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 »

4,525Medicare Part D Prescriptions Filled, Including Refills

Rank: 7 out of 51

$1.9M Total Retail Price of All Prescriptions

Rank: 10 out of 51

1,016 Patients Receiving at Least One Drug in Part D
79% Patients 65 Years and Older

34% 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

Comparisons are not shown because we do not have exact prescribing data for enough providers in this specialty and state.

21 of this provider’s 804 patients who are 65 and older filled at least one prescription for an antipsychotic drug.

More resources »

Antibiotics

0% of this provider’s 1,016 patients filled at least one prescription for an antibiotic drug, compared to an average of 1%.

More resources »

Risky Drugs for Seniors

5% of this provider’s 804 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 7%.

More resources »

Opioids

4% of this provider’s 1,016 patients filled at least one prescription for an opioid, compared to an average of 6%.

More resources »

Brand Name Drugs

15% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$419 was the average price of a prescription from this provider, compared to $443 among peers.

Prescriptions per Patient

4 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

$582K

2012

$873K

2013

$1.56M

2014

$1.9M

2015

Number of Claims

3,634

2012

5,541

2013

5,554

2014

4,525

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
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

335

prescriptions, 7% of all prescriptions

310

prescriptions.

104

patients, 10% of all patients

1 1
GABAPENTIN

Treats certain types of sei... +

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

317

prescriptions, 7% of all prescriptions

209

prescriptions.

130

patients, 13% of all patients

2 2
PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

293

prescriptions, 6% of all prescriptions

261

prescriptions.

90

patients, 9% of all patients

3 7
LEVETIRACETAM

Used to help control certai... +

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

190

prescriptions, 4% of all prescriptions

103

prescriptions.

51

patients, 5% of all patients

4 3
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

160

prescriptions, 4% of all prescriptions

118

prescriptions.

69

patients, 7% of all patients

5 30
NAMENDA XR

Used to treat the symptoms ... +

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

157

prescriptions, 3% of all prescriptions

152

prescriptions.

43

patients, 4% of all patients

6 8
MELOXICAM

Treats symptoms of osteoart... +

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

157

prescriptions, 3% of all prescriptions

104

prescriptions.

77

patients, 8% of all patients

6 57
CITALOPRAM HBR

Citalopram is used to treat... +

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

156

prescriptions, 3% of all prescriptions

151

prescriptions.

64

patients, 6% of all patients

8 39
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

151

prescriptions, 3% of all prescriptions

134

prescriptions.

47

patients, 5% of all patients

9 16
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

145

prescriptions, 3% of all prescriptions

125

prescriptions.

42

patients, 4% of all patients

10 4
BACLOFEN

Treats muscle spasms caused... +

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

140

prescriptions, 3% of all prescriptions

88

prescriptions.

53

patients, 5% of all patients

11 11
TOPIRAMATE

Helps control and prevent c... +

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

112

prescriptions, 2% of all prescriptions

49

prescriptions.

51

patients, 5% of all patients

12 5
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

107

prescriptions, 2% of all prescriptions

102

prescriptions.

24

patients, 2% of all patients

13 10
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

86

prescriptions, 2% of all prescriptions

66

prescriptions.

22

patients, 2% of all patients

14 45
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

80

prescriptions, 2% of all prescriptions

60

prescriptions.

24

patients, 2% of all patients

15 23
CARBAMAZEPINE

Treats different types of s... +

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

76

prescriptions, 2% of all prescriptions

60

prescriptions.

26

patients, 3% of all patients

16 21
METHYLPREDNISOLONE

Treats asthma, allergic rea... +

Treats asthma, allergic reactions, inflammation, flare-ups of ongoing illnesses, and many other medical problems. Source: National Library of Medicine

71

prescriptions, 2% of all prescriptions

56

prescriptions.

66

patients, 6% of all patients

17 73
BUTALBITAL-ACETAMINOPHEN-CAFFE

This combination of drugs i... +

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

70

prescriptions, 2% of all prescriptions

39

prescriptions.

30

patients, 3% of all patients

R 18 38
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

67

prescriptions, 1% of all prescriptions

29

prescriptions.

38

patients, 4% of all patients

19 27
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

66

prescriptions, 1% of all prescriptions

61

prescriptions.

28

patients, 3% of all patients

20 26
LAMOTRIGINE

Treats certain types of sei... +

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

64

prescriptions, 1% of all prescriptions

46

prescriptions.

20

patients, 2% of all patients

21 6
AUBAGIO 60

prescriptions, 1% of all prescriptions

33

prescriptions.

<11 22 62
OMEPRAZOLE

Treats heartburn, stomach u... +

Treats heartburn, stomach ulcers, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid, such as Zollinger-Ellison syndrome, endocrine tumors, and systemic mastocytosis. Source: National Library of Medicine

58

prescriptions, 1% of all prescriptions

53

prescriptions.

28

patients, 3% of all patients

23 83
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

57

prescriptions, 1% of all prescriptions

40

prescriptions.

16

patients, 2% of all patients

24 12
RISPERIDONE

Treats schizophrenia and ce... +

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

56

prescriptions, 1% of all prescriptions

51

prescriptions.

16

patients, 2% of all patients

P 25 60
TRAMADOL HCL

Tramadol is used to relieve... +

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

56

prescriptions, 1% of all prescriptions

33

prescriptions.

31

patients, 3% of all patients

O 25 64
PYRIDOSTIGMINE BROMIDE 56

prescriptions, 1% of all prescriptions

43

prescriptions.

12

patients, 1% of all patients

25 49
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

52

prescriptions, 1% of all prescriptions

47

prescriptions.

15

patients, 1% of all patients

28 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?

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 [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected].

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 July 22, 2011.
  • 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.