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 »

4,738Medicare Part D Prescriptions Filled, Including Refills

Rank: 2 out of 158

$1.51M Total Retail Price of All Prescriptions

Rank: 10 out of 158

522 Patients Receiving at Least One Drug in Part D
62% Patients 65 Years and Older

51% 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 Maryland
lower than average

Antipsychotics

5% of this provider’s 323 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 4%.

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

11% of this provider’s 323 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

2% of this provider’s 522 patients filled at least one prescription for an opioid, compared to an average of 6%.

More resources »

Brand Name Drugs

14% of this provider’s prescriptions were for brand-name drugs, compared to an average of 21%.

Prescription Price

$318 was the average price of a prescription from this provider, compared to $455 among peers.

Prescriptions per Patient

9 is the average number of prescriptions (including refills) per patient, compared to an average of 7.


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

$585K

2012

$770K

2013

$1.06M

2014

$1.51M

2015

Number of Claims

3,602

2012

4,050

2013

4,323

2014

4,738

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
GABAPENTIN

Treats certain types of sei... +

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

336

prescriptions, 7% of all prescriptions

233

prescriptions.

87

patients, 17% of all patients

1 1
LAMOTRIGINE

Treats certain types of sei... +

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

321

prescriptions, 7% of all prescriptions

103

prescriptions.

60

patients, 11% of all patients

2 7
LEVETIRACETAM

Used to help control certai... +

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

283

prescriptions, 6% of all prescriptions

97

prescriptions.

63

patients, 12% of all patients

3 2
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

252

prescriptions, 5% of all prescriptions

226

prescriptions.

53

patients, 10% of all patients

4 3
TOPIRAMATE

Helps control and prevent c... +

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

237

prescriptions, 5% of all prescriptions

65

prescriptions.

47

patients, 9% of all patients

5 5
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

144

prescriptions, 3% of all prescriptions

22

prescriptions.

18

patients, 3% of all patients

6 20
CARBAMAZEPINE

Treats different types of s... +

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

126

prescriptions, 3% of all prescriptions

49

prescriptions.

12

patients, 2% of all patients

7 38
PHENOBARBITAL

Used to control seizures. P... +

Used to control seizures. Source: National Library of Medicine

122

prescriptions, 3% of all prescriptions

55

prescriptions.

17

patients, 3% of all patients

R 8 40
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

113

prescriptions, 2% of all prescriptions

108

prescriptions.

33

patients, 6% of all patients

9 4
PRAMIPEXOLE DIHYDROCHLORIDE

Pramipexole is used alone o... +

Pramipexole 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

111

prescriptions, 2% of all prescriptions

106

prescriptions.

24

patients, 5% of all patients

10 23
TIZANIDINE HCL

Tizanidine is used to relie... +

Tizanidine is used to relieve the spasms and increased muscle tone caused by multiple sclerosis (MS, 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), stroke, or brain or spinal injury. Source: National Library of Medicine

109

prescriptions, 2% of all prescriptions

64

prescriptions.

21

patients, 4% of all patients

11 44
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

108

prescriptions, 2% of all prescriptions

28

prescriptions.

14

patients, 3% of all patients

12 18
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

108

prescriptions, 2% of all prescriptions

44

prescriptions.

26

patients, 5% of all patients

12 25
CARBAMAZEPINE ER

Treats certain types of se... +

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

103

prescriptions, 2% of all prescriptions

43

prescriptions.

23

patients, 4% of all patients

14 42
PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

97

prescriptions, 2% of all prescriptions

52

prescriptions.

22

patients, 4% of all patients

15 8
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

96

prescriptions, 2% of all prescriptions

55

prescriptions.

21

patients, 4% of all patients

16 12
BACLOFEN

Treats muscle spasms caused... +

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

95

prescriptions, 2% of all prescriptions

21

prescriptions.

21

patients, 4% of all patients

17 13
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

87

prescriptions, 2% of all prescriptions

82

prescriptions.

14

patients, 3% of all patients

18 14
DIAZEPAM

Treats anxiety, muscle spas... +

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

77

prescriptions, 2% of all prescriptions

37

prescriptions.

18

patients, 3% of all patients

19 36
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

77

prescriptions, 2% of all prescriptions

72

prescriptions.

15

patients, 3% of all patients

P 19 16
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

74

prescriptions, 2% of all prescriptions

39

prescriptions.

15

patients, 3% of all patients

21 39
RIZATRIPTAN

Rizatriptan is used to trea... +

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

70

prescriptions, 1% of all prescriptions

5

prescriptions.

23

patients, 4% of all patients

22 57
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

66

prescriptions, 1% of all prescriptions

26

prescriptions.

18

patients, 3% of all patients

23 26
CLOPIDOGREL

Helps prevent stroke, heart... +

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

63

prescriptions, 1% of all prescriptions

58

prescriptions.

17

patients, 3% of all patients

24 43
DILANTIN*

Treats seizures. This medic... +

Treats seizures. Source: National Library of Medicine

60

prescriptions, 1% of all prescriptions

14

prescriptions.

<11 25 54
GILENYA 58

prescriptions, 1% of all prescriptions

14

prescriptions.

<11 26 88
AMANTADINE

Treats or prevents the flu ... +

Treats or prevents the flu (influenza type A). Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

27

prescriptions.

12

patients, 2% of all patients

27 33
VIMPAT

Used to control partial sei... +

Used to control partial seizures (convulsions) in the treatment of epilepsy. Source: National Library of Medicine

51

prescriptions, 1% of all prescriptions

25

prescriptions.

<11 28 9
BUTALBITAL-ACETAMINOPHEN-CAFFE

This combination of drugs i... +

This combination of drugs is used to relieve tension headaches. Source: National Library of Medicine

50

prescriptions, 1% of all prescriptions

14

prescriptions.

16

patients, 3% of all patients

R 29 53
CLONAZEPAM

Treats seizures, panic diso... +

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

50

prescriptions, 1% of all prescriptions

18

prescriptions.

11

patients, 2% of all patients

29 10
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 Oct. 11, 2016.
  • 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.