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 »

13,536Medicare Part D Prescriptions Filled, Including Refills

Rank: 9 out of 759

$1.91M Total Retail Price of All Prescriptions

Rank: 6 out of 759

1,044 Patients Receiving at Least One Drug in Part D
56% Patients 65 Years and Older

94% 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

37% of this provider’s 584 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 43%.

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

8% of this provider’s 584 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

22% of this provider’s prescriptions were for brand-name drugs, compared to an average of 14%.

Prescription Price

$141 was the average price of a prescription from this provider, compared to $114 among peers.

Prescriptions per Patient

13 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

$1.83M

2012

$1.84M

2013

$1.86M

2014

$1.91M

2015

Number of Claims

12,333

2012

14,109

2013

13,123

2014

13,536

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
RISPERIDONE

Treats schizophrenia and ce... +

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

975

prescriptions, 7% of all prescriptions

359

prescriptions.

175

patients, 17% of all patients

P 1 5
CLONAZEPAM

Treats seizures, panic diso... +

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

877

prescriptions, 6% of all prescriptions

233

prescriptions.

143

patients, 14% of all patients

2 1
ALPRAZOLAM

Treats anxiety, panic disor... +

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

776

prescriptions, 6% of all prescriptions

415

prescriptions.

159

patients, 15% of all patients

3 4
LORAZEPAM

Treats anxiety, anxiety wit... +

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

730

prescriptions, 5% of all prescriptions

379

prescriptions.

157

patients, 15% of all patients

4 10
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

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

551

prescriptions, 4% of all prescriptions

77

prescriptions.

80

patients, 8% of all patients

R 5 9
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

536

prescriptions, 4% of all prescriptions

88

prescriptions.

91

patients, 9% of all patients

6 15
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

501

prescriptions, 4% of all prescriptions

159

prescriptions.

97

patients, 9% of all patients

P 7 3
OLANZAPINE

Treats psychotic mental dis... +

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

448

prescriptions, 3% of all prescriptions

133

prescriptions.

69

patients, 7% of all patients

P 8 11
TRAZODONE HCL

Trazodone is used to treat ... +

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

445

prescriptions, 3% of all prescriptions

186

prescriptions.

96

patients, 9% of all patients

9 2
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

392

prescriptions, 3% of all prescriptions

195

prescriptions.

80

patients, 8% of all patients

10 24
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

388

prescriptions, 3% of all prescriptions

182

prescriptions.

75

patients, 7% of all patients

11 7
SEROQUEL XR

Treats schizophrenia and sy... +

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

364

prescriptions, 3% of all prescriptions

193

prescriptions.

48

patients, 5% of all patients

P 12 37
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

353

prescriptions, 3% of all prescriptions

187

prescriptions.

68

patients, 7% of all patients

13 13
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

334

prescriptions, 2% of all prescriptions

104

prescriptions.

43

patients, 4% of all patients

14 64
NAMENDA XR

Used to treat the symptoms ... +

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

281

prescriptions, 2% of all prescriptions

254

prescriptions.

28

patients, 3% of all patients

15 36
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

279

prescriptions, 2% of all prescriptions

94

prescriptions.

48

patients, 5% of all patients

16 6
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

255

prescriptions, 2% of all prescriptions

217

prescriptions.

46

patients, 4% of all patients

17 35
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

244

prescriptions, 2% of all prescriptions

54

prescriptions.

37

patients, 4% of all patients

18 25
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

208

prescriptions, 2% of all prescriptions

66

prescriptions.

64

patients, 6% of all patients

R 19 8
CITALOPRAM HBR

Citalopram is used to treat... +

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

190

prescriptions, 1% of all prescriptions

76

prescriptions.

39

patients, 4% of all patients

20 17
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

178

prescriptions, 1% of all prescriptions

111

prescriptions.

22

patients, 2% of all patients

P 21 34
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

169

prescriptions, 1% of all prescriptions

52

prescriptions.

24

patients, 2% of all patients

P 22 23
MEDROXYPROGESTERONE ACETATE

Medroxyprogesterone is used... +

Medroxyprogesterone is used to treat abnormal menstruation (periods) or irregular vaginal bleeding. Source: National Library of Medicine

149

prescriptions, 1% of all prescriptions

25

prescriptions.

25

patients, 2% of all patients

23 113
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

144

prescriptions, 1% of all prescriptions

14

prescriptions.

27

patients, 3% of all patients

24 12
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

141

prescriptions, 1% of all prescriptions

13

prescriptions.

21

patients, 2% of all patients

25 76
ABILIFY

Treats schizophrenia, bipol... +

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

134

prescriptions, 1% of all prescriptions

42

prescriptions.

22

patients, 2% of all patients

P 26 21
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

133

prescriptions, 1% of all prescriptions

72

prescriptions.

21

patients, 2% of all patients

27 30
HALOPERIDOL*

Treats symptoms of mental a... +

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

131

prescriptions, 1% of all prescriptions

30

prescriptions.

31

patients, 3% of all patients

P 28 33
FANAPT 128

prescriptions, 1% of all prescriptions

36

prescriptions.

15

patients, 1% of all patients

P 29 71
TEMAZEPAM

Treats insomnia (trouble sl... +

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

117

prescriptions, 1% of all prescriptions

51

prescriptions.

29

patients, 3% of all patients

30 31
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

111

prescriptions, 1% of all prescriptions

5

prescriptions.

22

patients, 2% of all patients

31 50
TOPIRAMATE

Helps control and prevent c... +

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

110

prescriptions, 1% of all prescriptions

13

prescriptions.

16

patients, 2% of all patients

32 38
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

109

prescriptions, 1% of all prescriptions

81

prescriptions.

27

patients, 3% of all patients

33 16
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

109

prescriptions, 1% of all prescriptions

97

prescriptions.

20

patients, 2% of all patients

33 44
ROZEREM 101

prescriptions, 1% of all prescriptions

74

prescriptions.

13

patients, 1% of all patients

35 130
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

95

prescriptions, 1% of all prescriptions

48

prescriptions.

14

patients, 1% of all patients

36 49
DIAZEPAM

Treats anxiety, muscle spas... +

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

93

prescriptions, 1% of all prescriptions

41

prescriptions.

24

patients, 2% of all patients

37 28
CLOMIPRAMINE HCL 93

prescriptions, 1% of all prescriptions

5

prescriptions.

16

patients, 2% of all patients

R 37 100
LAMOTRIGINE

Treats certain types of sei... +

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

93

prescriptions, 1% of all prescriptions

42

prescriptions.

28

patients, 3% of all patients

37 14
METHYLPHENIDATE HCL

Methylphenidate is used as ... +

Methylphenidate is used as part of a treatment program to control symptoms of attention deficit hyperactivity disorder (ADHD; more difficulty focusing, controlling actions, and remaining still or quiet than other people who are the same age) in adults and children. Source: National Library of Medicine

86

prescriptions, 1% of all prescriptions

34

prescriptions.

29

patients, 3% of all patients

40 53
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

82

prescriptions, 1% of all prescriptions

24

prescriptions.

11

patients, 1% of all patients

41 19
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

82

prescriptions, 1% of all prescriptions

5

prescriptions.

14

patients, 1% of all patients

41 29
INVEGA SUSTENNA

Used to treat the symptoms ... +

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

80

prescriptions, 1% of all prescriptions

5

prescriptions.

14

patients, 1% of all patients

P 43 39
ARIPIPRAZOLE

Treats schizophrenia, bipol... +

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

79

prescriptions, 1% of all prescriptions

17

prescriptions.

21

patients, 2% of all patients

P 44 27
RISPERDAL CONSTA

Treats schizophrenia and ce... +

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

74

prescriptions, 1% of all prescriptions

24

prescriptions.

12

patients, 1% of all patients

P 45 56
VALPROIC ACID*

Treats seizures (epilepsy).... +

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

70

prescriptions, 1% of all prescriptions

17

prescriptions.

13

patients, 1% of all patients

46 97
CLOZAPINE

Treats schizophrenia. Also ... +

Treats schizophrenia. Source: National Library of Medicine

67

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 P 47 41
DEXTROAMPHETAMINE-AMPHET ER

Used as part of a treatment... +

Used as part of a treatment program to control symptoms of attention deficit hyperactivity disorder (ADHD; more difficulty focusing, controlling actions, and remaining still or quiet than other people who are the same age) in adults and children. Source: National Library of Medicine

65

prescriptions, 0% of all prescriptions

19

prescriptions.

13

patients, 1% of all patients

48 59
CARBAMAZEPINE

Treats different types of s... +

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

56

prescriptions, 0% of all prescriptions

13

prescriptions.

<11 49 43
ESZOPICLONE

Eszopiclone is used to trea... +

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

55

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 R 50 68
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

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

52

prescriptions, 0% of all prescriptions

11

prescriptions.

12

patients, 1% of all patients

51 26
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 July 11, 2008.
  • 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.