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 »

5,049Medicare Part D Prescriptions Filled, Including Refills

Rank: 9 out of 153

$431K Total Retail Price of All Prescriptions

Rank: 20 out of 153

386 Patients Receiving at Least One Drug in Part D
42% Patients 65 Years and Older

48% 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

28% of this provider’s 162 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 49%.

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

16% of this provider’s 162 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 23%.

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

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

Prescription Price

$85 was the average price of a prescription from this provider, compared to $125 among peers.

Prescriptions per Patient

13 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

2012

$265K

2013

$402K

2014

$431K

2015

Number of Claims

2012

2,248

2013

4,565

2014

5,049

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
ALPRAZOLAM

Treats anxiety, panic disor... +

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

729

prescriptions, 14% of all prescriptions

264

prescriptions.

138

patients, 36% of all patients

1 7
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

345

prescriptions, 7% of all prescriptions

87

prescriptions.

59

patients, 15% of all patients

2 8
CLONAZEPAM

Treats seizures, panic diso... +

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

319

prescriptions, 6% of all prescriptions

133

prescriptions.

65

patients, 17% of all patients

3 3
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

280

prescriptions, 6% of all prescriptions

74

prescriptions.

52

patients, 13% of all patients

P 4 2
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

246

prescriptions, 5% of all prescriptions

88

prescriptions.

49

patients, 13% of all patients

5 9
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

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

226

prescriptions, 4% of all prescriptions

51

prescriptions.

51

patients, 13% of all patients

6 18
DIAZEPAM

Treats anxiety, muscle spas... +

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

220

prescriptions, 4% of all prescriptions

69

prescriptions.

39

patients, 10% of all patients

7 31
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

212

prescriptions, 4% of all prescriptions

48

prescriptions.

48

patients, 12% of all patients

R 8 12
TRAZODONE HCL

Trazodone is used to treat ... +

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

198

prescriptions, 4% of all prescriptions

101

prescriptions.

41

patients, 11% of all patients

9 1
LORAZEPAM

Treats anxiety, anxiety wit... +

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

190

prescriptions, 4% of all prescriptions

82

prescriptions.

43

patients, 11% of all patients

10 17
RISPERIDONE

Treats schizophrenia and ce... +

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

176

prescriptions, 3% of all prescriptions

54

prescriptions.

28

patients, 7% of all patients

P 11 4
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

147

prescriptions, 3% of all prescriptions

82

prescriptions.

34

patients, 9% of all patients

12 6
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

136

prescriptions, 3% of all prescriptions

82

prescriptions.

34

patients, 9% of all patients

13 33
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

135

prescriptions, 3% of all prescriptions

86

prescriptions.

26

patients, 7% of all patients

14 21
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

129

prescriptions, 3% of all prescriptions

49

prescriptions.

32

patients, 8% of all patients

15 15
TEMAZEPAM

Treats insomnia (trouble sl... +

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

85

prescriptions, 2% of all prescriptions

16

prescriptions.

21

patients, 5% of all patients

16 35
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

79

prescriptions, 2% of all prescriptions

5

prescriptions.

15

patients, 4% of all patients

17 14
CITALOPRAM HBR

Citalopram is used to treat... +

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

77

prescriptions, 2% of all prescriptions

33

prescriptions.

21

patients, 5% of all patients

18 16
LAMOTRIGINE

Treats certain types of sei... +

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

66

prescriptions, 1% of all prescriptions

5

prescriptions.

12

patients, 3% of all patients

19 11
PRISTIQ ER

Used to treat depression. D... +

Used to treat depression. Source: National Library of Medicine

63

prescriptions, 1% of all prescriptions

26

prescriptions.

15

patients, 4% of all patients

20 34
ARIPIPRAZOLE

Treats schizophrenia, bipol... +

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

56

prescriptions, 1% of all prescriptions

24

prescriptions.

22

patients, 6% of all patients

P 21 29
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

54

prescriptions, 1% of all prescriptions

34

prescriptions.

12

patients, 3% of all patients

22 19
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 Aug. 5, 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.