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 »

7,063Medicare Part D Prescriptions Filled, Including Refills

Rank: 5 out of 194

$1.06M Total Retail Price of All Prescriptions

Rank: 8 out of 194

557 Patients Receiving at Least One Drug in Part D
25% Patients 65 Years and Older

93% 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 Florida
lower than average

Antipsychotics

49% of this provider’s 142 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 48%.

More resources »

Antibiotics

0% of this provider’s 557 patients filled at least one prescription for an antibiotic drug, compared to an average of 1%.

More resources »

Risky Drugs for Seniors

27% of this provider’s 142 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 21%.

More resources »

Opioids

0% of this provider’s 557 patients filled at least one prescription for an opioid, compared to an average of 0%.

More resources »

Brand Name Drugs

15% of this provider’s prescriptions were for brand-name drugs, compared to an average of 13%.

Prescription Price

$151 was the average price of a prescription from this provider, compared to $124 among peers.

Prescriptions per Patient

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


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

2013

$203K

2014

$1.06M

2015

Number of Claims

2012

2013

1,613

2014

7,063

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
TRAZODONE HCL

Trazodone is used to treat ... +

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

686

prescriptions, 10% of all prescriptions

168

prescriptions.

165

patients, 30% of all patients

1 1
RISPERIDONE

Treats schizophrenia and ce... +

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

377

prescriptions, 5% of all prescriptions

113

prescriptions.

74

patients, 13% of all patients

P 2 2
HYDROXYZINE PAMOATE

Treats anxiety, tension, ne... +

Treats anxiety, tension, nervousness, nausea, vomiting, allergies, skin rash, hives, and itching. Source: National Library of Medicine

374

prescriptions, 5% of all prescriptions

43

prescriptions.

96

patients, 17% of all patients

R 10 3 23
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

354

prescriptions, 5% of all prescriptions

115

prescriptions.

81

patients, 15% of all patients

P 4 3
CITALOPRAM HBR

Citalopram is used to treat... +

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

342

prescriptions, 5% of all prescriptions

100

prescriptions.

65

patients, 12% of all patients

5 7
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

340

prescriptions, 5% of all prescriptions

126

prescriptions.

80

patients, 14% of all patients

6 5
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

322

prescriptions, 5% of all prescriptions

89

prescriptions.

69

patients, 12% of all patients

7 6
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

271

prescriptions, 4% of all prescriptions

136

prescriptions.

59

patients, 11% of all patients

8 10
SEROQUEL XR

Treats schizophrenia and sy... +

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

237

prescriptions, 3% of all prescriptions

11

prescriptions.

49

patients, 9% of all patients

P 9 14
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

233

prescriptions, 3% of all prescriptions

61

prescriptions.

62

patients, 11% of all patients

R 10 37
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

227

prescriptions, 3% of all prescriptions

73

prescriptions.

66

patients, 12% of all patients

11 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

225

prescriptions, 3% of all prescriptions

92

prescriptions.

52

patients, 9% of all patients

12 8
OLANZAPINE

Treats psychotic mental dis... +

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

204

prescriptions, 3% of all prescriptions

40

prescriptions.

48

patients, 9% of all patients

P 13 12
BENZTROPINE MESYLATE

Treats symptoms of Parkinso... +

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

195

prescriptions, 3% of all prescriptions

5

prescriptions.

42

patients, 8% of all patients

R 14 4
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

173

prescriptions, 2% of all prescriptions

14

prescriptions.

36

patients, 6% of all patients

P 15 31
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

171

prescriptions, 2% of all prescriptions

37

prescriptions.

35

patients, 6% of all patients

16 16
ARIPIPRAZOLE

Treats schizophrenia, bipol... +

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

157

prescriptions, 2% of all prescriptions

15

prescriptions.

56

patients, 10% of all patients

P 17 19
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

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

157

prescriptions, 2% of all prescriptions

21

prescriptions.

41

patients, 7% of all patients

17 15
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

149

prescriptions, 2% of all prescriptions

41

prescriptions.

42

patients, 8% of all patients

19 11
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

131

prescriptions, 2% of all prescriptions

32

prescriptions.

28

patients, 5% of all patients

20 18
LAMOTRIGINE

Treats certain types of sei... +

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

127

prescriptions, 2% of all prescriptions

5

prescriptions.

28

patients, 5% of all patients

21 9
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

125

prescriptions, 2% of all prescriptions

15

prescriptions.

28

patients, 5% of all patients

22 13
TRIFLUOPERAZINE HCL 124

prescriptions, 2% of all prescriptions

50

prescriptions.

30

patients, 5% of all patients

P 23 44
GABAPENTIN

Treats certain types of sei... +

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

117

prescriptions, 2% of all prescriptions

18

prescriptions.

34

patients, 6% of all patients

24 25
ABILIFY

Treats schizophrenia, bipol... +

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

108

prescriptions, 2% of all prescriptions

21

prescriptions.

44

patients, 8% of all patients

P 25 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

107

prescriptions, 2% of all prescriptions

0

prescriptions.

19

patients, 3% of all patients

P 26 24
DOXEPIN HCL

Doxepin is used to treat de... +

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

93

prescriptions, 1% of all prescriptions

21

prescriptions.

15

patients, 3% of all patients

R 27 35
INVEGA SUSTENNA

Used to treat the symptoms ... +

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

79

prescriptions, 1% of all prescriptions

0

prescriptions.

13

patients, 2% of all patients

P 28 29
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

76

prescriptions, 1% of all prescriptions

11

prescriptions.

17

patients, 3% of all patients

29 27
HALOPERIDOL*

Treats symptoms of mental a... +

Treats symptoms of mental and emotional disorders. Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

15

prescriptions.

19

patients, 3% of all patients

P 30 21
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

60

prescriptions, 1% of all prescriptions

49

prescriptions.

13

patients, 2% of all patients

31 30
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 April 30, 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.