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 »

42,218Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 1965

$6.93M Total Retail Price of All Prescriptions

Rank: 1 out of 1965

1,314 Patients Receiving at Least One Drug in Part D
92% Patients 65 Years and Older

99% 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 California
lower than average

Antipsychotics

29% of this provider’s 1,209 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 40%.

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

51% of this provider’s 1,209 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 16%.

More resources »

Opioids

3% of this provider’s 1,314 patients filled at least one prescription for an opioid, compared to an average of 2%.

More resources »

Brand Name Drugs *

44% of this provider’s prescriptions were for brand-name drugs, compared to an average of 13%. This is far more than peers.

* This is an estimate, see our methodology.

Prescription Price

$164 was the average price of a prescription from this provider, compared to $116 among peers.

Prescriptions per Patient

32 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

$4.95M

2012

$5.52M

2013

$6.23M

2014

$6.93M

2015

Number of Claims

30,629

2012

38,904

2013

41,968

2014

42,218

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
CLONAZEPAM

Treats seizures, panic diso... +

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

3,946

prescriptions, 9% of all prescriptions

3,617

prescriptions.

443

patients, 34% of all patients

1 2
VIIBRYD

Used to treat depression in... +

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

3,700

prescriptions, 9% of all prescriptions

3,568

prescriptions.

387

patients, 29% of all patients

10 2 44
LORAZEPAM

Treats anxiety, anxiety wit... +

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

3,370

prescriptions, 8% of all prescriptions

3,171

prescriptions.

407

patients, 31% of all patients

10 3 5
NAMENDA XR

Used to treat the symptoms ... +

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

3,061

prescriptions, 7% of all prescriptions

3,061

prescriptions.

362

patients, 28% of all patients

10 4 38
BRINTELLIX 2,671

prescriptions, 6% of all prescriptions

2,532

prescriptions.

306

patients, 23% of all patients

10 5 52
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

2,346

prescriptions, 6% of all prescriptions

2,341

prescriptions.

323

patients, 25% of all patients

6 36
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

2,257

prescriptions, 5% of all prescriptions

1,972

prescriptions.

370

patients, 28% of all patients

R 10 7 20
ABILIFY

Treats schizophrenia, bipol... +

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

1,630

prescriptions, 4% of all prescriptions

1,340

prescriptions.

242

patients, 18% of all patients

P 10 8 18
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

1,356

prescriptions, 3% of all prescriptions

1,356

prescriptions.

175

patients, 13% of all patients

10 9 66
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

1,330

prescriptions, 3% of all prescriptions

1,160

prescriptions.

188

patients, 14% of all patients

10 10 14
GABAPENTIN

Treats certain types of sei... +

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

1,311

prescriptions, 3% of all prescriptions

1,155

prescriptions.

182

patients, 14% of all patients

11 24
TEMAZEPAM

Treats insomnia (trouble sl... +

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

1,042

prescriptions, 2% of all prescriptions

933

prescriptions.

175

patients, 13% of all patients

12 30
ROZEREM 971

prescriptions, 2% of all prescriptions

897

prescriptions.

164

patients, 12% of all patients

10 13 79
ZALEPLON 848

prescriptions, 2% of all prescriptions

818

prescriptions.

206

patients, 16% of all patients

R 10 14 81
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

845

prescriptions, 2% of all prescriptions

750

prescriptions.

107

patients, 8% of all patients

15 23
SEROQUEL XR

Treats schizophrenia and sy... +

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

845

prescriptions, 2% of all prescriptions

756

prescriptions.

105

patients, 8% of all patients

P 10 15 31
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

749

prescriptions, 2% of all prescriptions

744

prescriptions.

107

patients, 8% of all patients

17 11
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

586

prescriptions, 1% of all prescriptions

554

prescriptions.

78

patients, 6% of all patients

18 15
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

564

prescriptions, 1% of all prescriptions

551

prescriptions.

77

patients, 6% of all patients

19 50
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

540

prescriptions, 1% of all prescriptions

540

prescriptions.

119

patients, 9% of all patients

20 56
CITALOPRAM HBR

Citalopram is used to treat... +

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

519

prescriptions, 1% of all prescriptions

433

prescriptions.

75

patients, 6% of all patients

21 22
ALPRAZOLAM

Treats anxiety, panic disor... +

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

510

prescriptions, 1% of all prescriptions

363

prescriptions.

64

patients, 5% of all patients

22 12
FETZIMA 461

prescriptions, 1% of all prescriptions

436

prescriptions.

54

patients, 4% of all patients

10 23 91
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

363

prescriptions, 1% of all prescriptions

347

prescriptions.

50

patients, 4% of all patients

P 24 1
SILENOR 319

prescriptions, 1% of all prescriptions

304

prescriptions.

53

patients, 4% of all patients

R 10 25 107
MECLIZINE HCL

Meclizine is used to preven... +

Meclizine is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. Source: National Library of Medicine

313

prescriptions, 1% of all prescriptions

308

prescriptions.

52

patients, 4% of all patients

26 101
ARIPIPRAZOLE

Treats schizophrenia, bipol... +

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

297

prescriptions, 1% of all prescriptions

235

prescriptions.

81

patients, 6% of all patients

P 27 29
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

280

prescriptions, 1% of all prescriptions

168

prescriptions.

34

patients, 3% of all patients

P 28 32
TRIAZOLAM 256

prescriptions, 1% of all prescriptions

245

prescriptions.

39

patients, 3% of all patients

10 29 116
ESZOPICLONE

Eszopiclone is used to trea... +

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

255

prescriptions, 1% of all prescriptions

242

prescriptions.

48

patients, 4% of all patients

R 10 30 85
CYMBALTA 242

prescriptions, 1% of all prescriptions

237

prescriptions.

46

patients, 4% of all patients

10 31 137
MEMANTINE HCL

Treats moderate to severe ... +

Treats moderate to severe Alzheimer's disease. Source: National Library of Medicine

220

prescriptions, 1% of all prescriptions

220

prescriptions.

73

patients, 6% of all patients

32 77
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

218

prescriptions, 1% of all prescriptions

195

prescriptions.

28

patients, 2% of all patients

R 33 63
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

215

prescriptions, 1% of all prescriptions

170

prescriptions.

37

patients, 3% of all patients

34 25
SAVELLA 205

prescriptions, 0% of all prescriptions

177

prescriptions.

35

patients, 3% of all patients

10 35 125
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

193

prescriptions, 0% of all prescriptions

145

prescriptions.

26

patients, 2% of all patients

36 39
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

186

prescriptions, 0% of all prescriptions

181

prescriptions.

32

patients, 2% of all patients

37 21
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

160

prescriptions, 0% of all prescriptions

160

prescriptions.

18

patients, 1% of all patients

38 130
TRAZODONE HCL

Trazodone is used to treat ... +

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

159

prescriptions, 0% of all prescriptions

148

prescriptions.

30

patients, 2% of all patients

39 3
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

149

prescriptions, 0% of all prescriptions

125

prescriptions.

23

patients, 2% of all patients

40 8
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

149

prescriptions, 0% of all prescriptions

149

prescriptions.

21

patients, 2% of all patients

40 97
BUTALBITAL-ACETAMINOPHEN-CAFFE

This combination of drugs i... +

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

143

prescriptions, 0% of all prescriptions

127

prescriptions.

38

patients, 3% of all patients

R 42 149
NEUPRO 134

prescriptions, 0% of all prescriptions

134

prescriptions.

22

patients, 2% of all patients

43 121
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

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

133

prescriptions, 0% of all prescriptions

86

prescriptions.

18

patients, 1% of all patients

44 13
ZOLPIDEM TARTRATE ER

Used to treat insomnia (tro... +

Used to treat insomnia (trouble sleeping). Source: National Library of Medicine

114

prescriptions, 0% of all prescriptions

101

prescriptions.

24

patients, 2% of all patients

R 10 45 153
NAMZARIC 80

prescriptions, 0% of all prescriptions

80

prescriptions.

31

patients, 2% of all patients

10 46 184
DIAZEPAM

Treats anxiety, muscle spas... +

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

78

prescriptions, 0% of all prescriptions

58

prescriptions.

12

patients, 1% of all patients

47 37
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

71

prescriptions, 0% of all prescriptions

71

prescriptions.

<11 48 95
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

69

prescriptions, 0% of all prescriptions

64

prescriptions.

<11 49 16
LUNESTA 66

prescriptions, 0% of all prescriptions

61

prescriptions.

22

patients, 2% of all patients

R 10 50 192
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

66

prescriptions, 0% of all prescriptions

61

prescriptions.

14

patients, 1% of all patients

50 9
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

63

prescriptions, 0% of all prescriptions

58

prescriptions.

<11 52 73
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

62

prescriptions, 0% of all prescriptions

35

prescriptions.

<11 R 53 42
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

61

prescriptions, 0% of all prescriptions

27

prescriptions.

<11 54 61
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

61

prescriptions, 0% of all prescriptions

49

prescriptions.

32

patients, 2% of all patients

O 54 83
OLANZAPINE

Treats psychotic mental dis... +

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

58

prescriptions, 0% of all prescriptions

41

prescriptions.

<11 P 56 6
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

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

56

prescriptions, 0% of all prescriptions

39

prescriptions.

<11 R 57 7
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

54

prescriptions, 0% of all prescriptions

49

prescriptions.

13

patients, 1% of all patients

58 19
TOPIRAMATE

Helps control and prevent c... +

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

54

prescriptions, 0% of all prescriptions

31

prescriptions.

<11 58 35
RISPERIDONE

Treats schizophrenia and ce... +

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

54

prescriptions, 0% of all prescriptions

43

prescriptions.

<11 P 58 4
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

28

prescriptions.

<11 61 40
PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

50

prescriptions.

<11 61 128
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 April 21, 2016.
  • 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.