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 »

8,962Medicare Part D Prescriptions Filled, Including Refills

Rank: 4 out of 419

$3.03M Total Retail Price of All Prescriptions

Rank: 16 out of 419

435 Patients Receiving at Least One Drug in Part D
40% Patients 65 Years and Older

73% 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 Pennsylvania
lower than average

Antipsychotics

This provider prescribed antipsychotics to at least one but fewer than 11 patients who are 65 and older, so Medicare redacted the exact figure. Comparisons are not shown.

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

11% of this provider’s 172 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 8%.

More resources »

Opioids

3% of this provider’s 435 patients filled at least one prescription for an opioid, compared to an average of 6%.

More resources »

Brand Name Drugs

31% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

Prescription Price

$338 was the average price of a prescription from this provider, compared to $448 among peers.

Prescriptions per Patient

21 is the average number of prescriptions (including refills) per patient, compared to an average of 9.


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

$1.61M

2012

$1.97M

2013

$2.47M

2014

$3.03M

2015

Number of Claims

7,105

2012

8,306

2013

8,914

2014

8,962

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
LEVETIRACETAM

Used to help control certai... +

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

976

prescriptions, 11% of all prescriptions

216

prescriptions.

119

patients, 27% of all patients

1 3
VIMPAT

Used to control partial sei... +

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

801

prescriptions, 9% of all prescriptions

113

prescriptions.

63

patients, 14% of all patients

10 2 22
LAMOTRIGINE

Treats certain types of sei... +

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

791

prescriptions, 9% of all prescriptions

281

prescriptions.

84

patients, 19% of all patients

3 6
TOPIRAMATE

Helps control and prevent c... +

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

524

prescriptions, 6% of all prescriptions

88

prescriptions.

53

patients, 12% of all patients

4 5
CLONAZEPAM

Treats seizures, panic diso... +

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

264

prescriptions, 3% of all prescriptions

60

prescriptions.

29

patients, 7% of all patients

5 7
ZONISAMIDE

Treats partial seizures in ... +

Treats partial seizures in adults with epilepsy. Source: National Library of Medicine

252

prescriptions, 3% of all prescriptions

42

prescriptions.

29

patients, 7% of all patients

6 28
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

242

prescriptions, 3% of all prescriptions

29

prescriptions.

26

patients, 6% of all patients

7 37
PHENOBARBITAL

Used to control seizures. P... +

Used to control seizures. Source: National Library of Medicine

183

prescriptions, 2% of all prescriptions

46

prescriptions.

18

patients, 4% of all patients

R 8 29
CARBAMAZEPINE ER

Treats certain types of se... +

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

177

prescriptions, 2% of all prescriptions

42

prescriptions.

18

patients, 4% of all patients

9 44
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

169

prescriptions, 2% of all prescriptions

25

prescriptions.

19

patients, 4% of all patients

10 26
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

166

prescriptions, 2% of all prescriptions

38

prescriptions.

16

patients, 4% of all patients

11 18
APTIOM 162

prescriptions, 2% of all prescriptions

29

prescriptions.

15

patients, 3% of all patients

10 12 111
ONFI 161

prescriptions, 2% of all prescriptions

0

prescriptions.

18

patients, 4% of all patients

13 93
CARBAMAZEPINE

Treats different types of s... +

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

159

prescriptions, 2% of all prescriptions

23

prescriptions.

22

patients, 5% of all patients

14 39
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

147

prescriptions, 2% of all prescriptions

35

prescriptions.

21

patients, 5% of all patients

15 35
DILANTIN*

Treats seizures. This medic... +

Treats seizures. Source: National Library of Medicine

146

prescriptions, 2% of all prescriptions

59

prescriptions.

16

patients, 4% of all patients

16 53
ALPRAZOLAM

Treats anxiety, panic disor... +

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

139

prescriptions, 2% of all prescriptions

19

prescriptions.

18

patients, 4% of all patients

17 25
GABAPENTIN

Treats certain types of sei... +

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

125

prescriptions, 1% of all prescriptions

45

prescriptions.

22

patients, 5% of all patients

18 1
DIAZEPAM

Treats anxiety, muscle spas... +

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

121

prescriptions, 1% of all prescriptions

5

prescriptions.

24

patients, 6% of all patients

19 60
FELBAMATE 118

prescriptions, 1% of all prescriptions

15

prescriptions.

12

patients, 3% of all patients

10 20 149
LAMICTAL 117

prescriptions, 1% of all prescriptions

28

prescriptions.

11

patients, 3% of all patients

21 101
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

109

prescriptions, 1% of all prescriptions

15

prescriptions.

21

patients, 5% of all patients

22 36
FYCOMPA 103

prescriptions, 1% of all prescriptions

16

prescriptions.

<11 10 23 156
BANZEL 102

prescriptions, 1% of all prescriptions

0

prescriptions.

12

patients, 3% of all patients

24 157
TOPAMAX 97

prescriptions, 1% of all prescriptions

25

prescriptions.

<11 25 129
PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

94

prescriptions, 1% of all prescriptions

22

prescriptions.

<11 26 9
TRAZODONE HCL

Trazodone is used to treat ... +

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

91

prescriptions, 1% of all prescriptions

32

prescriptions.

17

patients, 4% of all patients

27 52
KEPPRA 89

prescriptions, 1% of all prescriptions

0

prescriptions.

11

patients, 3% of all patients

28 103
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

81

prescriptions, 1% of all prescriptions

66

prescriptions.

12

patients, 3% of all patients

29 4
BUTALBITAL-ACETAMINOPHEN-CAFFE

This combination of drugs i... +

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

79

prescriptions, 1% of all prescriptions

21

prescriptions.

<11 R 30 65
OXTELLAR XR 76

prescriptions, 1% of all prescriptions

23

prescriptions.

<11 10 31 166
RIVASTIGMINE*

Used to treat mild to moder... +

Used to treat mild to moderate dementia (memory loss and mental changes) associated with Alzheimer's disease or Parkinson's disease. Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

60

prescriptions.

11

patients, 3% of all patients

32 83
DEPAKOTE ER 71

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 33 137
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

67

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 34 63
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

64

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 35 24
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

64

prescriptions, 1% of all prescriptions

27

prescriptions.

11

patients, 3% of all patients

35 2
TEGRETOL XR 61

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 37 89
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

59

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 38 78
CLORAZEPATE DIPOTASSIUM

Treats anxiety, trouble sle... +

Treats anxiety, trouble sleeping, symptoms of alcohol withdrawal, and certain types of epilepsy (seizures). Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 38 138
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

58

prescriptions, 1% of all prescriptions

5

prescriptions.

12

patients, 3% of all patients

40 32
DEPAKOTE 55

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 41 191
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

52

prescriptions, 1% of all prescriptions

16

prescriptions.

<11 R 42 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

51

prescriptions, 1% of all prescriptions

11

prescriptions.

<11 P 43 33
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 Jan. 23, 2017.
  • 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.