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 »

5,717Medicare Part D Prescriptions Filled, Including Refills

Rank: 75 out of 759

$421K Total Retail Price of All Prescriptions

Rank: 168 out of 759

569 Patients Receiving at Least One Drug in Part D
64% Patients 65 Years and Older

90% 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

35% of this provider’s 365 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 43%.

More resources »

Antibiotics

0% of this provider’s 569 patients filled at least one prescription for an antibiotic drug, compared to an average of 2%.

More resources »

Risky Drugs for Seniors

9% of this provider’s 365 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

12% of this provider’s prescriptions were for brand-name drugs, compared to an average of 14%.

Prescription Price

$74 was the average price of a prescription from this provider, compared to $114 among peers.

Prescriptions per Patient

10 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

$1.1M

2012

$904K

2013

$596K

2014

$421K

2015

Number of Claims

7,939

2012

9,591

2013

6,386

2014

5,717

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
LORAZEPAM

Treats anxiety, anxiety wit... +

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

723

prescriptions, 13% of all prescriptions

478

prescriptions.

185

patients, 33% of all patients

1 10
TRAZODONE HCL

Trazodone is used to treat ... +

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

626

prescriptions, 11% of all prescriptions

358

prescriptions.

163

patients, 29% of all patients

2 2
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

391

prescriptions, 7% of all prescriptions

248

prescriptions.

86

patients, 15% of all patients

P 3 3
CLONAZEPAM

Treats seizures, panic diso... +

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

350

prescriptions, 6% of all prescriptions

137

prescriptions.

71

patients, 12% of all patients

4 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

282

prescriptions, 5% of all prescriptions

208

prescriptions.

43

patients, 8% of all patients

5 6
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

280

prescriptions, 5% of all prescriptions

169

prescriptions.

43

patients, 8% of all patients

6 13
RISPERIDONE

Treats schizophrenia and ce... +

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

251

prescriptions, 4% of all prescriptions

129

prescriptions.

51

patients, 9% of all patients

P 7 5
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

240

prescriptions, 4% of all prescriptions

204

prescriptions.

55

patients, 10% of all patients

8 16
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

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

207

prescriptions, 4% of all prescriptions

37

prescriptions.

40

patients, 7% of all patients

R 9 9
CITALOPRAM HBR

Citalopram is used to treat... +

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

203

prescriptions, 4% of all prescriptions

134

prescriptions.

39

patients, 7% of all patients

10 17
OLANZAPINE

Treats psychotic mental dis... +

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

164

prescriptions, 3% of all prescriptions

94

prescriptions.

30

patients, 5% of all patients

P 11 11
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

156

prescriptions, 3% of all prescriptions

50

prescriptions.

32

patients, 6% of all patients

R 12 8
HALOPERIDOL*

Treats symptoms of mental a... +

Treats symptoms of mental and emotional disorders. Source: National Library of Medicine

135

prescriptions, 2% of all prescriptions

28

prescriptions.

22

patients, 4% of all patients

P 13 33
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

133

prescriptions, 2% of all prescriptions

69

prescriptions.

24

patients, 4% of all patients

14 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

60

prescriptions.

26

patients, 5% of all patients

15 20
ALPRAZOLAM

Treats anxiety, panic disor... +

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

111

prescriptions, 2% of all prescriptions

87

prescriptions.

25

patients, 4% of all patients

16 4
ABILIFY

Treats schizophrenia, bipol... +

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

99

prescriptions, 2% of all prescriptions

15

prescriptions.

18

patients, 3% of all patients

P 17 21
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

94

prescriptions, 2% of all prescriptions

24

prescriptions.

12

patients, 2% of all patients

P 18 34
HYDROXYZINE PAMOATE

Treats anxiety, tension, ne... +

Treats anxiety, tension, nervousness, nausea, vomiting, allergies, skin rash, hives, and itching. Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

5

prescriptions.

26

patients, 5% of all patients

R 19 45
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

74

prescriptions, 1% of all prescriptions

33

prescriptions.

11

patients, 2% of all patients

20 19
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

58

prescriptions, 1% of all prescriptions

25

prescriptions.

12

patients, 2% of all patients

21 24
TEMAZEPAM

Treats insomnia (trouble sl... +

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

55

prescriptions, 1% of all prescriptions

15

prescriptions.

14

patients, 2% of all patients

22 31
ZIPRASIDONE HCL

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

53

prescriptions, 1% of all prescriptions

11

prescriptions.

<11 P 23 23
CLOZAPINE

Treats schizophrenia. Also ... +

Treats schizophrenia. Source: National Library of Medicine

50

prescriptions, 1% of all prescriptions

13

prescriptions.

<11 P 24 41
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 June 12, 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.