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 »

4,369Medicare Part D Prescriptions Filled, Including Refills

Rank: 61 out of 839

$1.07M Total Retail Price of All Prescriptions

Rank: 119 out of 839

533 Patients Receiving at Least One Drug in Part D
69% Patients 65 Years and Older

89% 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

5% of this provider’s 370 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 6%.

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 370 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 8%.

More resources »

Opioids

0% of this provider’s 533 patients filled at least one prescription for an opioid, compared to an average of 5%.

More resources »

Brand Name Drugs

22% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

Prescription Price

$244 was the average price of a prescription from this provider, compared to $330 among peers.

Prescriptions per Patient

8 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

$466K

2012

$665K

2013

$1.11M

2014

$1.07M

2015

Number of Claims

3,732

2012

3,948

2013

4,453

2014

4,369

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
LEVETIRACETAM

Used to help control certai... +

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

356

prescriptions, 8% of all prescriptions

122

prescriptions.

68

patients, 13% of all patients

1 4
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

317

prescriptions, 7% of all prescriptions

312

prescriptions.

70

patients, 13% of all patients

2 2
NAMENDA XR

Used to treat the symptoms ... +

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

274

prescriptions, 6% of all prescriptions

269

prescriptions.

41

patients, 8% of all patients

3 5
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

263

prescriptions, 6% of all prescriptions

234

prescriptions.

48

patients, 9% of all patients

4 1
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

252

prescriptions, 6% of all prescriptions

226

prescriptions.

62

patients, 12% of all patients

5 21
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

244

prescriptions, 6% of all prescriptions

117

prescriptions.

63

patients, 12% of all patients

R 6 35
GABAPENTIN

Treats certain types of sei... +

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

220

prescriptions, 5% of all prescriptions

167

prescriptions.

74

patients, 14% of all patients

7 3
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

169

prescriptions, 4% of all prescriptions

22

prescriptions.

19

patients, 4% of all patients

8 26
CARBAMAZEPINE

Treats different types of s... +

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

161

prescriptions, 4% of all prescriptions

38

prescriptions.

25

patients, 5% of all patients

9 29
TOPIRAMATE

Helps control and prevent c... +

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

147

prescriptions, 3% of all prescriptions

23

prescriptions.

31

patients, 6% of all patients

10 6
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

132

prescriptions, 3% of all prescriptions

127

prescriptions.

27

patients, 5% of all patients

11 8
PHENYTOIN SODIUM EXTENDED

Phenytoin is used to contro... +

Phenytoin is used to control certain type of seizures, and to treat and prevent seizures that may begin during or after surgery to the brain or nervous system. Source: National Library of Medicine

121

prescriptions, 3% of all prescriptions

68

prescriptions.

20

patients, 4% of all patients

12 24
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

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

110

prescriptions, 3% of all prescriptions

67

prescriptions.

21

patients, 4% of all patients

R 13 115
CLONAZEPAM

Treats seizures, panic diso... +

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

102

prescriptions, 2% of all prescriptions

56

prescriptions.

25

patients, 5% of all patients

14 9
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

98

prescriptions, 2% of all prescriptions

87

prescriptions.

21

patients, 4% of all patients

15 27
BOTOX 91

prescriptions, 2% of all prescriptions

58

prescriptions.

34

patients, 6% of all patients

10 16 181
LAMOTRIGINE

Treats certain types of sei... +

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

84

prescriptions, 2% of all prescriptions

25

prescriptions.

15

patients, 3% of all patients

17 7
CLOPIDOGREL

Helps prevent stroke, heart... +

Helps prevent stroke, heart attack, and other heart problems. Source: National Library of Medicine

83

prescriptions, 2% of all prescriptions

62

prescriptions.

14

patients, 3% of all patients

18 20
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

83

prescriptions, 2% of all prescriptions

54

prescriptions.

19

patients, 4% of all patients

18 41
PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

72

prescriptions, 2% of all prescriptions

41

prescriptions.

18

patients, 3% of all patients

20 13
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

66

prescriptions, 2% of all prescriptions

54

prescriptions.

23

patients, 4% of all patients

P 21 10
DILANTIN*

Treats seizures. This medic... +

Treats seizures. Source: National Library of Medicine

65

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 22 90
NEUPRO 55

prescriptions, 1% of all prescriptions

41

prescriptions.

12

patients, 2% of all patients

23 52
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 Oct. 6, 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.