Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

LEONID SHVARTSMAN M.D.

At A Glance: This Prescriber in 2015

Psychiatry

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

5,023Medicare Part D Prescriptions Filled, Including Refills

Rank: 84 out of 592

$207K Total Retail Price of All Prescriptions

Rank: 230 out of 592

385 Patients Receiving at Least One Drug in Part D
67% Patients 65 Years and Older

96% 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 Illinois
lower than average

Antipsychotics

35% of this provider’s 258 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 39%.

More resources »

Antibiotics

0% of this provider’s 385 patients filled at least one prescription for an antibiotic drug, compared to an average of 2%.

More resources »

Risky Drugs for Seniors

14% of this provider’s 258 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 14%.

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

9% of this provider’s prescriptions were for brand-name drugs, compared to an average of 12%.

Prescription Price

$41 was the average price of a prescription from this provider, compared to $94 among peers.

Prescriptions per Patient

13 is the average number of prescriptions (including refills) per patient, compared to an average of 15.


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

$258K

2012

$251K

2013

$305K

2014

$207K

2015

Number of Claims

4,478

2012

4,987

2013

6,286

2014

5,023

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
CITALOPRAM HBR

Citalopram is used to treat... +

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

1,113

prescriptions, 22% of all prescriptions

854

prescriptions.

149

patients, 39% of all patients

1 14
TRAZODONE HCL

Trazodone is used to treat ... +

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

264

prescriptions, 5% of all prescriptions

178

prescriptions.

43

patients, 11% of all patients

2 4
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

239

prescriptions, 5% of all prescriptions

192

prescriptions.

40

patients, 10% of all patients

3 11
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

233

prescriptions, 5% of all prescriptions

131

prescriptions.

29

patients, 8% of all patients

4 10
RISPERIDONE

Treats schizophrenia and ce... +

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

232

prescriptions, 5% of all prescriptions

144

prescriptions.

37

patients, 10% of all patients

P 5 3
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

199

prescriptions, 4% of all prescriptions

199

prescriptions.

27

patients, 7% of all patients

6 35
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

198

prescriptions, 4% of all prescriptions

171

prescriptions.

23

patients, 6% of all patients

7 6
PERPHENAZINE

Treats the symptoms of cert... +

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

188

prescriptions, 4% of all prescriptions

46

prescriptions.

35

patients, 9% of all patients

P 8 73
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

185

prescriptions, 4% of all prescriptions

119

prescriptions.

44

patients, 11% of all patients

R 9 21
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

185

prescriptions, 4% of all prescriptions

95

prescriptions.

34

patients, 9% of all patients

P 9 2
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

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

146

prescriptions, 3% of all prescriptions

124

prescriptions.

21

patients, 5% of all patients

11 27
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

135

prescriptions, 3% of all prescriptions

73

prescriptions.

16

patients, 4% of all patients

P 12 40
HALOPERIDOL*

Treats symptoms of mental a... +

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

126

prescriptions, 3% of all prescriptions

59

prescriptions.

21

patients, 5% of all patients

P 13 23
LORAZEPAM

Treats anxiety, anxiety wit... +

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

116

prescriptions, 2% of all prescriptions

68

prescriptions.

24

patients, 6% of all patients

14 5
OLANZAPINE

Treats psychotic mental dis... +

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

116

prescriptions, 2% of all prescriptions

64

prescriptions.

19

patients, 5% of all patients

P 14 8
ALPRAZOLAM

Treats anxiety, panic disor... +

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

107

prescriptions, 2% of all prescriptions

82

prescriptions.

28

patients, 7% of all patients

16 7
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

101

prescriptions, 2% of all prescriptions

84

prescriptions.

18

patients, 5% of all patients

17 17
CLONAZEPAM

Treats seizures, panic diso... +

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

97

prescriptions, 2% of all prescriptions

75

prescriptions.

26

patients, 7% of all patients

18 1
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

73

prescriptions, 1% of all prescriptions

17

prescriptions.

11

patients, 3% of all patients

19 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

65

prescriptions, 1% of all prescriptions

38

prescriptions.

<11 20 12
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

64

prescriptions, 1% of all prescriptions

48

prescriptions.

<11 R 21 43
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

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

63

prescriptions, 1% of all prescriptions

15

prescriptions.

12

patients, 3% of all patients

R 22 9
TEMAZEPAM

Treats insomnia (trouble sl... +

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

60

prescriptions, 1% of all prescriptions

49

prescriptions.

12

patients, 3% of all patients

23 49
CLOZAPINE

Treats schizophrenia. Also ... +

Treats schizophrenia. Source: National Library of Medicine

53

prescriptions, 1% of all prescriptions

14

prescriptions.

<11 P 24 13
ABILIFY

Treats schizophrenia, bipol... +

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

52

prescriptions, 1% of all prescriptions

27

prescriptions.

13

patients, 3% of all patients

P 25 26
SEROQUEL XR

Treats schizophrenia and sy... +

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

50

prescriptions, 1% of all prescriptions

50

prescriptions.

<11 P 26 37
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 July 8, 2007.
  • 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.