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 »

4,417Medicare Part D Prescriptions Filled, Including Refills

Rank: 14 out of 66

$554K Total Retail Price of All Prescriptions

Rank: 8 out of 66

363 Patients Receiving at Least One Drug in Part D
29% Patients 65 Years and Older

80% 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 Nevada
lower than average

Antipsychotics

23% of this provider’s 107 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 41%.

More resources »

Antibiotics

4% of this provider’s 363 patients filled at least one prescription for an antibiotic drug, compared to an average of 3%.

More resources »

Risky Drugs for Seniors

21% of this provider’s 107 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 18%.

More resources »

Opioids

31% of this provider’s 363 patients filled at least one prescription for an opioid, compared to an average of 4%.

More resources »

Brand Name Drugs *

18% of this provider’s prescriptions were for brand-name drugs, compared to an average of 12%.

* This is an estimate, see our methodology.

Prescription Price

$126 was the average price of a prescription from this provider, compared to $108 among peers.

Prescriptions per Patient

12 is the average number of prescriptions (including refills) per patient, compared to an average of 15.


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

$332K

2012

$425K

2013

$429K

2014

$554K

2015

Number of Claims

2,471

2012

4,062

2013

3,919

2014

4,417

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

306

prescriptions, 7% of all prescriptions

65

prescriptions.

83

patients, 23% of all patients

1 4
TRAZODONE HCL

Trazodone is used to treat ... +

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

147

prescriptions, 3% of all prescriptions

28

prescriptions.

39

patients, 11% of all patients

2 3
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

141

prescriptions, 3% of all prescriptions

38

prescriptions.

26

patients, 7% of all patients

3 14
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

138

prescriptions, 3% of all prescriptions

29

prescriptions.

42

patients, 12% of all patients

R 4 10
RISPERIDONE

Treats schizophrenia and ce... +

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

134

prescriptions, 3% of all prescriptions

47

prescriptions.

21

patients, 6% of all patients

P 5 5
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

125

prescriptions, 3% of all prescriptions

34

prescriptions.

35

patients, 10% of all patients

6 6
CLONAZEPAM

Treats seizures, panic diso... +

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

116

prescriptions, 3% of all prescriptions

35

prescriptions.

36

patients, 10% of all patients

7 2
OXYCODONE HCL

Oxycodone is used to reliev... +

Oxycodone is used to relieve moderate to severe pain. Source: National Library of Medicine

115

prescriptions, 3% of all prescriptions

22

prescriptions.

42

patients, 12% of all patients

O 8 58
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

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

106

prescriptions, 2% of all prescriptions

46

prescriptions.

15

patients, 4% of all patients

R 9 9
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

102

prescriptions, 2% of all prescriptions

33

prescriptions.

33

patients, 9% of all patients

P 10 1
ABILIFY

Treats schizophrenia, bipol... +

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

100

prescriptions, 2% of all prescriptions

23

prescriptions.

27

patients, 7% of all patients

P 11 27
LORAZEPAM

Treats anxiety, anxiety wit... +

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

89

prescriptions, 2% of all prescriptions

44

prescriptions.

22

patients, 6% of all patients

12 15
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

86

prescriptions, 2% of all prescriptions

24

prescriptions.

18

patients, 5% of all patients

13 36
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

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

85

prescriptions, 2% of all prescriptions

36

prescriptions.

27

patients, 7% of all patients

14 21
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

84

prescriptions, 2% of all prescriptions

25

prescriptions.

31

patients, 9% of all patients

15 7
DIAZEPAM

Treats anxiety, muscle spas... +

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

81

prescriptions, 2% of all prescriptions

5

prescriptions.

16

patients, 4% of all patients

16 24
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

81

prescriptions, 2% of all prescriptions

27

prescriptions.

33

patients, 9% of all patients

O 16 65
ARIPIPRAZOLE

Treats schizophrenia, bipol... +

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

80

prescriptions, 2% of all prescriptions

15

prescriptions.

28

patients, 8% of all patients

P 18 23
GABAPENTIN

Treats certain types of sei... +

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

76

prescriptions, 2% of all prescriptions

11

prescriptions.

34

patients, 9% of all patients

19 26
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

74

prescriptions, 2% of all prescriptions

38

prescriptions.

24

patients, 7% of all patients

20 31
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

67

prescriptions, 2% of all prescriptions

18

prescriptions.

19

patients, 5% of all patients

21 16
SEROQUEL XR

Treats schizophrenia and sy... +

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

63

prescriptions, 1% of all prescriptions

14

prescriptions.

20

patients, 6% of all patients

P 22 42
SUBOXONE

Treats an addiction to or d... +

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

60

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 23 71
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

58

prescriptions, 1% of all prescriptions

12

prescriptions.

18

patients, 5% of all patients

24 17
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

20

prescriptions.

11

patients, 3% of all patients

25 19
LAMOTRIGINE

Treats certain types of sei... +

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

55

prescriptions, 1% of all prescriptions

0

prescriptions.

12

patients, 3% of all patients

26 8
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

53

prescriptions, 1% of all prescriptions

21

prescriptions.

12

patients, 3% of all patients

27 22
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

52

prescriptions, 1% of all prescriptions

5

prescriptions.

26

patients, 7% of all patients

O 28 79
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 Aug. 25, 2015.
  • 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.