Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Psychiatry

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

14,272Medicare Part D Prescriptions Filled, Including Refills

Rank: 9 out of 369

$1.14M Total Retail Price of All Prescriptions

Rank: 25 out of 369

809 Patients Receiving at Least One Drug in Part D
75% Patients 65 Years and Older

32% 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 Missouri
lower than average

Antipsychotics

32% of this provider’s 605 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 36%.

More resources »

Antibiotics

0% of this provider’s 809 patients filled at least one prescription for an antibiotic drug, compared to an average of 2%.

More resources »

Risky Drugs for Seniors

13% of this provider’s 605 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 17%.

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 14%.

Prescription Price

$80 was the average price of a prescription from this provider, compared to $106 among peers.

Prescriptions per Patient

18 is the average number of prescriptions (including refills) per patient, compared to an average of 18.


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

$873K

2012

$1.07M

2013

$1.27M

2014

$1.14M

2015

Number of Claims

8,097

2012

11,386

2013

13,311

2014

14,272

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
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

1,348

prescriptions, 9% of all prescriptions

966

prescriptions.

246

patients, 30% of all patients

1 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

864

prescriptions, 6% of all prescriptions

741

prescriptions.

153

patients, 19% of all patients

2 41
TRAZODONE HCL

Trazodone is used to treat ... +

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

848

prescriptions, 6% of all prescriptions

614

prescriptions.

172

patients, 21% of all patients

3 1
ALPRAZOLAM

Treats anxiety, panic disor... +

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

787

prescriptions, 6% of all prescriptions

481

prescriptions.

122

patients, 15% of all patients

4 2
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

754

prescriptions, 5% of all prescriptions

608

prescriptions.

117

patients, 14% of all patients

5 15
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

673

prescriptions, 5% of all prescriptions

499

prescriptions.

117

patients, 14% of all patients

6 13
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

577

prescriptions, 4% of all prescriptions

388

prescriptions.

95

patients, 12% of all patients

7 5
RISPERIDONE

Treats schizophrenia and ce... +

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

565

prescriptions, 4% of all prescriptions

346

prescriptions.

95

patients, 12% of all patients

P 8 9
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

494

prescriptions, 3% of all prescriptions

263

prescriptions.

71

patients, 9% of all patients

P 9 4
OLANZAPINE

Treats psychotic mental dis... +

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

448

prescriptions, 3% of all prescriptions

233

prescriptions.

64

patients, 8% of all patients

P 10 16
LAMOTRIGINE

Treats certain types of sei... +

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

430

prescriptions, 3% of all prescriptions

249

prescriptions.

60

patients, 7% of all patients

11 6
LORAZEPAM

Treats anxiety, anxiety wit... +

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

422

prescriptions, 3% of all prescriptions

295

prescriptions.

66

patients, 8% of all patients

12 7
VENLAFAXINE HCL

Venlafaxine is used to trea... +

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

373

prescriptions, 3% of all prescriptions

282

prescriptions.

87

patients, 11% of all patients

10 13 60
NAMENDA XR

Used to treat the symptoms ... +

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

368

prescriptions, 3% of all prescriptions

344

prescriptions.

61

patients, 8% of all patients

14 42
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

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

342

prescriptions, 2% of all prescriptions

195

prescriptions.

67

patients, 8% of all patients

15 18
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

318

prescriptions, 2% of all prescriptions

90

prescriptions.

45

patients, 6% of all patients

16 36
CLONAZEPAM

Treats seizures, panic diso... +

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

303

prescriptions, 2% of all prescriptions

160

prescriptions.

40

patients, 5% of all patients

17 3
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

258

prescriptions, 2% of all prescriptions

175

prescriptions.

47

patients, 6% of all patients

18 10
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

249

prescriptions, 2% of all prescriptions

140

prescriptions.

48

patients, 6% of all patients

R 19 46
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

223

prescriptions, 2% of all prescriptions

185

prescriptions.

44

patients, 5% of all patients

20 77
TEMAZEPAM

Treats insomnia (trouble sl... +

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

221

prescriptions, 2% of all prescriptions

145

prescriptions.

39

patients, 5% of all patients

21 38
CITALOPRAM HBR

Citalopram is used to treat... +

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

202

prescriptions, 1% of all prescriptions

142

prescriptions.

42

patients, 5% of all patients

22 11
ARIPIPRAZOLE

Treats schizophrenia, bipol... +

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

188

prescriptions, 1% of all prescriptions

125

prescriptions.

50

patients, 6% of all patients

P 23 35
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

186

prescriptions, 1% of all prescriptions

84

prescriptions.

39

patients, 5% of all patients

R 24 12
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

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

142

prescriptions, 1% of all prescriptions

28

prescriptions.

25

patients, 3% of all patients

R 25 14
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

139

prescriptions, 1% of all prescriptions

126

prescriptions.

27

patients, 3% of all patients

26 28
LATUDA

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

135

prescriptions, 1% of all prescriptions

43

prescriptions.

27

patients, 3% of all patients

P 27 23
DIAZEPAM

Treats anxiety, muscle spas... +

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

127

prescriptions, 1% of all prescriptions

84

prescriptions.

17

patients, 2% of all patients

28 25
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

114

prescriptions, 1% of all prescriptions

69

prescriptions.

20

patients, 2% of all patients

29 27
SEROQUEL XR

Treats schizophrenia and sy... +

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

110

prescriptions, 1% of all prescriptions

62

prescriptions.

23

patients, 3% of all patients

P 30 32
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

108

prescriptions, 1% of all prescriptions

103

prescriptions.

29

patients, 4% of all patients

31 59
BRINTELLIX 106

prescriptions, 1% of all prescriptions

73

prescriptions.

21

patients, 3% of all patients

32 52
ABILIFY

Treats schizophrenia, bipol... +

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

105

prescriptions, 1% of all prescriptions

72

prescriptions.

35

patients, 4% of all patients

P 33 20
BUSPIRONE HCL

Buspirone is used to treat ... +

Buspirone is used to treat anxiety disorders or in the short-term treatment of symptoms of anxiety. Source: National Library of Medicine

103

prescriptions, 1% of all prescriptions

52

prescriptions.

24

patients, 3% of all patients

34 19
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

98

prescriptions, 1% of all prescriptions

93

prescriptions.

19

patients, 2% of all patients

35 17
MEMANTINE HCL

Treats moderate to severe ... +

Treats moderate to severe Alzheimer's disease. Source: National Library of Medicine

93

prescriptions, 1% of all prescriptions

88

prescriptions.

32

patients, 4% of all patients

36 88
VIIBRYD

Used to treat depression in... +

Used to treat depression in adults. Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

50

prescriptions.

15

patients, 2% of all patients

37 53
CLOZAPINE

Treats schizophrenia. Also ... +

Treats schizophrenia. Source: National Library of Medicine

76

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 P 38 22
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

75

prescriptions, 1% of all prescriptions

29

prescriptions.

12

patients, 1% of all patients

P 39 31
DEXTROAMPHETAMINE-AMPHET ER

Used as part of a treatment... +

Used as part of a treatment program to control symptoms of attention deficit hyperactivity disorder (ADHD; more difficulty focusing, controlling actions, and remaining still or quiet than other people who are the same age) in adults and children. Source: National Library of Medicine

71

prescriptions, 0% of all prescriptions

24

prescriptions.

13

patients, 2% of all patients

40 68
PRISTIQ ER

Used to treat depression. D... +

Used to treat depression. Source: National Library of Medicine

70

prescriptions, 0% of all prescriptions

65

prescriptions.

11

patients, 1% of all patients

41 43
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

66

prescriptions, 0% of all prescriptions

66

prescriptions.

19

patients, 2% of all patients

42 78
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

65

prescriptions, 0% of all prescriptions

34

prescriptions.

12

patients, 1% of all patients

43 21
METHYLPHENIDATE HCL

Methylphenidate is used as ... +

Methylphenidate is used as part of a treatment program to control symptoms of attention deficit hyperactivity disorder (ADHD; more difficulty focusing, controlling actions, and remaining still or quiet than other people who are the same age) in adults and children. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

29

prescriptions.

<11 44 57
HYDROXYZINE HCL

Hydroxyzine is used to reli... +

Hydroxyzine is used to relieve the itching caused by allergies and to control the nausea and vomiting caused by various conditions, including motion sickness. Source: National Library of Medicine

58

prescriptions, 0% of all prescriptions

53

prescriptions.

12

patients, 1% of all patients

R 45 54
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

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

52

prescriptions, 0% of all prescriptions

27

prescriptions.

<11 46 24
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 Nov. 8, 2016.
  • 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.