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 »

10,725Medicare Part D Prescriptions Filled, Including Refills

Rank: 23 out of 369

$1.78M Total Retail Price of All Prescriptions

Rank: 11 out of 369

456 Patients Receiving at Least One Drug in Part D
18% Patients 65 Years and Older

95% 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

Comparisons are not shown because this provider has fewer than 100 patients who are 65 and older.

38 of this provider’s 84 patients who are 65 and older filled at least one prescription for an antipsychotic drug.

More resources »

Antibiotics

4% of this provider’s 456 patients filled at least one prescription for an antibiotic drug, compared to an average of 2%.

More resources »

Risky Drugs for Seniors

Comparisons are not shown because this provider has fewer than 100 patients who are 65 and older.

14 of this provider’s 84 patients who are 65 and older filled at least one prescription for a potentially inappropriate drug.

More resources »

Opioids

8% of this provider’s 456 patients filled at least one prescription for an opioid, compared to an average of 2%.

More resources »

Brand Name Drugs

25% of this provider’s prescriptions were for brand-name drugs, compared to an average of 14%. This is far more than peers.

Prescription Price

$166 was the average price of a prescription from this provider, compared to $106 among peers.

Prescriptions per Patient

24 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

$877K

2012

$1.12M

2013

$1.8M

2014

$1.78M

2015

Number of Claims

6,357

2012

7,841

2013

11,100

2014

10,725

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
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

1,154

prescriptions, 11% of all prescriptions

170

prescriptions.

128

patients, 28% of all patients

P 10 1 23
TRAZODONE HCL

Trazodone is used to treat ... +

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

417

prescriptions, 4% of all prescriptions

22

prescriptions.

78

patients, 17% of all patients

2 1
CLOZAPINE

Treats schizophrenia. Also ... +

Treats schizophrenia. Source: National Library of Medicine

396

prescriptions, 4% of all prescriptions

74

prescriptions.

31

patients, 7% of all patients

P 3 22
CLONAZEPAM

Treats seizures, panic diso... +

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

394

prescriptions, 4% of all prescriptions

13

prescriptions.

81

patients, 18% of all patients

4 3
ALPRAZOLAM

Treats anxiety, panic disor... +

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

376

prescriptions, 4% of all prescriptions

52

prescriptions.

60

patients, 13% of all patients

5 2
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

365

prescriptions, 3% of all prescriptions

25

prescriptions.

84

patients, 18% of all patients

R 6 12
LORAZEPAM

Treats anxiety, anxiety wit... +

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

357

prescriptions, 3% of all prescriptions

30

prescriptions.

78

patients, 17% of all patients

7 7
OLANZAPINE

Treats psychotic mental dis... +

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

326

prescriptions, 3% of all prescriptions

35

prescriptions.

39

patients, 9% of all patients

P 8 16
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

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

305

prescriptions, 3% of all prescriptions

5

prescriptions.

58

patients, 13% of all patients

R 9 14
LAMOTRIGINE

Treats certain types of sei... +

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

246

prescriptions, 2% of all prescriptions

34

prescriptions.

43

patients, 9% of all patients

10 6
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

241

prescriptions, 2% of all prescriptions

33

prescriptions.

38

patients, 8% of all patients

11 21
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

240

prescriptions, 2% of all prescriptions

43

prescriptions.

42

patients, 9% of all patients

12 5
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

214

prescriptions, 2% of all prescriptions

12

prescriptions.

36

patients, 8% of all patients

13 27
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

184

prescriptions, 2% of all prescriptions

5

prescriptions.

32

patients, 7% of all patients

P 14 4
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

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

176

prescriptions, 2% of all prescriptions

17

prescriptions.

29

patients, 6% of all patients

15 24
HALOPERIDOL*

Treats symptoms of mental a... +

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

152

prescriptions, 1% of all prescriptions

11

prescriptions.

39

patients, 9% of all patients

P 16 30
GABAPENTIN

Treats certain types of sei... +

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

144

prescriptions, 1% of all prescriptions

17

prescriptions.

27

patients, 6% of all patients

17 26
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

141

prescriptions, 1% of all prescriptions

30

prescriptions.

28

patients, 6% of all patients

18 8
DIAZEPAM

Treats anxiety, muscle spas... +

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

139

prescriptions, 1% of all prescriptions

26

prescriptions.

25

patients, 5% of all patients

19 25
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

122

prescriptions, 1% of all prescriptions

5

prescriptions.

16

patients, 4% of all patients

20 33
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

118

prescriptions, 1% of all prescriptions

23

prescriptions.

31

patients, 7% of all patients

21 17
ABILIFY

Treats schizophrenia, bipol... +

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

116

prescriptions, 1% of all prescriptions

34

prescriptions.

21

patients, 5% of all patients

P 22 20
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

112

prescriptions, 1% of all prescriptions

5

prescriptions.

17

patients, 4% of all patients

23 13
VIIBRYD

Used to treat depression in... +

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

112

prescriptions, 1% of all prescriptions

31

prescriptions.

<11 23 53
CITALOPRAM HBR

Citalopram is used to treat... +

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

111

prescriptions, 1% of all prescriptions

5

prescriptions.

20

patients, 4% of all patients

25 11
DOXEPIN HCL

Doxepin is used to treat de... +

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

106

prescriptions, 1% of all prescriptions

5

prescriptions.

25

patients, 5% of all patients

R 26 45
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

105

prescriptions, 1% of all prescriptions

25

prescriptions.

20

patients, 4% of all patients

27 19
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

101

prescriptions, 1% of all prescriptions

5

prescriptions.

25

patients, 5% of all patients

P 28 55
ROPINIROLE HCL

Ropinirole is used alone or... +

Ropinirole is used alone or with other medications to treat the symptoms of Parkinson's disease (PD; a disorder of the nervous system that causes difficulties with movement, muscle control, and balance), including shaking of parts of the body, stiffness, slowed movements, and problems with balance. Source: National Library of Medicine

100

prescriptions, 1% of all prescriptions

24

prescriptions.

12

patients, 3% of all patients

29 73
INVEGA SUSTENNA

Used to treat the symptoms ... +

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

97

prescriptions, 1% of all prescriptions

5

prescriptions.

27

patients, 6% of all patients

P 30 37
INVEGA

Treats schizophrenia (a men... +

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

97

prescriptions, 1% of all prescriptions

0

prescriptions.

11

patients, 2% of all patients

P 30 44
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

93

prescriptions, 1% of all prescriptions

0

prescriptions.

20

patients, 4% of all patients

32 15
RISPERIDONE

Treats schizophrenia and ce... +

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

93

prescriptions, 1% of all prescriptions

20

prescriptions.

17

patients, 4% of all patients

P 32 9
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

82

prescriptions, 1% of all prescriptions

0

prescriptions.

16

patients, 4% of all patients

34 40
TOPIRAMATE

Helps control and prevent c... +

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

79

prescriptions, 1% of all prescriptions

5

prescriptions.

23

patients, 5% of all patients

35 29
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

78

prescriptions, 1% of all prescriptions

0

prescriptions.

14

patients, 3% of all patients

R 36 47
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

76

prescriptions, 1% of all prescriptions

14

prescriptions.

19

patients, 4% of all patients

37 10
OLANZAPINE ODT 76

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 P 37 67
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

76

prescriptions, 1% of all prescriptions

0

prescriptions.

14

patients, 3% of all patients

37 34
ZYPREXA RELPREVV 75

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 P 40 102
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

73

prescriptions, 1% of all prescriptions

5

prescriptions.

14

patients, 3% of all patients

41 49
FAZACLO 70

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 P 42 93
CARBAMAZEPINE

Treats different types of s... +

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

68

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 43 48
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

66

prescriptions, 1% of all prescriptions

16

prescriptions.

18

patients, 4% of all patients

44 64
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

65

prescriptions, 1% of all prescriptions

5

prescriptions.

11

patients, 2% of all patients

R 45 46
IBUPROFEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by headache, toothache, arthritis, cold or flu, migraine, or menstrual cramps. Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

5

prescriptions.

19

patients, 4% of all patients

46 96
SAPHRIS 64

prescriptions, 1% of all prescriptions

5

prescriptions.

13

patients, 3% of all patients

P 46 66
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

62

prescriptions, 1% of all prescriptions

13

prescriptions.

<11 48 59
FETZIMA 61

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 49 72
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

58

prescriptions, 1% of all prescriptions

5

prescriptions.

14

patients, 3% of all patients

50 51
SEROQUEL XR

Treats schizophrenia and sy... +

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

55

prescriptions, 1% of all prescriptions

5

prescriptions.

12

patients, 3% of all patients

P 51 32
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

50

prescriptions, 0% of all prescriptions

0

prescriptions.

11

patients, 2% of all patients

52 36
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 June 24, 2009.
  • 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.