Columbia University Medical Center
NewYork-Presbyterian Hospital The University Hospital of Columbia and Cornell
November 9, 2009

No psychiatrist in Illinois -- or Texas, Florida and California, for that matter -- has come close to Dr. Michael Reinstein in prescribing the antipsychotic drug clozapine to public aid patients, Medicaid records show.

At the request of ProPublica and the Tribune, Columbia University researcher Dr. Mark Olfson reviewed Reinstein#&39;s prescribing numbers. In 2005, the year Reinstein wrote the most clozapine prescriptions, Olfson said the number was 70 times greater than what would be expected of even a busy psychiatrist.

"A concern that arises when you have someone seeing an inordinate number of patients is: Do they have time to care for people?" said Olfson, who specializes in psychiatric practices.

Reinstein said he had not seen Olfson#&39;s analysis but disagreed with the findings.

Besides clozapine, Reinstein tops the charts in Illinois in prescribing two other common antipsychotics, Seroquel and Haldol, Medicaid records show.

Medicaid paid out $55 million over the last five years for Reinstein#&39;s bills, prescriptions and orders for emergency care. He also treats patients covered by Medicare, but that agency declined to release Reinstein#&39;s billing data.

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