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 »

11,020Medicare Part D Prescriptions Filled, Including Refills

Rank: 19 out of 369

$1.54M Total Retail Price of All Prescriptions

Rank: 16 out of 369

939 Patients Receiving at Least One Drug in Part D
77% Patients 65 Years and Older

59% 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

22% of this provider’s 726 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

4% of this provider’s 726 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 *

32% 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

$139 was the average price of a prescription from this provider, compared to $106 among peers.

Prescriptions per Patient

12 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

$960K

2012

$1.27M

2013

$1.57M

2014

$1.54M

2015

Number of Claims

5,861

2012

8,531

2013

10,338

2014

11,020

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
NAMENDA XR

Used to treat the symptoms ... +

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

726

prescriptions, 7% of all prescriptions

669

prescriptions.

108

patients, 12% of all patients

1 42
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

705

prescriptions, 6% of all prescriptions

592

prescriptions.

145

patients, 15% of all patients

2 15
NUEDEXTA

Used to treat pseudobulbar ... +

Used to treat pseudobulbar affect (PBA; a condition of sudden, frequent outbursts of crying or laughing that can not be controlled) in people with certain conditions such as amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease; condition in which the nerves that control muscle movement slowly die, causing the muscles to shrink and weaken) or multiple sclerosis (a disease in which the nerves do not function properly and patients may experience weakness, numbness, loss of muscle coordination and problems with vision, speech, and bladder control). Source: National Library of Medicine

667

prescriptions, 6% of all prescriptions

570

prescriptions.

69

patients, 7% of all patients

3 56
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

624

prescriptions, 6% of all prescriptions

466

prescriptions.

100

patients, 11% of all patients

4 5
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

540

prescriptions, 5% of all prescriptions

438

prescriptions.

94

patients, 10% of all patients

5 17
ALPRAZOLAM

Treats anxiety, panic disor... +

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

512

prescriptions, 5% of all prescriptions

376

prescriptions.

88

patients, 9% of all patients

6 2
CLONAZEPAM

Treats seizures, panic diso... +

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

507

prescriptions, 5% of all prescriptions

206

prescriptions.

62

patients, 7% of all patients

7 3
LORAZEPAM

Treats anxiety, anxiety wit... +

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

501

prescriptions, 5% of all prescriptions

390

prescriptions.

108

patients, 12% of all patients

8 7
TRAZODONE HCL

Trazodone is used to treat ... +

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

492

prescriptions, 4% of all prescriptions

323

prescriptions.

91

patients, 10% 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

410

prescriptions, 4% of all prescriptions

247

prescriptions.

65

patients, 7% of all patients

P 10 4
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

397

prescriptions, 4% of all prescriptions

301

prescriptions.

68

patients, 7% of all patients

11 19
OLANZAPINE

Treats psychotic mental dis... +

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

339

prescriptions, 3% of all prescriptions

200

prescriptions.

50

patients, 5% of all patients

P 12 16
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

327

prescriptions, 3% of all prescriptions

189

prescriptions.

54

patients, 6% of all patients

P 13 23
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

286

prescriptions, 3% of all prescriptions

269

prescriptions.

65

patients, 7% of all patients

14 78
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

246

prescriptions, 2% of all prescriptions

234

prescriptions.

44

patients, 5% of all patients

15 59
CITALOPRAM HBR

Citalopram is used to treat... +

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

155

prescriptions, 1% of all prescriptions

83

prescriptions.

36

patients, 4% of all patients

16 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

151

prescriptions, 1% of all prescriptions

71

prescriptions.

25

patients, 3% of all patients

R 17 12
RISPERIDONE

Treats schizophrenia and ce... +

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

149

prescriptions, 1% of all prescriptions

69

prescriptions.

24

patients, 3% of all patients

P 18 9
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

146

prescriptions, 1% of all prescriptions

42

prescriptions.

26

patients, 3% of all patients

19 10
LAMOTRIGINE

Treats certain types of sei... +

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

145

prescriptions, 1% of all prescriptions

69

prescriptions.

24

patients, 3% of all patients

20 6
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

145

prescriptions, 1% of all prescriptions

91

prescriptions.

30

patients, 3% of all patients

20 8
ABILIFY

Treats schizophrenia, bipol... +

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

142

prescriptions, 1% of all prescriptions

80

prescriptions.

23

patients, 2% of all patients

P 22 20
FETZIMA 131

prescriptions, 1% of all prescriptions

65

prescriptions.

18

patients, 2% of all patients

10 23 72
VIIBRYD

Used to treat depression in... +

Used to treat depression in adults. Source: National Library of Medicine

129

prescriptions, 1% of all prescriptions

99

prescriptions.

20

patients, 2% of all patients

24 53
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

126

prescriptions, 1% of all prescriptions

69

prescriptions.

23

patients, 2% of all patients

25 21
NAMZARIC 125

prescriptions, 1% of all prescriptions

112

prescriptions.

27

patients, 3% of all patients

10 26 135
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

122

prescriptions, 1% of all prescriptions

75

prescriptions.

19

patients, 2% of all patients

27 33
DEXTROAMPHETAMINE-AMPHETAMINE

The combination is used as ... +

The combination is used as part of a treatment program to control symptoms of attention deficit hyperactivity disorder (ADHD) in adults and children. Source: National Library of Medicine

106

prescriptions, 1% of all prescriptions

48

prescriptions.

14

patients, 1% of all patients

28 34
DIAZEPAM

Treats anxiety, muscle spas... +

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

103

prescriptions, 1% of all prescriptions

48

prescriptions.

18

patients, 2% of all patients

29 25
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

103

prescriptions, 1% of all prescriptions

86

prescriptions.

20

patients, 2% of all patients

29 13
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

97

prescriptions, 1% of all prescriptions

92

prescriptions.

27

patients, 3% of all patients

31 41
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

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

94

prescriptions, 1% of all prescriptions

60

prescriptions.

18

patients, 2% of all patients

32 18
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

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

85

prescriptions, 1% of all prescriptions

26

prescriptions.

13

patients, 1% of all patients

R 33 14
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

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

76

prescriptions, 1% of all prescriptions

48

prescriptions.

14

patients, 1% of all patients

34 24
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

73

prescriptions, 1% of all prescriptions

43

prescriptions.

16

patients, 2% of all patients

35 27
BRINTELLIX 67

prescriptions, 1% of all prescriptions

62

prescriptions.

14

patients, 1% of all patients

36 52
ARIPIPRAZOLE

Treats schizophrenia, bipol... +

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

59

prescriptions, 1% of all prescriptions

48

prescriptions.

17

patients, 2% of all patients

P 37 35
SEROQUEL XR

Treats schizophrenia and sy... +

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

59

prescriptions, 1% of all prescriptions

34

prescriptions.

12

patients, 1% of all patients

P 37 32
METHYLPHENIDATE HCL

Methylphenidate is used as ... +

Methylphenidate is used as part of a treatment program to control symptoms of attention deficit hyperactivity disorder (ADHD; more difficulty focusing, controlling actions, and remaining still or quiet than other people who are the same age) in adults and children. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 39 57
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 Sept. 13, 2012.
  • 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.