Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Neurological Surgery

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

8,081Medicare Part D Prescriptions Filled, Including Refills

Rank: 2 out of 99

$1.33M Total Retail Price of All Prescriptions

Rank: 3 out of 99

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

20% 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 California
lower than average

Antipsychotics

4% of this provider’s 634 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 2%.

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

2% of this provider’s 634 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 8%.

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 *

17% of this provider’s prescriptions were for brand-name drugs, compared to an average of 11%.

* This is an estimate, see our methodology.

Prescription Price

$165 was the average price of a prescription from this provider, compared to $114 among peers.

Prescriptions per Patient

11 is the average number of prescriptions (including refills) per patient, compared to an average of 6.


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

$746K

2012

$1.12M

2013

$1.31M

2014

$1.33M

2015

Number of Claims

5,649

2012

7,589

2013

8,445

2014

8,081

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

1,830

prescriptions, 23% of all prescriptions

1,717

prescriptions.

352

patients, 49% of all patients

10 1 3
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

811

prescriptions, 10% of all prescriptions

741

prescriptions.

146

patients, 20% of all patients

10 2 10
AZILECT

Used alone or together with... +

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

472

prescriptions, 6% of all prescriptions

457

prescriptions.

84

patients, 12% of all patients

3 28
GABAPENTIN

Treats certain types of sei... +

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

355

prescriptions, 4% of all prescriptions

311

prescriptions.

71

patients, 10% of all patients

4 2
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

354

prescriptions, 4% of all prescriptions

349

prescriptions.

68

patients, 9% of all patients

5 4
AMANTADINE

Treats or prevents the flu ... +

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

303

prescriptions, 4% of all prescriptions

248

prescriptions.

65

patients, 9% of all patients

6 31
CLONAZEPAM

Treats seizures, panic diso... +

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

231

prescriptions, 3% of all prescriptions

166

prescriptions.

47

patients, 7% of all patients

7 9
PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

200

prescriptions, 2% of all prescriptions

182

prescriptions.

37

patients, 5% of all patients

8 13
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

169

prescriptions, 2% of all prescriptions

134

prescriptions.

25

patients, 3% of all patients

9 17
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

167

prescriptions, 2% of all prescriptions

145

prescriptions.

30

patients, 4% of all patients

P 10 27
ENTACAPONE 164

prescriptions, 2% of all prescriptions

127

prescriptions.

40

patients, 6% of all patients

11 67
BACLOFEN

Treats muscle spasms caused... +

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

159

prescriptions, 2% of all prescriptions

96

prescriptions.

38

patients, 5% of all patients

12 12
CITALOPRAM HBR

Citalopram is used to treat... +

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

126

prescriptions, 2% of all prescriptions

97

prescriptions.

26

patients, 4% of all patients

13 26
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

118

prescriptions, 1% of all prescriptions

95

prescriptions.

19

patients, 3% of all patients

14 58
RYTARY 115

prescriptions, 1% of all prescriptions

102

prescriptions.

31

patients, 4% of all patients

15 110
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

112

prescriptions, 1% of all prescriptions

89

prescriptions.

20

patients, 3% of all patients

16 15
ROPINIROLE ER 111

prescriptions, 1% of all prescriptions

99

prescriptions.

21

patients, 3% of all patients

17 111
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

108

prescriptions, 1% of all prescriptions

82

prescriptions.

28

patients, 4% of all patients

18 46
TOPIRAMATE

Helps control and prevent c... +

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

101

prescriptions, 1% of all prescriptions

96

prescriptions.

19

patients, 3% of all patients

19 6
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

100

prescriptions, 1% of all prescriptions

83

prescriptions.

22

patients, 3% of all patients

20 116
NAMENDA XR

Used to treat the symptoms ... +

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

98

prescriptions, 1% of all prescriptions

93

prescriptions.

17

patients, 2% of all patients

21 8
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

90

prescriptions, 1% of all prescriptions

85

prescriptions.

17

patients, 2% of all patients

22 41
ZONISAMIDE

Treats partial seizures in ... +

Treats partial seizures in adults with epilepsy. Source: National Library of Medicine

87

prescriptions, 1% of all prescriptions

62

prescriptions.

15

patients, 2% of all patients

23 97
CARBIDOPA 82

prescriptions, 1% of all prescriptions

77

prescriptions.

20

patients, 3% of all patients

10 24 130
NAMENDA

Treats dementia (memory los... +

Treats dementia (memory loss and mental changes) that is a sign of Alzheimer's disease. Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

79

prescriptions.

15

patients, 2% of all patients

25 22
EXELON

Rivastigmine is used to tre... +

Rivastigmine is used to treat mild to moderate dementia (memory loss) associated with Alzheimer's disease or Parkinson's disease. Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

75

prescriptions.

16

patients, 2% of all patients

26 44
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

73

prescriptions, 1% of all prescriptions

68

prescriptions.

15

patients, 2% of all patients

27 136
NEUPRO 69

prescriptions, 1% of all prescriptions

64

prescriptions.

12

patients, 2% of all patients

28 107
LEVETIRACETAM

Used to help control certai... +

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

68

prescriptions, 1% of all prescriptions

56

prescriptions.

18

patients, 2% of all patients

29 5
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

65

prescriptions, 1% of all prescriptions

25

prescriptions.

15

patients, 2% of all patients

30 85
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

58

prescriptions, 1% of all prescriptions

22

prescriptions.

<11 31 49
RIVASTIGMINE*

Used to treat mild to moder... +

Used to treat mild to moderate dementia (memory loss and mental changes) associated with Alzheimer's disease or Parkinson's disease. Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

43

prescriptions.

<11 32 156
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

51

prescriptions, 1% of all prescriptions

51

prescriptions.

13

patients, 2% of all patients

33 36
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 14, 2015.
  • 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.