Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Specialist

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

7,596Medicare Part D Prescriptions Filled, Including Refills

Rank: 2 out of 35

$1.78M Total Retail Price of All Prescriptions

Rank: 1 out of 35

629 Patients Receiving at Least One Drug in Part D
72% Patients 65 Years and Older

44% 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 Nebraska
lower than average

Antipsychotics

This provider prescribed antipsychotics 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 »

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

Comparisons are not shown because we do not have exact prescribing data for enough providers in this specialty and state.

24 of this provider’s 450 patients who are 65 and older filled at least one prescription for a potentially inappropriate drug.

More resources »

Opioids

Comparisons are not shown because we do not have exact prescribing data for enough providers in this specialty and state.

21 of this provider’s 629 patients filled at least one prescription for an opioid

More resources »

Brand Name Drugs

20% of this provider’s prescriptions were for brand-name drugs, compared to an average of 26%.

Prescription Price

$234 was the average price of a prescription from this provider, compared to $208 among peers.

Prescriptions per Patient

12 is the average number of prescriptions (including refills) per patient, compared to an average of 8.


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

$967K

2012

$1.2M

2013

$1.51M

2014

$1.78M

2015

Number of Claims

6,434

2012

6,802

2013

7,176

2014

7,596

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

640

prescriptions, 8% of all prescriptions

560

prescriptions.

108

patients, 17% of all patients

1 17
GABAPENTIN

Treats certain types of sei... +

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

507

prescriptions, 7% of all prescriptions

367

prescriptions.

105

patients, 17% of all patients

2 10
TOPIRAMATE

Helps control and prevent c... +

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

434

prescriptions, 6% of all prescriptions

250

prescriptions.

60

patients, 10% of all patients

3 27
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

328

prescriptions, 4% of all prescriptions

283

prescriptions.

51

patients, 8% of all patients

4 25
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

276

prescriptions, 4% of all prescriptions

216

prescriptions.

47

patients, 7% of all patients

5 24
SUMATRIPTAN SUCCINATE

Sumatriptan is used to trea... +

Sumatriptan is used to treat the symptoms of migraine headaches (severe, throbbing headaches that sometimes is accompanied by nausea or sensitivity to sound and light). Source: National Library of Medicine

232

prescriptions, 3% of all prescriptions

18

prescriptions.

26

patients, 4% of all patients

6 65
LEVETIRACETAM

Used to help control certai... +

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

218

prescriptions, 3% of all prescriptions

106

prescriptions.

23

patients, 4% of all patients

7 68
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

193

prescriptions, 3% of all prescriptions

69

prescriptions.

30

patients, 5% of all patients

8 75
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

185

prescriptions, 2% of all prescriptions

158

prescriptions.

32

patients, 5% of all patients

9 79
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

183

prescriptions, 2% of all prescriptions

82

prescriptions.

21

patients, 3% of all patients

10 44
PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

181

prescriptions, 2% of all prescriptions

127

prescriptions.

30

patients, 5% of all patients

11 81
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

180

prescriptions, 2% of all prescriptions

56

prescriptions.

38

patients, 6% of all patients

12 83
ZONISAMIDE

Treats partial seizures in ... +

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

161

prescriptions, 2% of all prescriptions

89

prescriptions.

26

patients, 4% of all patients

13 92
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

156

prescriptions, 2% of all prescriptions

112

prescriptions.

24

patients, 4% of all patients

R 14 70
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

136

prescriptions, 2% of all prescriptions

124

prescriptions.

20

patients, 3% of all patients

15 99
NAMENDA XR

Used to treat the symptoms ... +

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

122

prescriptions, 2% of all prescriptions

122

prescriptions.

16

patients, 3% of all patients

16 48
CLONAZEPAM

Treats seizures, panic diso... +

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

117

prescriptions, 2% of all prescriptions

53

prescriptions.

15

patients, 2% of all patients

17 16
LAMOTRIGINE

Treats certain types of sei... +

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

113

prescriptions, 1% of all prescriptions

25

prescriptions.

12

patients, 2% of all patients

18 32
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

103

prescriptions, 1% of all prescriptions

98

prescriptions.

17

patients, 3% of all patients

19 114
PHENYTOIN SODIUM EXTENDED

Phenytoin is used to contro... +

Phenytoin is used to control certain type of seizures, and to treat and prevent seizures that may begin during or after surgery to the brain or nervous system. Source: National Library of Medicine

102

prescriptions, 1% of all prescriptions

11

prescriptions.

<11 20 115
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

100

prescriptions, 1% of all prescriptions

85

prescriptions.

13

patients, 2% of all patients

21 38
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

94

prescriptions, 1% of all prescriptions

81

prescriptions.

16

patients, 3% of all patients

22 35
CLOPIDOGREL

Helps prevent stroke, heart... +

Helps prevent stroke, heart attack, and other heart problems. Source: National Library of Medicine

93

prescriptions, 1% of all prescriptions

88

prescriptions.

13

patients, 2% of all patients

23 78
VIMPAT

Used to control partial sei... +

Used to control partial seizures (convulsions) in the treatment of epilepsy. Source: National Library of Medicine

90

prescriptions, 1% of all prescriptions

11

prescriptions.

<11 24 120
AZILECT

Used alone or together with... +

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

88

prescriptions, 1% of all prescriptions

88

prescriptions.

13

patients, 2% of all patients

25 121
ABILIFY

Treats schizophrenia, bipol... +

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

79

prescriptions, 1% of all prescriptions

46

prescriptions.

<11 P 26 45
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

78

prescriptions, 1% of all prescriptions

73

prescriptions.

13

patients, 2% of all patients

27 67
CITALOPRAM HBR

Citalopram is used to treat... +

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

72

prescriptions, 1% of all prescriptions

28

prescriptions.

<11 28 77
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

72

prescriptions, 1% of all prescriptions

59

prescriptions.

<11 28 72
COPAXONE

This is used to reduce the ... +

This is used to reduce the frequency of relapses (flare-ups) in patients with relapsing-remitting multiple sclerosis (RMMS). Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

40

prescriptions.

<11 30 136
TRAZODONE HCL

Trazodone is used to treat ... +

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

69

prescriptions, 1% of all prescriptions

25

prescriptions.

13

patients, 2% of all patients

30 20
ROPINIROLE ER 65

prescriptions, 1% of all prescriptions

60

prescriptions.

11

patients, 2% of all patients

32 138
SAVELLA 62

prescriptions, 1% of all prescriptions

36

prescriptions.

<11 33 144
AMANTADINE

Treats or prevents the flu ... +

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

62

prescriptions, 1% of all prescriptions

37

prescriptions.

16

patients, 3% of all patients

33 102
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

57

prescriptions, 1% of all prescriptions

32

prescriptions.

<11 35 89
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

54

prescriptions, 1% of all prescriptions

49

prescriptions.

<11 36 83
BACLOFEN

Treats muscle spasms caused... +

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

54

prescriptions, 1% of all prescriptions

32

prescriptions.

11

patients, 2% of all patients

36 158
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

54

prescriptions, 1% of all prescriptions

19

prescriptions.

<11 36 158
VERAPAMIL ER PM 53

prescriptions, 1% of all prescriptions

18

prescriptions.

<11 10 39 160
CARBAMAZEPINE ER

Treats certain types of se... +

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

51

prescriptions, 1% of all prescriptions

12

prescriptions.

<11 40 165
PHENOBARBITAL

Used to control seizures. P... +

Used to control seizures. Source: National Library of Medicine

50

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 R 41 168
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 July 8, 2007.
  • 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.