

prescriptions, 0% of all prescriptions

22

prescriptions.

34

patients, 3% of all patients

P 52 35
VENLAFAXINE HCL

Venlafaxine is used to trea... +

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

111

prescriptions, 0% of all prescriptions

21

prescriptions.

19

patients, 2% of all patients

53 60
ESZOPICLONE

Eszopiclone is used to trea... +

Eszopiclone is used to treat insomnia (difficulty falling asleep or staying asleep). Source: National Library of Medicine

103

prescriptions, 0% of all prescriptions

14

prescriptions.

17

patients, 2% of all patients

R 54 62
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

102

prescriptions, 0% of all prescriptions

5

prescriptions.

28

patients, 3% of all patients

R 55 54
GUANFACINE HCL 92

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 R 56 124
IMIPRAMINE HCL

Imipramine tablets and caps... +

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

79

prescriptions, 0% of all prescriptions

5

prescriptions.

17

patients, 2% of all patients

R 57 109
RISPERDAL CONSTA

Treats schizophrenia and ce... +

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

76

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 P 58 50
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

75

prescriptions, 0% of all prescriptions

0

prescriptions.

13

patients, 1% of all patients

59 49
NALTREXONE HCL 74

prescriptions, 0% of all prescriptions

5

prescriptions.

13

patients, 1% of all patients

60 76
DESMOPRESSIN ACETATE 66

prescriptions, 0% of all prescriptions

45

prescriptions.

<11 61 156
STRATTERA 63

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 62 94
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

61

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 63 91
LEVETIRACETAM

Used to help control certai... +

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

55

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 64 137
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

51

prescriptions, 0% of all prescriptions

14

prescriptions.

<11 65 77
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 Oct. 29, 2015.
  • 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.