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 »

6,249Medicare Part D Prescriptions Filled, Including Refills

Rank: 60 out of 759

$720K Total Retail Price of All Prescriptions

Rank: 65 out of 759

501 Patients Receiving at Least One Drug in Part D
89% Patients 65 Years and Older

17% 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

20% of this provider’s 445 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

13% of this provider’s 445 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

20% of this provider’s prescriptions were for brand-name drugs, compared to an average of 14%.

Prescription Price

$115 was the average price of a prescription from this provider, compared to $114 among peers.

Prescriptions per Patient

12 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

$569K

2012

$671K

2013

$734K

2014

$720K

2015

Number of Claims

4,039

2012

4,828

2013

5,532

2014

6,249

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
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

456

prescriptions, 7% of all prescriptions

406

prescriptions.

78

patients, 16% of all patients

1 7
CLONAZEPAM

Treats seizures, panic diso... +

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

336

prescriptions, 5% of all prescriptions

246

prescriptions.

58

patients, 12% of all patients

2 1
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

330

prescriptions, 5% of all prescriptions

316

prescriptions.

69

patients, 14% of all patients

3 6
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

298

prescriptions, 5% of all prescriptions

260

prescriptions.

49

patients, 10% of all patients

P 4 3
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

291

prescriptions, 5% of all prescriptions

261

prescriptions.

68

patients, 14% of all patients

5 13
ALPRAZOLAM

Treats anxiety, panic disor... +

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

290

prescriptions, 5% of all prescriptions

242

prescriptions.

47

patients, 9% of all patients

6 4
TRAZODONE HCL

Trazodone is used to treat ... +

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

273

prescriptions, 4% of all prescriptions

228

prescriptions.

63

patients, 13% of all patients

7 2
LORAZEPAM

Treats anxiety, anxiety wit... +

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

240

prescriptions, 4% of all prescriptions

195

prescriptions.

46

patients, 9% of all patients

8 10
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

224

prescriptions, 4% of all prescriptions

200

prescriptions.

39

patients, 8% of all patients

9 30
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

206

prescriptions, 3% of all prescriptions

206

prescriptions.

46

patients, 9% of all patients

10 35
BRINTELLIX 187

prescriptions, 3% of all prescriptions

176

prescriptions.

49

patients, 10% of all patients

11 69
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

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

180

prescriptions, 3% of all prescriptions

175

prescriptions.

36

patients, 7% of all patients

12 18
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

171

prescriptions, 3% of all prescriptions

138

prescriptions.

41

patients, 8% of all patients

R 13 8
NAMENDA XR

Used to treat the symptoms ... +

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

161

prescriptions, 3% of all prescriptions

161

prescriptions.

25

patients, 5% of all patients

14 36
LAMOTRIGINE

Treats certain types of sei... +

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

154

prescriptions, 2% of all prescriptions

135

prescriptions.

23

patients, 5% of all patients

15 14
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

133

prescriptions, 2% of all prescriptions

110

prescriptions.

24

patients, 5% of all patients

16 19
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

115

prescriptions, 2% of all prescriptions

98

prescriptions.

24

patients, 5% of all patients

17 12
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

114

prescriptions, 2% of all prescriptions

109

prescriptions.

30

patients, 6% of all patients

18 20
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

107

prescriptions, 2% of all prescriptions

102

prescriptions.

24

patients, 5% of all patients

19 16
PRISTIQ ER

Used to treat depression. D... +

Used to treat depression. Source: National Library of Medicine

97

prescriptions, 2% of all prescriptions

92

prescriptions.

19

patients, 4% of all patients

20 40
DIAZEPAM

Treats anxiety, muscle spas... +

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

96

prescriptions, 2% of all prescriptions

73

prescriptions.

23

patients, 5% of all patients

21 28
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

92

prescriptions, 1% of all prescriptions

87

prescriptions.

22

patients, 4% of all patients

22 15
CITALOPRAM HBR

Citalopram is used to treat... +

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

91

prescriptions, 1% of all prescriptions

79

prescriptions.

22

patients, 4% of all patients

23 17
OLANZAPINE

Treats psychotic mental dis... +

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

82

prescriptions, 1% of all prescriptions

77

prescriptions.

17

patients, 3% of all patients

P 24 11
SEROQUEL XR

Treats schizophrenia and sy... +

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

79

prescriptions, 1% of all prescriptions

49

prescriptions.

13

patients, 3% of all patients

P 25 37
RISPERIDONE

Treats schizophrenia and ce... +

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

67

prescriptions, 1% of all prescriptions

56

prescriptions.

12

patients, 2% of all patients

P 26 5
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

64

prescriptions, 1% of all prescriptions

64

prescriptions.

15

patients, 3% of all patients

27 47
VENLAFAXINE HCL

Venlafaxine is used to trea... +

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

58

prescriptions, 1% of all prescriptions

53

prescriptions.

15

patients, 3% of all patients

28 83
ARIPIPRAZOLE

Treats schizophrenia, bipol... +

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

53

prescriptions, 1% of all prescriptions

48

prescriptions.

19

patients, 4% of all patients

P 29 27
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

50

prescriptions, 1% of all prescriptions

45

prescriptions.

13

patients, 3% of all patients

30 24
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 May 9, 2013.
  • 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.