Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Child Adolescent Psychiatry

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

11,636Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 50

$1.64M Total Retail Price of All Prescriptions

Rank: 1 out of 50

550 Patients Receiving at Least One Drug in Part D
10% Patients 65 Years and Older

99% 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

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.

27 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

0% of this provider’s 550 patients filled at least one prescription for an opioid, compared to an average of 3%.

More resources »

Brand Name Drugs

12% of this provider’s prescriptions were for brand-name drugs, compared to an average of 15%.

Prescription Price

$141 was the average price of a prescription from this provider, compared to $119 among peers.

Prescriptions per Patient

21 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

$1.67M

2012

$1.42M

2013

$1.52M

2014

$1.64M

2015

Number of Claims

9,665

2012

10,563

2013

10,330

2014

11,636

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
RISPERIDONE

Treats schizophrenia and ce... +

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

1,041

prescriptions, 9% of all prescriptions

57

prescriptions.

111

patients, 20% of all patients

P 1 3
OLANZAPINE

Treats psychotic mental dis... +

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

833

prescriptions, 7% of all prescriptions

47

prescriptions.

82

patients, 15% of all patients

P 2 5
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

760

prescriptions, 7% of all prescriptions

57

prescriptions.

77

patients, 14% of all patients

P 3 4
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

757

prescriptions, 7% of all prescriptions

65

prescriptions.

82

patients, 15% of all patients

4 6
LORAZEPAM

Treats anxiety, anxiety wit... +

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

721

prescriptions, 6% of all prescriptions

55

prescriptions.

85

patients, 15% of all patients

5 10
CLONAZEPAM

Treats seizures, panic diso... +

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

615

prescriptions, 5% of all prescriptions

68

prescriptions.

78

patients, 14% of all patients

6 1
ABILIFY

Treats schizophrenia, bipol... +

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

600

prescriptions, 5% of all prescriptions

48

prescriptions.

88

patients, 16% of all patients

P 7 14
TRAZODONE HCL

Trazodone is used to treat ... +

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

589

prescriptions, 5% of all prescriptions

34

prescriptions.

85

patients, 15% of all patients

8 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

589

prescriptions, 5% of all prescriptions

76

prescriptions.

67

patients, 12% of all patients

8 7
TOPIRAMATE

Helps control and prevent c... +

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

517

prescriptions, 4% of all prescriptions

12

prescriptions.

53

patients, 10% of all patients

10 21
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

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

398

prescriptions, 3% of all prescriptions

15

prescriptions.

45

patients, 8% of all patients

R 11 8
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

392

prescriptions, 3% of all prescriptions

0

prescriptions.

45

patients, 8% of all patients

12 11
ARIPIPRAZOLE

Treats schizophrenia, bipol... +

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

219

prescriptions, 2% of all prescriptions

40

prescriptions.

46

patients, 8% of all patients

P 13 24
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

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

197

prescriptions, 2% of all prescriptions

0

prescriptions.

26

patients, 5% of all patients

14 15
CITALOPRAM HBR

Citalopram is used to treat... +

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

190

prescriptions, 2% of all prescriptions

42

prescriptions.

28

patients, 5% of all patients

15 22
CHLORPROMAZINE HCL

Chlorpromazine is used to t... +

Chlorpromazine 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) and other psychotic disorders (conditions that cause difficulty telling the difference between things or ideas that are real and things or ideas that are not real) and to treat the symptoms of mania (frenzied, abnormally excited mood) in people who have bipolar disorder (manic depressive disorder; a condition that causes episodes of mania, episodes of depression, and other abnormal moods). Source: National Library of Medicine

153

prescriptions, 1% of all prescriptions

0

prescriptions.

14

patients, 3% of all patients

P 16 40
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

149

prescriptions, 1% of all prescriptions

24

prescriptions.

19

patients, 3% of all patients

17 16
CLONIDINE HCL

Clonidine is used alone or ... +

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

148

prescriptions, 1% of all prescriptions

0

prescriptions.

18

patients, 3% of all patients

18 42
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

133

prescriptions, 1% of all prescriptions

11

prescriptions.

16

patients, 3% of all patients

19 25
OXCARBAZEPINE

Used alone or together with... +

Used alone or together with other medicines to treat seizures caused by epilepsy in adults and children 2 years of age and older. Source: National Library of Medicine

130

prescriptions, 1% of all prescriptions

5

prescriptions.

15

patients, 3% of all patients

20 27
CLOZAPINE

Treats schizophrenia. Also ... +

Treats schizophrenia. Source: National Library of Medicine

127

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 P 21 26
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

115

prescriptions, 1% of all prescriptions

5

prescriptions.

16

patients, 3% of all patients

22 18
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

110

prescriptions, 1% of all prescriptions

12

prescriptions.

12

patients, 2% of all patients

23 29
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

104

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 P 24 19
OLANZAPINE ODT 103

prescriptions, 1% of all prescriptions

31

prescriptions.

<11 P 25 47
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

99

prescriptions, 1% of all prescriptions

0

prescriptions.

13

patients, 2% of all patients

26 34
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

94

prescriptions, 1% of all prescriptions

5

prescriptions.

12

patients, 2% of all patients

27 31
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

92

prescriptions, 1% of all prescriptions

12

prescriptions.

<11 28 38
HALOPERIDOL*

Treats symptoms of mental a... +

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

91

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 P 29 32
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

85

prescriptions, 1% of all prescriptions

12

prescriptions.

<11 30 20
CARBAMAZEPINE

Treats different types of s... +

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

82

prescriptions, 1% of all prescriptions

0

prescriptions.

13

patients, 2% of all patients

31 43
ALPRAZOLAM

Treats anxiety, panic disor... +

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

77

prescriptions, 1% of all prescriptions

5

prescriptions.

13

patients, 2% of all patients

32 9
HALOPERIDOL DECANOATE 73

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 P 33 57
LITHIUM CARBONATE ER

Lithium is used to treat th... +

Lithium is used to treat the manic episodes of bipolar disorder. Source: National Library of Medicine

65

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 34 30
SEROQUEL XR

Treats schizophrenia and sy... +

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

61

prescriptions, 1% of all prescriptions

0

prescriptions.

13

patients, 2% of all patients

P 35 28
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

53

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 36 12
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 July 8, 2007.
  • 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.