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 »

3,103Medicare Part D Prescriptions Filled, Including Refills

Rank: 4 out of 23

$277K Total Retail Price of All Prescriptions

Rank: 8 out of 23

160 Patients Receiving at Least One Drug in Part D
35% Patients 65 Years and Older

82% 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 Wyoming
lower than average

Antipsychotics

Comparisons are not shown because there are not enough providers in this specialty and state that prescribe these drugs, and because this provider has fewer than 100 patients who are 65 and older.

17 of this provider’s 56 patients who are 65 and older filled at least one prescription for an antipsychotic drug.

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

This provider prescribed potentially inappropriate drugs 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 »

Opioids

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

0 of this provider’s 160 patients filled at least one prescription for an opioid

More resources »

Brand Name Drugs *

10% of this provider’s prescriptions were for brand-name drugs, compared to an average of 14%.

* This is an estimate, see our methodology.

Prescription Price

$89 was the average price of a prescription from this provider, compared to $120 among peers.

Prescriptions per Patient

19 is the average number of prescriptions (including refills) per patient, compared to an average of 19.


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 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
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

191

prescriptions, 6% of all prescriptions

12

prescriptions.

29

patients, 18% of all patients

P 1 1
OLANZAPINE

Treats psychotic mental dis... +

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

171

prescriptions, 6% of all prescriptions

28

prescriptions.

19

patients, 12% of all patients

P 2 2
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

152

prescriptions, 5% of all prescriptions

50

prescriptions.

35

patients, 22% of all patients

3 12
LORAZEPAM

Treats anxiety, anxiety wit... +

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

146

prescriptions, 5% of all prescriptions

47

prescriptions.

24

patients, 15% of all patients

4 11
RISPERIDONE

Treats schizophrenia and ce... +

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

125

prescriptions, 4% of all prescriptions

0

prescriptions.

13

patients, 8% of all patients

P 5 7
LAMOTRIGINE

Treats certain types of sei... +

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

124

prescriptions, 4% of all prescriptions

13

prescriptions.

19

patients, 12% of all patients

6 5
TRAZODONE HCL

Trazodone is used to treat ... +

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

124

prescriptions, 4% of all prescriptions

26

prescriptions.

29

patients, 18% of all patients

6 6
GABAPENTIN

Treats certain types of sei... +

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

124

prescriptions, 4% of all prescriptions

46

prescriptions.

32

patients, 20% of all patients

6 15
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

107

prescriptions, 3% of all prescriptions

5

prescriptions.

17

patients, 11% of all patients

9 4
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

97

prescriptions, 3% of all prescriptions

23

prescriptions.

12

patients, 8% of all patients

10 17
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

93

prescriptions, 3% of all prescriptions

5

prescriptions.

19

patients, 12% of all patients

P 11 32
VENLAFAXINE HCL

Venlafaxine is used to trea... +

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

89

prescriptions, 3% of all prescriptions

18

prescriptions.

17

patients, 11% of all patients

12 33
CLONAZEPAM

Treats seizures, panic diso... +

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

71

prescriptions, 2% of all prescriptions

5

prescriptions.

17

patients, 11% of all patients

13 3
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

69

prescriptions, 2% of all prescriptions

13

prescriptions.

14

patients, 9% of all patients

14 14
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

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

69

prescriptions, 2% of all prescriptions

12

prescriptions.

<11 R 14 13
PRAZOSIN HCL

Prazosin is used alone or i... +

Prazosin is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

66

prescriptions, 2% of all prescriptions

24

prescriptions.

15

patients, 9% of all patients

16 41
CITALOPRAM HBR

Citalopram is used to treat... +

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

63

prescriptions, 2% of all prescriptions

22

prescriptions.

11

patients, 7% of all patients

17 19
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

63

prescriptions, 2% of all prescriptions

18

prescriptions.

15

patients, 9% of all patients

17 42
ABILIFY

Treats schizophrenia, bipol... +

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

62

prescriptions, 2% of all prescriptions

18

prescriptions.

16

patients, 10% of all patients

P 19 8
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

62

prescriptions, 2% of all prescriptions

40

prescriptions.

18

patients, 11% of all patients

19 18
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

60

prescriptions, 2% of all prescriptions

31

prescriptions.

<11 21 10
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

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

56

prescriptions, 2% of all prescriptions

21

prescriptions.

19

patients, 12% of all patients

22 21
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

52

prescriptions, 2% of all prescriptions

28

prescriptions.

<11 23 52
LITHIUM CARBONATE

Lithium is used to treat an... +

Lithium is used to treat and prevent episodes of mania (frenzied, abnormally excited mood) in people with bipolar disorder (manic-depressive disorder; a disease that causes episodes of depression, episodes of mania, and other abnormal moods). Source: National Library of Medicine

50

prescriptions, 2% of all prescriptions

5

prescriptions.

13

patients, 8% of all patients

24 54
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 Sept. 29, 2014.
  • 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.