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 »

19,075Medicare Part D Prescriptions Filled, Including Refills

Rank: 3 out of 759

$2.23M Total Retail Price of All Prescriptions

Rank: 2 out of 759

927 Patients Receiving at Least One Drug in Part D
43% Patients 65 Years and Older

88% 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 Texas
lower than average

Antipsychotics

53% of this provider’s 398 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 43%.

More resources »

Antibiotics

2% of this provider’s 927 patients filled at least one prescription for an antibiotic drug, compared to an average of 2%.

More resources »

Risky Drugs for Seniors

19% of this provider’s 398 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 20%.

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

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

Prescription Price

$117 was the average price of a prescription from this provider, compared to $114 among peers.

Prescriptions per Patient

21 is the average number of prescriptions (including refills) per patient, compared to an average of 14.


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

$1.51M

2012

$1.89M

2013

$2.23M

2014

$2.23M

2015

Number of Claims

10,232

2012

15,356

2013

17,593

2014

19,075

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

1,827

prescriptions, 10% of all prescriptions

382

prescriptions.

267

patients, 29% of all patients

1 4
LORAZEPAM

Treats anxiety, anxiety wit... +

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

950

prescriptions, 5% of all prescriptions

491

prescriptions.

194

patients, 21% of all patients

2 10
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

856

prescriptions, 4% of all prescriptions

134

prescriptions.

143

patients, 15% of all patients

R 3 8
CLONAZEPAM

Treats seizures, panic diso... +

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

836

prescriptions, 4% of all prescriptions

275

prescriptions.

170

patients, 18% of all patients

4 1
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

757

prescriptions, 4% of all prescriptions

245

prescriptions.

137

patients, 15% of all patients

5 19
TEMAZEPAM

Treats insomnia (trouble sl... +

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

681

prescriptions, 4% of all prescriptions

249

prescriptions.

154

patients, 17% of all patients

6 31
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

657

prescriptions, 3% of all prescriptions

353

prescriptions.

113

patients, 12% of all patients

P 7 3
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

600

prescriptions, 3% of all prescriptions

409

prescriptions.

131

patients, 14% of all patients

8 16
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

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

596

prescriptions, 3% of all prescriptions

158

prescriptions.

120

patients, 13% of all patients

9 18
OLANZAPINE

Treats psychotic mental dis... +

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

514

prescriptions, 3% of all prescriptions

292

prescriptions.

102

patients, 11% of all patients

P 10 11
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

471

prescriptions, 2% of all prescriptions

169

prescriptions.

91

patients, 10% of all patients

11 6
SEROQUEL XR

Treats schizophrenia and sy... +

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

471

prescriptions, 2% of all prescriptions

181

prescriptions.

69

patients, 7% of all patients

P 11 37
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

455

prescriptions, 2% of all prescriptions

204

prescriptions.

92

patients, 10% of all patients

13 7
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

449

prescriptions, 2% of all prescriptions

119

prescriptions.

93

patients, 10% of all patients

14 12
RISPERIDONE

Treats schizophrenia and ce... +

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

442

prescriptions, 2% of all prescriptions

240

prescriptions.

89

patients, 10% of all patients

P 15 5
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

410

prescriptions, 2% of all prescriptions

62

prescriptions.

83

patients, 9% of all patients

16 25
DOXEPIN HCL

Doxepin is used to treat de... +

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

383

prescriptions, 2% of all prescriptions

102

prescriptions.

82

patients, 9% of all patients

R 17 42
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

344

prescriptions, 2% of all prescriptions

339

prescriptions.

77

patients, 8% of all patients

18 35
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

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

341

prescriptions, 2% of all prescriptions

22

prescriptions.

71

patients, 8% of all patients

R 19 9
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

296

prescriptions, 2% of all prescriptions

134

prescriptions.

59

patients, 6% of all patients

20 13
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

283

prescriptions, 1% of all prescriptions

100

prescriptions.

54

patients, 6% of all patients

21 30
TOPIRAMATE

Helps control and prevent c... +

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

273

prescriptions, 1% of all prescriptions

13

prescriptions.

44

patients, 5% of all patients

22 38
NAMENDA XR

Used to treat the symptoms ... +

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

257

prescriptions, 1% of all prescriptions

257

prescriptions.

32

patients, 3% of all patients

23 36
INVEGA

Treats schizophrenia (a men... +

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

253

prescriptions, 1% of all prescriptions

74

prescriptions.

45

patients, 5% of all patients

P 10 24 51
HALOPERIDOL*

Treats symptoms of mental a... +

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

238

prescriptions, 1% of all prescriptions

67

prescriptions.

53

patients, 6% of all patients

P 25 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

217

prescriptions, 1% of all prescriptions

5

prescriptions.

43

patients, 5% of all patients

P 26 23
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

216

prescriptions, 1% of all prescriptions

66

prescriptions.

46

patients, 5% of all patients

27 15
PRISTIQ ER

Used to treat depression. D... +

Used to treat depression. Source: National Library of Medicine

212

prescriptions, 1% of all prescriptions

87

prescriptions.

28

patients, 3% of all patients

28 40
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

212

prescriptions, 1% of all prescriptions

0

prescriptions.

30

patients, 3% of all patients

28 29
TRAZODONE HCL

Trazodone is used to treat ... +

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

208

prescriptions, 1% of all prescriptions

45

prescriptions.

55

patients, 6% of all patients

30 2
ABILIFY

Treats schizophrenia, bipol... +

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

208

prescriptions, 1% of all prescriptions

67

prescriptions.

55

patients, 6% of all patients

P 30 21
ARIPIPRAZOLE

Treats schizophrenia, bipol... +

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

171

prescriptions, 1% of all prescriptions

48

prescriptions.

48

patients, 5% of all patients

P 32 27
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

168

prescriptions, 1% of all prescriptions

157

prescriptions.

39

patients, 4% of all patients

33 47
LAMOTRIGINE

Treats certain types of sei... +

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

163

prescriptions, 1% of all prescriptions

28

prescriptions.

30

patients, 3% of all patients

34 14
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

147

prescriptions, 1% of all prescriptions

22

prescriptions.

28

patients, 3% of all patients

35 50
DIAZEPAM

Treats anxiety, muscle spas... +

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

142

prescriptions, 1% of all prescriptions

19

prescriptions.

33

patients, 4% of all patients

36 28
GABAPENTIN

Treats certain types of sei... +

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

135

prescriptions, 1% of all prescriptions

24

prescriptions.

29

patients, 3% of all patients

37 22
AMANTADINE

Treats or prevents the flu ... +

Treats or prevents the flu (influenza type A). Source: National Library of Medicine

134

prescriptions, 1% of all prescriptions

70

prescriptions.

26

patients, 3% of all patients

38 73
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

133

prescriptions, 1% of all prescriptions

0

prescriptions.

32

patients, 3% of all patients

P 39 34
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

130

prescriptions, 1% of all prescriptions

5

prescriptions.

33

patients, 4% of all patients

40 32
INVEGA SUSTENNA

Used to treat the symptoms ... +

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

128

prescriptions, 1% of all prescriptions

14

prescriptions.

16

patients, 2% of all patients

P 41 39
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

116

prescriptions, 1% of all prescriptions

38

prescriptions.

28

patients, 3% of all patients

42 20
EXELON

Rivastigmine is used to tre... +

Rivastigmine is used to treat mild to moderate dementia (memory loss) associated with Alzheimer's disease or Parkinson's disease. Source: National Library of Medicine

104

prescriptions, 1% of all prescriptions

104

prescriptions.

16

patients, 2% of all patients

43 44
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

104

prescriptions, 1% of all prescriptions

26

prescriptions.

12

patients, 1% of all patients

R 43 63
MEMANTINE HCL

Treats moderate to severe ... +

Treats moderate to severe Alzheimer's disease. Source: National Library of Medicine

95

prescriptions, 0% of all prescriptions

90

prescriptions.

39

patients, 4% of all patients

45 58
CITALOPRAM HBR

Citalopram is used to treat... +

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

80

prescriptions, 0% of all prescriptions

60

prescriptions.

13

patients, 1% of all patients

46 17
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

66

prescriptions, 0% of all prescriptions

11

prescriptions.

11

patients, 1% of all patients

47 150
SUBOXONE

Treats an addiction to or d... +

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

58

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 48 48
NUEDEXTA

Used to treat pseudobulbar ... +

Used to treat pseudobulbar affect (PBA; a condition of sudden, frequent outbursts of crying or laughing that can not be controlled) in people with certain conditions such as amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease; condition in which the nerves that control muscle movement slowly die, causing the muscles to shrink and weaken) or multiple sclerosis (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). Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

57

prescriptions.

<11 49 64
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

55

prescriptions, 0% of all prescriptions

14

prescriptions.

14

patients, 2% of all patients

P 50 55
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

53

prescriptions, 0% of all prescriptions

19

prescriptions.

<11 51 76
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

50

prescriptions, 0% of all prescriptions

19

prescriptions.

18

patients, 2% of all patients

52 24
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 Jan. 11, 2010.
  • 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.