Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Neurology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

16,581Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 839

$1.05M Total Retail Price of All Prescriptions

Rank: 126 out of 839

912 Patients Receiving at Least One Drug in Part D
71% 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 California
lower than average

Antipsychotics

6% of this provider’s 650 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 6%.

More resources »

Antibiotics

2% of this provider’s 912 patients filled at least one prescription for an antibiotic drug, compared to an average of 2%.

More resources »

Risky Drugs for Seniors

19% of this provider’s 650 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 8%.

More resources »

Opioids

42% of this provider’s 912 patients filled at least one prescription for an opioid, compared to an average of 5%.

More resources »

Brand Name Drugs

10% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

Prescription Price

$63 was the average price of a prescription from this provider, compared to $330 among peers.

Prescriptions per Patient

18 is the average number of prescriptions (including refills) per patient, compared to an average of 8.


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

$1.15M

2013

$1.15M

2014

$1.05M

2015

Number of Claims

14,978

2012

18,442

2013

18,377

2014

16,581

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
MELOXICAM

Treats symptoms of osteoart... +

Treats symptoms of osteoarthritis (OA). Source: National Library of Medicine

1,600

prescriptions, 10% of all prescriptions

1,153

prescriptions.

429

patients, 47% of all patients

10 1 47
GABAPENTIN

Treats certain types of sei... +

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

1,399

prescriptions, 8% of all prescriptions

922

prescriptions.

343

patients, 38% of all patients

2 3
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

Used to relieve moderate to severe pain. Source: National Library of Medicine

1,034

prescriptions, 6% of all prescriptions

471

prescriptions.

211

patients, 23% of all patients

O 3 16
CLOPIDOGREL

Helps prevent stroke, heart... +

Helps prevent stroke, heart attack, and other heart problems. Source: National Library of Medicine

989

prescriptions, 6% of all prescriptions

891

prescriptions.

231

patients, 25% of all patients

4 20
BACLOFEN

Treats muscle spasms caused... +

Treats muscle spasms caused by multiple sclerosis and spinal cord injury or disease. Source: National Library of Medicine

888

prescriptions, 5% of all prescriptions

642

prescriptions.

232

patients, 25% of all patients

5 18
CLONAZEPAM

Treats seizures, panic diso... +

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

521

prescriptions, 3% of all prescriptions

242

prescriptions.

119

patients, 13% of all patients

6 9
CARISOPRODOL

Treats pain and stiffness o... +

Treats pain and stiffness of muscle spasms. Source: National Library of Medicine

443

prescriptions, 3% of all prescriptions

89

prescriptions.

71

patients, 8% of all patients

R 7 63
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

385

prescriptions, 2% of all prescriptions

136

prescriptions.

114

patients, 13% of all patients

R 8 44
ALPRAZOLAM

Treats anxiety, panic disor... +

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

353

prescriptions, 2% of all prescriptions

174

prescriptions.

78

patients, 9% of all patients

9 36
TRAMADOL HCL

Tramadol is used to relieve... +

Tramadol is used to relieve moderate to moderately severe pain. Source: National Library of Medicine

286

prescriptions, 2% of all prescriptions

224

prescriptions.

98

patients, 11% of all patients

O 10 43
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

This combination of drugs is used to relieve mild to moderate pain. Source: National Library of Medicine

281

prescriptions, 2% of all prescriptions

182

prescriptions.

69

patients, 8% of all patients

O 11 80
PHENYTOIN SODIUM EXTENDED

Phenytoin is used to contro... +

Phenytoin is used to control certain type of seizures, and to treat and prevent seizures that may begin during or after surgery to the brain or nervous system. Source: National Library of Medicine

277

prescriptions, 2% of all prescriptions

140

prescriptions.

44

patients, 5% of all patients

12 24
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

258

prescriptions, 2% of all prescriptions

258

prescriptions.

47

patients, 5% of all patients

13 2
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

235

prescriptions, 1% of all prescriptions

205

prescriptions.

43

patients, 5% of all patients

14 19
LEVETIRACETAM

Used to help control certai... +

Used to help control certain types of seizures caused by epilepsy. Source: National Library of Medicine

213

prescriptions, 1% of all prescriptions

129

prescriptions.

45

patients, 5% of all patients

15 4
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

204

prescriptions, 1% of all prescriptions

167

prescriptions.

38

patients, 4% of all patients

P 16 10
SIMVASTATIN

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels in the blood. Source: National Library of Medicine

203

prescriptions, 1% of all prescriptions

187

prescriptions.

38

patients, 4% of all patients

17 87
MECLIZINE HCL

Meclizine is used to preven... +

Meclizine is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. Source: National Library of Medicine

194

prescriptions, 1% of all prescriptions

147

prescriptions.

56

patients, 6% of all patients

18 101
CARBIDOPA-LEVODOPA

The combination of levodopa... +

The combination of levodopa and carbidopa is used to treat the symptoms of Parkinson's disease and Parkinson's-like symptoms that may develop after encephalitis (swelling of the brain) or injury to the nervous system caused by carbon monoxide poisoning or manganese poisoning. Source: National Library of Medicine

177

prescriptions, 1% of all prescriptions

158

prescriptions.

27

patients, 3% of all patients

19 1
NAMENDA XR

Used to treat the symptoms ... +

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

177

prescriptions, 1% of all prescriptions

172

prescriptions.

39

patients, 4% of all patients

19 5
PHENOBARBITAL

Used to control seizures. P... +

Used to control seizures. Source: National Library of Medicine

168

prescriptions, 1% of all prescriptions

65

prescriptions.

26

patients, 3% of all patients

R 21 50
TEMAZEPAM

Treats insomnia (trouble sl... +

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

167

prescriptions, 1% of all prescriptions

107

prescriptions.

29

patients, 3% of all patients

22 84
LYRICA

Treats nerve and muscle pai... +

Treats nerve and muscle pain caused by diabetes, shingles, fibromyalgia, or a spinal cord injury. Source: National Library of Medicine

153

prescriptions, 1% of all prescriptions

60

prescriptions.

39

patients, 4% of all patients

23 17
AMLODIPINE BESYLATE

Amlodipine is used alone or... +

Amlodipine is used alone or in combination with other medications to treat high blood pressure and chest pain (angina). Source: National Library of Medicine

148

prescriptions, 1% of all prescriptions

132

prescriptions.

24

patients, 3% of all patients

24 74
CYCLOBENZAPRINE HCL

Cyclobenzaprine, a muscle r... +

Cyclobenzaprine, a muscle relaxant, is used with rest, physical therapy, and other measures to relax muscles and relieve pain and discomfort caused by strains, sprains, and other muscle injuries. Source: National Library of Medicine

144

prescriptions, 1% of all prescriptions

32

prescriptions.

42

patients, 5% of all patients

R 25 82
LORAZEPAM

Treats anxiety, anxiety wit... +

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

142

prescriptions, 1% of all prescriptions

74

prescriptions.

38

patients, 4% of all patients

26 33
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

136

prescriptions, 1% of all prescriptions

120

prescriptions.

39

patients, 4% of all patients

27 14
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels. Source: National Library of Medicine

136

prescriptions, 1% of all prescriptions

118

prescriptions.

40

patients, 4% of all patients

27 48
HYDROMORPHONE HCL*

Used to relieve moderate to... +

Used to relieve moderate to severe pain. Source: National Library of Medicine

129

prescriptions, 1% of all prescriptions

23

prescriptions.

32

patients, 4% of all patients

O 29 106
ATENOLOL

Treats high blood pressure ... +

Treats high blood pressure and angina (chest pain). Source: National Library of Medicine

122

prescriptions, 1% of all prescriptions

92

prescriptions.

17

patients, 2% of all patients

30 123
PENTOXIFYLLINE

Treats problems from poor b... +

Treats problems from poor blood circulation by improving the flow of blood through blood vessels. Source: National Library of Medicine

121

prescriptions, 1% of all prescriptions

80

prescriptions.

30

patients, 3% of all patients

31 169
NIACIN ER

Lowers cholesterol and trig... +

Lowers cholesterol and triglyceride levels in the blood and treats niacin deficiency (pellagra). Source: National Library of Medicine

119

prescriptions, 1% of all prescriptions

114

prescriptions.

37

patients, 4% of all patients

32 131
IBUPROFEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by headache, toothache, arthritis, cold or flu, migraine, or menstrual cramps. Source: National Library of Medicine

113

prescriptions, 1% of all prescriptions

55

prescriptions.

22

patients, 2% of all patients

33 75
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

102

prescriptions, 1% of all prescriptions

38

prescriptions.

16

patients, 2% of all patients

R 34 35
DIAZEPAM

Treats anxiety, muscle spas... +

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

102

prescriptions, 1% of all prescriptions

53

prescriptions.

20

patients, 2% of all patients

34 59
MEMANTINE HCL

Treats moderate to severe ... +

Treats moderate to severe Alzheimer's disease. Source: National Library of Medicine

96

prescriptions, 1% of all prescriptions

91

prescriptions.

32

patients, 4% of all patients

36 39
MORPHINE SULFATE ER

Morphine (extended release)... +

Morphine (extended release) is used to relieve moderate to severe pain. Source: National Library of Medicine

94

prescriptions, 1% of all prescriptions

29

prescriptions.

21

patients, 2% of all patients

O 37 66
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

92

prescriptions, 1% of all prescriptions

29

prescriptions.

15

patients, 2% of all patients

38 26
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

91

prescriptions, 1% of all prescriptions

86

prescriptions.

17

patients, 2% of all patients

39 51
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

Used to relieve moderate to severe pain. Source: National Library of Medicine

90

prescriptions, 1% of all prescriptions

33

prescriptions.

24

patients, 3% of all patients

O 40 77
SPIRONOLACTONE

Treats fluid retention (ede... +

Treats fluid retention (edema) in patients with congestive heart failure, liver cirrhosis, or nephrotic syndrome. Source: National Library of Medicine

90

prescriptions, 1% of all prescriptions

61

prescriptions.

18

patients, 2% of all patients

40 182
OXYCODONE HCL

Oxycodone is used to reliev... +

Oxycodone is used to relieve moderate to severe pain. Source: National Library of Medicine

82

prescriptions, 0% of all prescriptions

16

prescriptions.

20

patients, 2% of all patients

O 42 53
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

77

prescriptions, 0% of all prescriptions

72

prescriptions.

20

patients, 2% of all patients

43 38
PREDNISONE

Treats inflammation (swelli... +

Treats inflammation (swelling), severe allergies, complications of chronic illnesses, and other medical problems. Source: National Library of Medicine

76

prescriptions, 0% of all prescriptions

39

prescriptions.

17

patients, 2% of all patients

44 65
OMEPRAZOLE

Treats heartburn, stomach u... +

Treats heartburn, stomach ulcers, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid, such as Zollinger-Ellison syndrome, endocrine tumors, and systemic mastocytosis. Source: National Library of Medicine

75

prescriptions, 0% of all prescriptions

70

prescriptions.

18

patients, 2% of all patients

45 94
LACTULOSE

Treats constipation. Also t... +

Treats constipation. Source: National Library of Medicine

74

prescriptions, 0% of all prescriptions

40

prescriptions.

23

patients, 3% of all patients

46 150
BENAZEPRIL HCL

Benazepril is used alone or... +

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

74

prescriptions, 0% of all prescriptions

69

prescriptions.

19

patients, 2% of all patients

46 188
TRAZODONE HCL

Trazodone is used to treat ... +

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

71

prescriptions, 0% of all prescriptions

39

prescriptions.

17

patients, 2% of all patients

48 31
CARVEDILOL

Treats high blood pressure ... +

Treats high blood pressure and congestive heart failure (CHF). Source: National Library of Medicine

66

prescriptions, 0% of all prescriptions

61

prescriptions.

<11 49 204
VALSARTAN

Valsartan is used alone or ... +

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

65

prescriptions, 0% of all prescriptions

42

prescriptions.

17

patients, 2% of all patients

50 154
NAPROXEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by arthritis, gout, menstrual cramps, tendinitis, headache, backache, and toothache. Source: National Library of Medicine

65

prescriptions, 0% of all prescriptions

30

prescriptions.

18

patients, 2% of all patients

50 136
CARBAMAZEPINE

Treats different types of s... +

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

63

prescriptions, 0% of all prescriptions

16

prescriptions.

15

patients, 2% of all patients

52 29
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

61

prescriptions, 0% of all prescriptions

56

prescriptions.

21

patients, 2% of all patients

53 41
BUTALBITAL-ASPIRIN-CAFFEINE 59

prescriptions, 0% of all prescriptions

17

prescriptions.

19

patients, 2% of all patients

R 10 54 216
SUMATRIPTAN SUCCINATE

Sumatriptan is used to trea... +

Sumatriptan is used to treat the symptoms of migraine headaches (severe, throbbing headaches that sometimes is accompanied by nausea or sensitivity to sound and light). Source: National Library of Medicine

58

prescriptions, 0% of all prescriptions

13

prescriptions.

16

patients, 2% of all patients

55 37
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

57

prescriptions, 0% of all prescriptions

45

prescriptions.

17

patients, 2% of all patients

56 27
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

56

prescriptions, 0% of all prescriptions

22

prescriptions.

11

patients, 1% of all patients

57 40
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

55

prescriptions, 0% of all prescriptions

27

prescriptions.

14

patients, 2% of all patients

58 22
METFORMIN HCL

Metformin is used alone or ... +

Metformin is used alone or with other medications, including insulin, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

55

prescriptions.

<11 58 120
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

54

prescriptions, 0% of all prescriptions

49

prescriptions.

11

patients, 1% of all patients

60 62
ENTACAPONE 54

prescriptions, 0% of all prescriptions

54

prescriptions.

<11 60 42
TOLTERODINE TARTRATE ER

Tolterodine is used treat o... +

Tolterodine is used treat overactive bladder (a condition in which the bladder muscles contract uncontrollably and cause frequent urination, urgent need to urinate, and inability to control urination) to relieve urinary difficulties, including frequent urination and inability to control urination. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

39

prescriptions.

14

patients, 2% of all patients

62 231
CARBIDOPA-LEVODOPA ER

Used to treat the symptoms ... +

Used to treat the symptoms of Parkinson's disease and Parkinson's-like symptoms that may develop after encephalitis (swelling of the brain) or injury to the nervous system caused by carbon monoxide poisoning or manganese poisoning. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

51

prescriptions.

<11 63 8
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?

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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 27, 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.