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 »

5,243Medicare Part D Prescriptions Filled, Including Refills

Rank: 8 out of 153

$705K Total Retail Price of All Prescriptions

Rank: 11 out of 153

214 Patients Receiving at Least One Drug in Part D
13% Patients 65 Years and Older

87% 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.

17 of this provider’s 28 patients who are 65 and older filled at least one prescription for an antipsychotic drug.

More resources »

Antibiotics

0% of this provider’s 214 patients filled at least one prescription for an antibiotic drug, compared to an average of 1%.

More resources »

Risky Drugs for Seniors

This provider prescribed potentially inappropriate drugs to at least one but fewer than 11 patients who are 65 and older, so Medicare redacted the exact figure. Comparisons are not shown.

More resources »

Opioids

0% of this provider’s 214 patients filled at least one prescription for an opioid, compared to an average of 1%.

More resources »

Brand Name Drugs

16% of this provider’s prescriptions were for brand-name drugs, compared to an average of 13%.

Prescription Price

$134 was the average price of a prescription from this provider, compared to $125 among peers.

Prescriptions per Patient

25 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

$119K

2012

$207K

2013

$551K

2014

$705K

2015

Number of Claims

1,207

2012

2,096

2013

4,371

2014

5,243

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
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

381

prescriptions, 7% of all prescriptions

95

prescriptions.

49

patients, 23% of all patients

P 1 2
TRAZODONE HCL

Trazodone is used to treat ... +

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

258

prescriptions, 5% of all prescriptions

39

prescriptions.

54

patients, 25% of all patients

2 1
RISPERIDONE

Treats schizophrenia and ce... +

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

232

prescriptions, 4% of all prescriptions

11

prescriptions.

37

patients, 17% of all patients

P 3 4
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

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

222

prescriptions, 4% of all prescriptions

13

prescriptions.

32

patients, 15% of all patients

R 4 5
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

200

prescriptions, 4% of all prescriptions

0

prescriptions.

24

patients, 11% of all patients

P 5 22
TOPIRAMATE

Helps control and prevent c... +

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

180

prescriptions, 3% of all prescriptions

5

prescriptions.

33

patients, 15% of all patients

6 32
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

159

prescriptions, 3% of all prescriptions

24

prescriptions.

25

patients, 12% of all patients

7 8
GABAPENTIN

Treats certain types of sei... +

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

155

prescriptions, 3% of all prescriptions

28

prescriptions.

24

patients, 11% of all patients

8 20
OLANZAPINE

Treats psychotic mental dis... +

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

152

prescriptions, 3% of all prescriptions

16

prescriptions.

25

patients, 12% of all patients

P 9 10
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

151

prescriptions, 3% of all prescriptions

49

prescriptions.

25

patients, 12% of all patients

10 15
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

150

prescriptions, 3% of all prescriptions

26

prescriptions.

32

patients, 15% of all patients

11 23
PRISTIQ ER

Used to treat depression. D... +

Used to treat depression. Source: National Library of Medicine

138

prescriptions, 3% of all prescriptions

14

prescriptions.

21

patients, 10% of all patients

12 34
ALPRAZOLAM

Treats anxiety, panic disor... +

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

133

prescriptions, 3% of all prescriptions

33

prescriptions.

19

patients, 9% of all patients

13 7
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

122

prescriptions, 2% of all prescriptions

11

prescriptions.

19

patients, 9% of all patients

14 21
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

117

prescriptions, 2% of all prescriptions

20

prescriptions.

14

patients, 7% of all patients

15 33
LAMOTRIGINE

Treats certain types of sei... +

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

116

prescriptions, 2% of all prescriptions

5

prescriptions.

12

patients, 6% of all patients

16 11
CLONAZEPAM

Treats seizures, panic diso... +

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

113

prescriptions, 2% of all prescriptions

20

prescriptions.

21

patients, 10% of all patients

17 3
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

112

prescriptions, 2% of all prescriptions

21

prescriptions.

13

patients, 6% of all patients

R 18 40
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

100

prescriptions, 2% of all prescriptions

5

prescriptions.

19

patients, 9% of all patients

19 6
INVEGA SUSTENNA

Used to treat the symptoms ... +

Used to treat the symptoms of schizophrenia. Source: National Library of Medicine

96

prescriptions, 2% of all prescriptions

13

prescriptions.

15

patients, 7% of all patients

P 20 26
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

92

prescriptions, 2% of all prescriptions

0

prescriptions.

15

patients, 7% of all patients

21 14
LITHIUM CARBONATE ER

Lithium is used to treat th... +

Lithium is used to treat the manic episodes of bipolar disorder. Source: National Library of Medicine

89

prescriptions, 2% of all prescriptions

11

prescriptions.

11

patients, 5% of all patients

22 55
SEROQUEL XR

Treats schizophrenia and sy... +

Treats schizophrenia and symptoms of bipolar disorder (manic-depressive illness). Source: National Library of Medicine

88

prescriptions, 2% of all prescriptions

5

prescriptions.

<11 P 23 38
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

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

85

prescriptions, 2% of all prescriptions

5

prescriptions.

12

patients, 6% of all patients

24 18
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

85

prescriptions, 2% of all prescriptions

5

prescriptions.

15

patients, 7% of all patients

24 9
ABILIFY

Treats schizophrenia, bipol... +

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

79

prescriptions, 2% of all prescriptions

5

prescriptions.

13

patients, 6% of all patients

P 26 24
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

70

prescriptions, 1% of all prescriptions

0

prescriptions.

11

patients, 5% of all patients

27 27
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

68

prescriptions, 1% of all prescriptions

13

prescriptions.

15

patients, 7% of all patients

28 19
PRAZOSIN HCL

Prazosin is used alone or i... +

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

67

prescriptions, 1% of all prescriptions

5

prescriptions.

11

patients, 5% of all patients

29 42
DOXEPIN HCL

Doxepin is used to treat de... +

Doxepin is used to treat depression and anxiety. Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

5

prescriptions.

16

patients, 7% of all patients

R 29 48
LORAZEPAM

Treats anxiety, anxiety wit... +

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

66

prescriptions, 1% of all prescriptions

5

prescriptions.

11

patients, 5% of all patients

31 17
CITALOPRAM HBR

Citalopram is used to treat... +

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

61

prescriptions, 1% of all prescriptions

11

prescriptions.

<11 32 16
LOXAPINE 61

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 P 32 73
PROCHLORPERAZINE MALEATE

Prochlorperazine suppositor... +

Prochlorperazine suppositories and tablets are used to control severe nausea and vomiting. Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

0

prescriptions.

16

patients, 7% of all patients

34 77
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

51

prescriptions, 1% of all prescriptions

25

prescriptions.

11

patients, 5% of all patients

35 83
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 Dec. 13, 2013.
  • 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.