Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Nurse Practitioner, Psychiatric/Mental Health

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

10,022Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 153

$892K Total Retail Price of All Prescriptions

Rank: 4 out of 153

435 Patients Receiving at Least One Drug in Part D
19% Patients 65 Years and Older

84% 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 this provider has fewer than 100 patients who are 65 and older.

43 of this provider’s 83 patients who are 65 and older filled at least one prescription for an antipsychotic drug.

More resources »

Antibiotics

0% of this provider’s 435 patients filled at least one prescription for an antibiotic drug, compared to an average of 1%.

More resources »

Risky Drugs for Seniors

Comparisons are not shown because this provider has fewer than 100 patients who are 65 and older.

31 of this provider’s 83 patients who are 65 and older filled at least one prescription for a potentially inappropriate drug.

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

11% of this provider’s prescriptions were for brand-name drugs, compared to an average of 13%.

Prescription Price

$89 was the average price of a prescription from this provider, compared to $125 among peers.

Prescriptions per Patient

23 is the average number of prescriptions (including refills) per patient, compared to an average of 12.


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

$239K

2012

$624K

2013

$972K

2014

$892K

2015

Number of Claims

3,182

2012

8,705

2013

10,943

2014

10,022

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
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

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

726

prescriptions, 7% of all prescriptions

73

prescriptions.

109

patients, 25% of all patients

R 1 5
TRAZODONE HCL

Trazodone is used to treat ... +

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

673

prescriptions, 7% of all prescriptions

112

prescriptions.

119

patients, 27% of all patients

2 1
RISPERIDONE

Treats schizophrenia and ce... +

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

660

prescriptions, 7% of all prescriptions

83

prescriptions.

96

patients, 22% of all patients

P 3 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

571

prescriptions, 6% of all prescriptions

107

prescriptions.

91

patients, 21% of all patients

P 4 2
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

449

prescriptions, 4% of all prescriptions

57

prescriptions.

89

patients, 20% of all patients

R 5 12
CLONAZEPAM

Treats seizures, panic diso... +

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

406

prescriptions, 4% of all prescriptions

72

prescriptions.

65

patients, 15% of all patients

6 3
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

396

prescriptions, 4% of all prescriptions

46

prescriptions.

55

patients, 13% of all patients

7 9
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

363

prescriptions, 4% of all prescriptions

47

prescriptions.

68

patients, 16% of all patients

8 14
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

334

prescriptions, 3% of all prescriptions

45

prescriptions.

67

patients, 15% of all patients

9 13
LAMOTRIGINE

Treats certain types of sei... +

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

280

prescriptions, 3% of all prescriptions

42

prescriptions.

44

patients, 10% of all patients

10 11
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

253

prescriptions, 3% of all prescriptions

5

prescriptions.

39

patients, 9% of all patients

11 45
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

250

prescriptions, 2% of all prescriptions

31

prescriptions.

44

patients, 10% of all patients

12 6
HALOPERIDOL*

Treats symptoms of mental a... +

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

220

prescriptions, 2% of all prescriptions

25

prescriptions.

32

patients, 7% of all patients

P 13 36
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

219

prescriptions, 2% of all prescriptions

76

prescriptions.

34

patients, 8% of all patients

14 21
LORAZEPAM

Treats anxiety, anxiety wit... +

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

214

prescriptions, 2% of all prescriptions

18

prescriptions.

40

patients, 9% of all patients

15 17
CITALOPRAM HBR

Citalopram is used to treat... +

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

206

prescriptions, 2% of all prescriptions

37

prescriptions.

40

patients, 9% of all patients

16 16
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

202

prescriptions, 2% of all prescriptions

5

prescriptions.

43

patients, 10% of all patients

17 27
TOPIRAMATE

Helps control and prevent c... +

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

188

prescriptions, 2% of all prescriptions

5

prescriptions.

36

patients, 8% of all patients

18 32
GABAPENTIN

Treats certain types of sei... +

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

173

prescriptions, 2% of all prescriptions

30

prescriptions.

33

patients, 8% of all patients

19 20
OLANZAPINE

Treats psychotic mental dis... +

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

170

prescriptions, 2% of all prescriptions

24

prescriptions.

25

patients, 6% of all patients

P 20 10
ABILIFY

Treats schizophrenia, bipol... +

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

167

prescriptions, 2% of all prescriptions

24

prescriptions.

46

patients, 11% of all patients

P 21 24
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

157

prescriptions, 2% of all prescriptions

29

prescriptions.

37

patients, 9% of all patients

22 8
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

153

prescriptions, 2% of all prescriptions

59

prescriptions.

33

patients, 8% of all patients

23 15
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

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

151

prescriptions, 2% of all prescriptions

5

prescriptions.

34

patients, 8% of all patients

24 28
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

147

prescriptions, 1% of all prescriptions

22

prescriptions.

21

patients, 5% of all patients

25 23
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

140

prescriptions, 1% of all prescriptions

0

prescriptions.

23

patients, 5% of all patients

26 30
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

128

prescriptions, 1% of all prescriptions

49

prescriptions.

23

patients, 5% of all patients

27 19
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

117

prescriptions, 1% of all prescriptions

25

prescriptions.

27

patients, 6% of all patients

R 28 40
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

115

prescriptions, 1% of all prescriptions

42

prescriptions.

21

patients, 5% of all patients

29 33
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

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

115

prescriptions, 1% of all prescriptions

25

prescriptions.

17

patients, 4% of all patients

29 18
ARIPIPRAZOLE

Treats schizophrenia, bipol... +

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

115

prescriptions, 1% of all prescriptions

5

prescriptions.

30

patients, 7% of all patients

P 29 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

100

prescriptions, 1% of all prescriptions

13

prescriptions.

18

patients, 4% of all patients

P 32 22
ALPRAZOLAM

Treats anxiety, panic disor... +

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

95

prescriptions, 1% of all prescriptions

44

prescriptions.

22

patients, 5% of all patients

33 7
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

79

prescriptions, 1% of all prescriptions

5

prescriptions.

20

patients, 5% of all patients

P 34 25
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

78

prescriptions, 1% of all prescriptions

40

prescriptions.

11

patients, 3% of all patients

35 45
HYDROXYZINE PAMOATE

Treats anxiety, tension, ne... +

Treats anxiety, tension, nervousness, nausea, vomiting, allergies, skin rash, hives, and itching. Source: National Library of Medicine

71

prescriptions, 1% of all prescriptions

5

prescriptions.

20

patients, 5% of all patients

R 36 39
NAMENDA XR

Used to treat the symptoms ... +

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

69

prescriptions, 1% of all prescriptions

22

prescriptions.

12

patients, 3% of all patients

37 47
INVEGA

Treats schizophrenia (a men... +

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

67

prescriptions, 1% of all prescriptions

5

prescriptions.

14

patients, 3% of all patients

P 38 41
RISPERDAL CONSTA

Treats schizophrenia and ce... +

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

56

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 P 39 53
CARBAMAZEPINE

Treats different types of s... +

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

51

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 40 60
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. 25, 2011.
  • 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.