Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

ROBERT GILBERT M.D.

At A Glance: This Prescriber in 2015

Neurology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

4,548Medicare Part D Prescriptions Filled, Including Refills

Rank: 37 out of 204

$2.7M Total Retail Price of All Prescriptions

Rank: 7 out of 204

465 Patients Receiving at Least One Drug in Part D
73% 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 Georgia
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

12% of this provider’s 339 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

14% of this provider’s 465 patients filled at least one prescription for an opioid, compared to an average of 9%.

More resources »

Brand Name Drugs

29% of this provider’s prescriptions were for brand-name drugs, compared to an average of 18%.

Prescription Price

$595 was the average price of a prescription from this provider, compared to $277 among peers.

Prescriptions per Patient

10 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

$1.1M

2012

$1.54M

2013

$2.62M

2014

$2.7M

2015

Number of Claims

3,375

2012

3,951

2013

4,318

2014

4,548

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
TOPIRAMATE

Helps control and prevent c... +

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

211

prescriptions, 5% of all prescriptions

160

prescriptions.

55

patients, 12% of all patients

1 5
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

196

prescriptions, 4% of all prescriptions

126

prescriptions.

41

patients, 9% of all patients

2 39
NAMENDA XR

Used to treat the symptoms ... +

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

195

prescriptions, 4% of all prescriptions

190

prescriptions.

37

patients, 8% of all patients

3 6
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

179

prescriptions, 4% of all prescriptions

174

prescriptions.

44

patients, 9% of all patients

4 2
AZILECT

Used alone or together with... +

Used alone or together with levodopa for the treatment of Parkinson's disease. Source: National Library of Medicine

165

prescriptions, 4% of all prescriptions

165

prescriptions.

29

patients, 6% of all patients

5 40
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

159

prescriptions, 3% of all prescriptions

116

prescriptions.

47

patients, 10% of all patients

6 15
GABAPENTIN

Treats certain types of sei... +

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

154

prescriptions, 3% of all prescriptions

95

prescriptions.

36

patients, 8% of all patients

7 1
CLONAZEPAM

Treats seizures, panic diso... +

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

131

prescriptions, 3% of all prescriptions

74

prescriptions.

23

patients, 5% of all patients

8 7
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

115

prescriptions, 3% of all prescriptions

115

prescriptions.

25

patients, 5% of all patients

9 4
LAMOTRIGINE

Treats certain types of sei... +

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

114

prescriptions, 3% of all prescriptions

62

prescriptions.

18

patients, 4% of all patients

10 10
AUBAGIO 109

prescriptions, 2% of all prescriptions

34

prescriptions.

19

patients, 4% of all patients

11 56
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

106

prescriptions, 2% of all prescriptions

68

prescriptions.

16

patients, 3% of all patients

12 11
PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

100

prescriptions, 2% of all prescriptions

95

prescriptions.

20

patients, 4% of all patients

13 8
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

86

prescriptions, 2% of all prescriptions

70

prescriptions.

21

patients, 5% of all patients

R 14 14
COPAXONE

This is used to reduce the ... +

This is used to reduce the frequency of relapses (flare-ups) in patients with relapsing-remitting multiple sclerosis (RMMS). Source: National Library of Medicine

82

prescriptions, 2% of all prescriptions

49

prescriptions.

<11 15 43
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

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

79

prescriptions, 2% of all prescriptions

62

prescriptions.

21

patients, 5% of all patients

16 64
TRAMADOL HCL

Tramadol is used to relieve... +

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

77

prescriptions, 2% of all prescriptions

46

prescriptions.

20

patients, 4% of all patients

O 17 22
BACLOFEN

Treats muscle spasms caused... +

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

73

prescriptions, 2% of all prescriptions

17

prescriptions.

23

patients, 5% of all patients

18 12
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

68

prescriptions, 1% of all prescriptions

37

prescriptions.

38

patients, 8% of all patients

O 19 9
PROPRANOLOL HCL ER

Propranolol is used to trea... +

Propranolol is used to treat high blood pressure, irregular heart rhythms, pheochromocytoma (tumor on a small gland near the kidneys), certain types of tremor, and hypertrophic subaortic stenosis (a heart muscle disease). Source: National Library of Medicine

65

prescriptions, 1% of all prescriptions

60

prescriptions.

14

patients, 3% of all patients

20 45
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

65

prescriptions, 1% of all prescriptions

45

prescriptions.

14

patients, 3% of all patients

20 27
AMPYRA 57

prescriptions, 1% of all prescriptions

22

prescriptions.

<11 22 86
TECFIDERA 56

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 23 32
NARATRIPTAN HCL 54

prescriptions, 1% of all prescriptions

43

prescriptions.

13

patients, 3% of all patients

24 161
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

51

prescriptions, 1% of all prescriptions

46

prescriptions.

<11 25 61
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 May 7, 2010.
  • 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.