Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Neurology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

7,649Medicare Part D Prescriptions Filled, Including Refills

Rank: 23 out of 576

$2.36M Total Retail Price of All Prescriptions

Rank: 26 out of 576

738 Patients Receiving at Least One Drug in Part D
75% Patients 65 Years and Older

43% 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 Florida
lower than average

Antipsychotics

7% of this provider’s 553 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 5%.

More resources »

Antibiotics

5% of this provider’s 738 patients filled at least one prescription for an antibiotic drug, compared to an average of 2%.

More resources »

Risky Drugs for Seniors

12% of this provider’s 553 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

5% of this provider’s 738 patients filled at least one prescription for an opioid, compared to an average of 9%.

More resources »

Brand Name Drugs

22% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

Prescription Price

$308 was the average price of a prescription from this provider, compared to $299 among peers.

Prescriptions per Patient

10 is the average number of prescriptions (including refills) per patient, compared to an average of 8.


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

$386K

2012

$480K

2013

$1.05M

2014

$2.36M

2015

Number of Claims

3,643

2012

5,205

2013

5,703

2014

7,649

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
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

526

prescriptions, 7% of all prescriptions

465

prescriptions.

116

patients, 16% of all patients

1 2
LEVETIRACETAM

Used to help control certai... +

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

469

prescriptions, 6% of all prescriptions

266

prescriptions.

83

patients, 11% of all patients

2 4
LAMOTRIGINE

Treats certain types of sei... +

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

456

prescriptions, 6% of all prescriptions

271

prescriptions.

89

patients, 12% of all patients

3 10
GABAPENTIN

Treats certain types of sei... +

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

398

prescriptions, 5% of all prescriptions

316

prescriptions.

93

patients, 13% of all patients

4 1
NAMENDA XR

Used to treat the symptoms ... +

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

332

prescriptions, 4% of all prescriptions

311

prescriptions.

63

patients, 9% of all patients

5 5
CLONAZEPAM

Treats seizures, panic diso... +

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

304

prescriptions, 4% of all prescriptions

226

prescriptions.

60

patients, 8% of all patients

6 7
VIMPAT

Used to control partial sei... +

Used to control partial seizures (convulsions) in the treatment of epilepsy. Source: National Library of Medicine

296

prescriptions, 4% of all prescriptions

210

prescriptions.

76

patients, 10% of all patients

7 26
CARBIDOPA-LEVODOPA

The combination of levodopa... +

The combination of levodopa and carbidopa is used to treat the symptoms of Parkinson's disease and Parkinson's-like symptoms that may develop after encephalitis (swelling of the brain) or injury to the nervous system caused by carbon monoxide poisoning or manganese poisoning. Source: National Library of Medicine

278

prescriptions, 4% of all prescriptions

230

prescriptions.

62

patients, 8% of all patients

8 3
PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

261

prescriptions, 3% of all prescriptions

225

prescriptions.

43

patients, 6% of all patients

9 8
TOPIRAMATE

Helps control and prevent c... +

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

253

prescriptions, 3% of all prescriptions

118

prescriptions.

56

patients, 8% of all patients

10 6
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

218

prescriptions, 3% of all prescriptions

130

prescriptions.

54

patients, 7% of all patients

R 11 28
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

194

prescriptions, 3% of all prescriptions

149

prescriptions.

45

patients, 6% of all patients

12 19
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

132

prescriptions, 2% of all prescriptions

100

prescriptions.

30

patients, 4% of all patients

13 14
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

116

prescriptions, 2% of all prescriptions

99

prescriptions.

20

patients, 3% of all patients

P 14 18
RISPERIDONE

Treats schizophrenia and ce... +

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

104

prescriptions, 1% of all prescriptions

87

prescriptions.

29

patients, 4% of all patients

P 15 65
NEUPRO 102

prescriptions, 1% of all prescriptions

97

prescriptions.

18

patients, 2% of all patients

16 57
AZILECT

Used alone or together with... +

Used alone or together with levodopa for the treatment of Parkinson's disease. Source: National Library of Medicine

100

prescriptions, 1% of all prescriptions

95

prescriptions.

27

patients, 4% of all patients

17 31
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

95

prescriptions, 1% of all prescriptions

39

prescriptions.

22

patients, 3% of all patients

R 18 43
TEMAZEPAM

Treats insomnia (trouble sl... +

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

95

prescriptions, 1% of all prescriptions

81

prescriptions.

21

patients, 3% of all patients

18 52
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

92

prescriptions, 1% of all prescriptions

71

prescriptions.

21

patients, 3% of all patients

20 15
PRAMIPEXOLE DIHYDROCHLORIDE

Pramipexole is used alone o... +

Pramipexole 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

90

prescriptions, 1% of all prescriptions

65

prescriptions.

19

patients, 3% of all patients

21 21
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

86

prescriptions, 1% of all prescriptions

12

prescriptions.

<11 22 38
BUTALBITAL-ACETAMINOPHEN-CAFFE

This combination of drugs i... +

This combination of drugs is used to relieve tension headaches. Source: National Library of Medicine

86

prescriptions, 1% of all prescriptions

35

prescriptions.

27

patients, 4% of all patients

R 22 49
CARBIDOPA-LEVODOPA ER

Used to treat the symptoms ... +

Used to treat the symptoms of Parkinson's disease and Parkinson's-like symptoms that may develop after encephalitis (swelling of the brain) or injury to the nervous system caused by carbon monoxide poisoning or manganese poisoning. Source: National Library of Medicine

86

prescriptions, 1% of all prescriptions

68

prescriptions.

19

patients, 3% of all patients

22 27
MELOXICAM

Treats symptoms of osteoart... +

Treats symptoms of osteoarthritis (OA). Source: National Library of Medicine

81

prescriptions, 1% of all prescriptions

42

prescriptions.

28

patients, 4% of all patients

25 46
TIZANIDINE HCL

Tizanidine is used to relie... +

Tizanidine is used to relieve the spasms and increased muscle tone caused by multiple sclerosis (MS, 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), stroke, or brain or spinal injury. Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

58

prescriptions.

26

patients, 4% of all patients

26 23
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

66

prescriptions, 1% of all prescriptions

36

prescriptions.

17

patients, 2% of all patients

27 20
BACLOFEN

Treats muscle spasms caused... +

Treats muscle spasms caused by multiple sclerosis and spinal cord injury or disease. Source: National Library of Medicine

65

prescriptions, 1% of all prescriptions

12

prescriptions.

18

patients, 2% of all patients

28 17
LYRICA

Treats nerve and muscle pai... +

Treats nerve and muscle pain caused by diabetes, shingles, fibromyalgia, or a spinal cord injury. Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

46

prescriptions.

13

patients, 2% of all patients

29 11
AMANTADINE

Treats or prevents the flu ... +

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

63

prescriptions, 1% of all prescriptions

52

prescriptions.

20

patients, 3% of all patients

30 39
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

Used to relieve moderate to severe pain. Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

31

prescriptions.

19

patients, 3% of all patients

O 31 16
CITALOPRAM HBR

Citalopram is used to treat... +

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

59

prescriptions, 1% of all prescriptions

42

prescriptions.

11

patients, 1% of all patients

31 24
SUMATRIPTAN SUCCINATE

Sumatriptan is used to trea... +

Sumatriptan is used to treat the symptoms of migraine headaches (severe, throbbing headaches that sometimes is accompanied by nausea or sensitivity to sound and light). Source: National Library of Medicine

57

prescriptions, 1% of all prescriptions

23

prescriptions.

18

patients, 2% of all patients

33 40
MIDODRINE HCL

Midodrine hydrochloride tab... +

Midodrine hydrochloride tablets are indicated for the treatment of symptomatic orthostatic hypotension. Source: National Library of Medicine

53

prescriptions, 1% of all prescriptions

48

prescriptions.

20

patients, 3% of all patients

34 152
PHENOBARBITAL

Used to control seizures. P... +

Used to control seizures. Source: National Library of Medicine

53

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 R 34 60
LACTULOSE

Treats constipation. Also t... +

Treats constipation. Source: National Library of Medicine

50

prescriptions, 1% of all prescriptions

27

prescriptions.

25

patients, 3% of all patients

36 139
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 Nov. 13, 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.