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 »

9,452Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 72

$1.76M Total Retail Price of All Prescriptions

Rank: 5 out of 72

814 Patients Receiving at Least One Drug in Part D
88% Patients 65 Years and Older

14% 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 Iowa
lower than average

Antipsychotics

3% of this provider’s 716 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 5%.

More resources »

Antibiotics

0% of this provider’s 814 patients filled at least one prescription for an antibiotic drug, compared to an average of 1%.

More resources »

Risky Drugs for Seniors

5% of this provider’s 716 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 6%.

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 *

14% of this provider’s prescriptions were for brand-name drugs, compared to an average of 17%.

* This is an estimate, see our methodology.

Prescription Price

$186 was the average price of a prescription from this provider, compared to $287 among peers.

Prescriptions per Patient

12 is the average number of prescriptions (including refills) per patient, compared to an average of 10.


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

$1.55M

2012

$1.74M

2013

$1.73M

2014

$1.76M

2015

Number of Claims

8,290

2012

9,592

2013

9,887

2014

9,452

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
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

2,837

prescriptions, 30% of all prescriptions

2,692

prescriptions.

417

patients, 51% of all patients

10 1 1
AMANTADINE

Treats or prevents the flu ... +

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

539

prescriptions, 6% of all prescriptions

417

prescriptions.

90

patients, 11% of all patients

10 2 19
PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

485

prescriptions, 5% of all prescriptions

387

prescriptions.

72

patients, 9% of all patients

10 3 8
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

477

prescriptions, 5% of all prescriptions

440

prescriptions.

76

patients, 9% of all patients

4 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

469

prescriptions, 5% of all prescriptions

407

prescriptions.

72

patients, 9% of all patients

5 11
AZILECT

Used alone or together with... +

Used alone or together with levodopa for the treatment of Parkinson's disease. Source: National Library of Medicine

422

prescriptions, 4% of all prescriptions

369

prescriptions.

79

patients, 10% of all patients

6 24
CLONAZEPAM

Treats seizures, panic diso... +

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

301

prescriptions, 3% of all prescriptions

238

prescriptions.

52

patients, 6% of all patients

7 7
BACLOFEN

Treats muscle spasms caused... +

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

267

prescriptions, 3% of all prescriptions

133

prescriptions.

38

patients, 5% of all patients

8 12
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

253

prescriptions, 3% of all prescriptions

184

prescriptions.

35

patients, 4% of all patients

9 10
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

235

prescriptions, 2% of all prescriptions

210

prescriptions.

45

patients, 6% of all patients

10 41
GABAPENTIN

Treats certain types of sei... +

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

210

prescriptions, 2% of all prescriptions

155

prescriptions.

47

patients, 6% of all patients

11 2
CARBIDOPA-LEVODOPA-ENTACAPONE 202

prescriptions, 2% of all prescriptions

143

prescriptions.

29

patients, 4% of all patients

12 53
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

186

prescriptions, 2% of all prescriptions

154

prescriptions.

32

patients, 4% of all patients

13 13
CITALOPRAM HBR

Citalopram is used to treat... +

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

170

prescriptions, 2% of all prescriptions

136

prescriptions.

30

patients, 4% of all patients

14 27
LEVETIRACETAM

Used to help control certai... +

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

139

prescriptions, 1% of all prescriptions

90

prescriptions.

23

patients, 3% of all patients

15 3
TRIHEXYPHENIDYL HCL

Trihexyphenidyl is used to ... +

Trihexyphenidyl is used to treat the symptoms of Parkinson's disease and tremors caused by other medical problems or drugs. Source: National Library of Medicine

119

prescriptions, 1% of all prescriptions

119

prescriptions.

19

patients, 2% of all patients

R 16 60
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

116

prescriptions, 1% of all prescriptions

111

prescriptions.

21

patients, 3% of all patients

P 17 28
PROPRANOLOL HCL ER

Propranolol is used to trea... +

Propranolol is used to treat high blood pressure, irregular heart rhythms, pheochromocytoma (tumor on a small gland near the kidneys), certain types of tremor, and hypertrophic subaortic stenosis (a heart muscle disease). Source: National Library of Medicine

111

prescriptions, 1% of all prescriptions

92

prescriptions.

17

patients, 2% of all patients

18 38
ROPINIROLE ER 98

prescriptions, 1% of all prescriptions

75

prescriptions.

16

patients, 2% of all patients

19 76
TRAZODONE HCL

Trazodone is used to treat ... +

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

90

prescriptions, 1% of all prescriptions

67

prescriptions.

18

patients, 2% of all patients

20 49
ALPRAZOLAM

Treats anxiety, panic disor... +

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

88

prescriptions, 1% of all prescriptions

70

prescriptions.

17

patients, 2% of all patients

21 48
MIDODRINE HCL

Midodrine hydrochloride tab... +

Midodrine hydrochloride tablets are indicated for the treatment of symptomatic orthostatic hypotension. Source: National Library of Medicine

78

prescriptions, 1% of all prescriptions

73

prescriptions.

13

patients, 2% of all patients

22 84
NEUPRO 74

prescriptions, 1% of all prescriptions

69

prescriptions.

<11 23 66
ENTACAPONE 72

prescriptions, 1% of all prescriptions

47

prescriptions.

12

patients, 1% of all patients

24 65
RYTARY 68

prescriptions, 1% of all prescriptions

51

prescriptions.

12

patients, 1% of all patients

25 88
NAMENDA XR

Used to treat the symptoms ... +

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

59

prescriptions, 1% of all prescriptions

59

prescriptions.

<11 26 9
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 May 22, 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.