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 »

14,740Medicare Part D Prescriptions Filled, Including Refills

Rank: 8 out of 369

$2.29M Total Retail Price of All Prescriptions

Rank: 6 out of 369

521 Patients Receiving at Least One Drug in Part D
24% Patients 65 Years and Older

95% 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 Missouri
lower than average

Antipsychotics

38% of this provider’s 126 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 36%.

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 126 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 17%.

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 *

27% of this provider’s prescriptions were for brand-name drugs, compared to an average of 14%. This is far more than peers.

* This is an estimate, see our methodology.

Prescription Price

$155 was the average price of a prescription from this provider, compared to $106 among peers.

Prescriptions per Patient

28 is the average number of prescriptions (including refills) per patient, compared to an average of 18.


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

$2.07M

2012

$1.8M

2013

$2.17M

2014

$2.29M

2015

Number of Claims

14,909

2012

16,313

2013

16,660

2014

14,740

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
ALPRAZOLAM

Treats anxiety, panic disor... +

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

1,243

prescriptions, 8% of all prescriptions

157

prescriptions.

115

patients, 22% of all patients

1 2
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

595

prescriptions, 4% of all prescriptions

159

prescriptions.

68

patients, 13% of all patients

2 15
CLONAZEPAM

Treats seizures, panic diso... +

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

555

prescriptions, 4% of all prescriptions

49

prescriptions.

74

patients, 14% of all patients

3 3
NAMENDA XR

Used to treat the symptoms ... +

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

540

prescriptions, 4% of all prescriptions

304

prescriptions.

64

patients, 12% of all patients

4 42
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

506

prescriptions, 3% of all prescriptions

12

prescriptions.

56

patients, 11% of all patients

P 5 23
BRINTELLIX 480

prescriptions, 3% of all prescriptions

78

prescriptions.

69

patients, 13% of all patients

10 6 52
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

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

479

prescriptions, 3% of all prescriptions

27

prescriptions.

62

patients, 12% of all patients

R 7 14
LAMOTRIGINE

Treats certain types of sei... +

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

455

prescriptions, 3% of all prescriptions

56

prescriptions.

52

patients, 10% of all patients

8 6
TRAZODONE HCL

Trazodone is used to treat ... +

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

418

prescriptions, 3% of all prescriptions

22

prescriptions.

60

patients, 12% of all patients

9 1
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

402

prescriptions, 3% of all prescriptions

31

prescriptions.

37

patients, 7% of all patients

P 10 4
TOPIRAMATE

Helps control and prevent c... +

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

401

prescriptions, 3% of all prescriptions

27

prescriptions.

54

patients, 10% of all patients

11 29
LORAZEPAM

Treats anxiety, anxiety wit... +

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

360

prescriptions, 2% of all prescriptions

83

prescriptions.

61

patients, 12% of all patients

12 7
DOXEPIN HCL

Doxepin is used to treat de... +

Doxepin is used to treat depression and anxiety. Source: National Library of Medicine

356

prescriptions, 2% of all prescriptions

18

prescriptions.

52

patients, 10% of all patients

R 13 45
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

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

351

prescriptions, 2% of all prescriptions

20

prescriptions.

44

patients, 8% of all patients

14 18
OLANZAPINE

Treats psychotic mental dis... +

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

342

prescriptions, 2% of all prescriptions

66

prescriptions.

39

patients, 7% of all patients

P 15 16
ABILIFY

Treats schizophrenia, bipol... +

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

337

prescriptions, 2% of all prescriptions

83

prescriptions.

62

patients, 12% of all patients

P 16 20
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

334

prescriptions, 2% of all prescriptions

204

prescriptions.

40

patients, 8% of all patients

17 41
INVEGA

Treats schizophrenia (a men... +

Treats schizophrenia (a mental disorder). Source: National Library of Medicine

315

prescriptions, 2% of all prescriptions

18

prescriptions.

30

patients, 6% of all patients

P 10 18 44
RISPERIDONE

Treats schizophrenia and ce... +

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

303

prescriptions, 2% of all prescriptions

31

prescriptions.

28

patients, 5% of all patients

P 19 9
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

283

prescriptions, 2% of all prescriptions

13

prescriptions.

57

patients, 11% of all patients

R 20 12
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

280

prescriptions, 2% of all prescriptions

40

prescriptions.

28

patients, 5% of all patients

21 5
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

259

prescriptions, 2% of all prescriptions

22

prescriptions.

24

patients, 5% of all patients

22 10
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

239

prescriptions, 2% of all prescriptions

58

prescriptions.

34

patients, 7% of all patients

23 17
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

224

prescriptions, 2% of all prescriptions

5

prescriptions.

32

patients, 6% of all patients

24 13
HALOPERIDOL*

Treats symptoms of mental a... +

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

221

prescriptions, 1% of all prescriptions

42

prescriptions.

42

patients, 8% of all patients

P 25 30
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

203

prescriptions, 1% of all prescriptions

55

prescriptions.

28

patients, 5% of all patients

26 8
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

174

prescriptions, 1% of all prescriptions

5

prescriptions.

20

patients, 4% of all patients

27 21
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

163

prescriptions, 1% of all prescriptions

45

prescriptions.

30

patients, 6% of all patients

28 19
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

152

prescriptions, 1% of all prescriptions

5

prescriptions.

28

patients, 5% of all patients

29 40
SAPHRIS 148

prescriptions, 1% of all prescriptions

0

prescriptions.

34

patients, 7% of all patients

P 30 66
INVEGA SUSTENNA

Used to treat the symptoms ... +

Used to treat the symptoms of schizophrenia. Source: National Library of Medicine

129

prescriptions, 1% of all prescriptions

5

prescriptions.

22

patients, 4% of all patients

P 31 37
CLOZAPINE

Treats schizophrenia. Also ... +

Treats schizophrenia. Source: National Library of Medicine

126

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 P 32 22
ARIPIPRAZOLE

Treats schizophrenia, bipol... +

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

125

prescriptions, 1% of all prescriptions

31

prescriptions.

28

patients, 5% of all patients

P 33 35
BUPROPION HCL

Bupropion (Aplenzin, Wellbu... +

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

121

prescriptions, 1% of all prescriptions

5

prescriptions.

22

patients, 4% of all patients

34 92
TEMAZEPAM

Treats insomnia (trouble sl... +

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

110

prescriptions, 1% of all prescriptions

15

prescriptions.

16

patients, 3% of all patients

35 38
CARBAMAZEPINE ER

Treats certain types of se... +

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

109

prescriptions, 1% of all prescriptions

0

prescriptions.

15

patients, 3% of all patients

36 70
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

108

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 37 33
DIAZEPAM

Treats anxiety, muscle spas... +

Treats anxiety, muscle spasms, seizures, and other medical conditions. Source: National Library of Medicine

106

prescriptions, 1% of all prescriptions

5

prescriptions.

14

patients, 3% of all patients

38 25
SEROQUEL XR

Treats schizophrenia and sy... +

Treats schizophrenia and symptoms of bipolar disorder (manic-depressive illness). Source: National Library of Medicine

105

prescriptions, 1% of all prescriptions

25

prescriptions.

16

patients, 3% of all patients

P 39 32
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

103

prescriptions, 1% of all prescriptions

72

prescriptions.

17

patients, 3% of all patients

40 59
MEDROXYPROGESTERONE ACETATE

Medroxyprogesterone is used... +

Medroxyprogesterone is used to treat abnormal menstruation (periods) or irregular vaginal bleeding. Source: National Library of Medicine

90

prescriptions, 1% of all prescriptions

40

prescriptions.

<11 41 85
RANITIDINE HCL

Ranitidine is used to treat... +

Ranitidine is used to treat ulcers; gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and injury of the food pipe (esophagus); and conditions where the stomach produces too much acid, such as Zollinger-Ellison syndrome. Source: National Library of Medicine

90

prescriptions, 1% of all prescriptions

16

prescriptions.

13

patients, 2% of all patients

41 82
CARBAMAZEPINE

Treats different types of s... +

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

85

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 43 48
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

84

prescriptions, 1% of all prescriptions

49

prescriptions.

12

patients, 2% of all patients

44 78
TRIHEXYPHENIDYL HCL

Trihexyphenidyl is used to ... +

Trihexyphenidyl is used to treat the symptoms of Parkinson's disease and tremors caused by other medical problems or drugs. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 R 45 47
NALTREXONE HCL 64

prescriptions, 0% of all prescriptions

5

prescriptions.

13

patients, 2% of all patients

46 76
PAROXETINE HCL

Paroxetine tablets, suspens... +

Paroxetine tablets, suspension (liquid), and extended-release (long-acting) tablets are used to treat depression, panic disorder (sudden, unexpected attacks of extreme fear and worry about these attacks), 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

60

prescriptions, 0% of all prescriptions

20

prescriptions.

14

patients, 3% of all patients

47 28
OLANZAPINE ODT 60

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 P 47 67
TEGRETOL XR 56

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 49 167
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

56

prescriptions, 0% of all prescriptions

13

prescriptions.

<11 49 73
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

55

prescriptions, 0% of all prescriptions

11

prescriptions.

<11 51 27
HALOPERIDOL DECANOATE 53

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 P 52 63
FLUVOXAMINE MALEATE

Fluvoxamine is used to trea... +

Fluvoxamine is used to treat obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over) 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

50

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 53 65
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 Aug. 20, 2015.
  • 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.