SANGITA PATEL MD
Prescription History 1104800721
Psychiatry & Neurology - Psychiatry in Green Bay, WI
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for SANGITA PATEL MD, an active Psychiatry specialist practicing in Green Bay, WI. Our medical registry currently tracks 20 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 590 documented patient claims. Among these therapy options, the most frequently utilized medication is Venlafaxine Hcl Er, which accounts for 75 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.
| Medication | Prescriptions (2023)Rx (2023) | Avg Cost per FillCost / Fill | Vs. Other WI PrescribersVs. WI Avg |
|---|---|---|---|
| Venlafaxine Hcl ErVenlafaxine Hcl | 75 | $63.06 | ▲ More than typical |
About Venlafaxine Hcl Er: Venlafaxine is used to treat depression, anxiety, panic attacks, and social anxiety disorder (social phobia). Show more ▾ It may improve your mood and energy level and may help restore your interest in daily living. It may also decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. Venlafaxine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. In 2023, this provider wrote 75 Medicare prescriptions for Venlafaxine Hcl Er, about 2 times the volume of the typical Wisconsin prescriber of this medication (37). Medicare paid an average of $63.06 per fill, versus $28.96 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average WI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 97.1 30-Day Fills standardized to 30-day supplies 2,799 Days of Medication total across all patients in 2023 | |||
| Clonazepam | 59 | $7.62▼ below WI avg | ≈ Typical |
About Clonazepam: Clonazepam is used to prevent and control seizures. Show more ▾ This medication is known as an anticonvulsant or antiepileptic drug. It is also used to treat panic attacks. Clonazepam works by calming your brain and nerves. It belongs to a class of drugs called benzodiazepines. An anticonvulsant used for several types of seizures, including myotonic or atonic seizures, photosensitive epilepsy, and absence seizures, although tolerance may develop. It is seldom effective in generalized tonic-clonic or partial seizures. The mechanism of action appears to involve the enhancement of GAMMA-AMINOBUTYRIC ACID receptor responses. In 2023, this provider wrote 59 Medicare prescriptions for Clonazepam, about 1.2 times the volume of the typical Wisconsin prescriber of this medication (50). Medicare paid an average of $7.62 per fill, versus $9.09 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average WI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WI average for this medication. 61.4 30-Day Fills standardized to 30-day supplies 1,776 Days of Medication total across all patients in 2023 | |||
| Bupropion XlBupropion Hcl | 46 | $68.87 | ≈ Typical |
About Bupropion Xl: Bupropion is used to treat depression. Show more ▾ It can improve your mood and feelings of well-being. It may work by helping to restore the balance of certain natural chemicals (neurotransmitters) in your brain. In 2023, this provider wrote 46 Medicare prescriptions for Bupropion Xl, about 1.2 times the volume of the typical Wisconsin prescriber of this medication (39). Medicare paid an average of $68.87 per fill, versus $40.32 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average WI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 60.2 30-Day Fills standardized to 30-day supplies 1,804 Days of Medication total across all patients in 2023 | |||
| Trazodone Hcl | 42 | $13.89▼ below WI avg | ▼ Less than typical |
About Trazodone Hcl: This medication is used to treat depression. Show more ▾ It may help to improve your mood, appetite, and energy level as well as decrease anxiety and insomnia related to depression. Trazodone works by helping to restore the balance of a certain natural chemical (serotonin) in the brain. In 2023, this provider wrote 42 Medicare prescriptions for Trazodone Hcl, about 71% of the volume of the typical Wisconsin prescriber of this medication (59). Medicare paid an average of $13.89 per fill, versus $14.65 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average WI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WI average for this medication. 50.2 30-Day Fills standardized to 30-day supplies 1,504 Days of Medication total across all patients in 2023 | |||
| Duloxetine Hcl | 39 | $19.19▼ below WI avg | ≈ Typical |
About Duloxetine Hcl: Duloxetine is used to treat depression and anxiety. Show more ▾ In addition, duloxetine is used to help relieve nerve pain (peripheral neuropathy) in people with diabetes or ongoing pain due to medical conditions such as arthritis, chronic back pain, or fibromyalgia (a condition that causes widespread pain). Duloxetine may improve your mood, sleep, appetite, and energy level, and decrease nervousness. It can also decrease pain due to certain medical conditions. Duloxetine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). This medication works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A thiophene derivative and selective NEUROTRANSMITTER UPTAKE INHIBITOR for SEROTONIN and NORADRENALINE (SNRI). It is an ANTIDEPRESSIVE AGENT and ANXIOLYTIC, and is also used for the treatment of pain in patients with DIABETES MELLITUS and FIBROMYALGIA. In 2023, this provider wrote 39 Medicare prescriptions for Duloxetine Hcl, about 81% of the volume of the typical Wisconsin prescriber of this medication (48). Medicare paid an average of $19.19 per fill, versus $43.95 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average WI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WI average for this medication. 51 30-Day Fills standardized to 30-day supplies 1,530 Days of Medication total across all patients in 2023 | |||
| Prazosin Hcl | 37 | $41.64▼ below WI avg | ≈ Typical |
About Prazosin Hcl: Prazosin is used with or without other medications to treat high blood pressure. Show more ▾ Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Prazosin belongs to a class of medications called alpha blockers. It works by relaxing and widening blood vessels so blood can flow more easily. A selective adrenergic alpha-1 antagonist used in the treatment of HEART FAILURE; HYPERTENSION; PHEOCHROMOCYTOMA; RAYNAUD DISEASE; PROSTATIC HYPERTROPHY; and URINARY RETENTION. In 2023, this provider wrote 37 Medicare prescriptions for Prazosin Hcl, about the same volume as the typical Wisconsin prescriber of this medication (35). Medicare paid an average of $41.64 per fill, versus $42.10 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average WI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WI average for this medication. 39 30-Day Fills standardized to 30-day supplies 1,170 Days of Medication total across all patients in 2023 | |||
| Buspirone Hcl | 35 | $47.64 | ≈ Typical |
About Buspirone Hcl: This medication is used to treat anxiety. Show more ▾ It may help you think more clearly, relax, worry less, and take part in everyday life. It may also help you to feel less jittery and irritable, and may control symptoms such as trouble sleeping, sweating, and pounding heartbeat. Buspirone is a medication for anxiety (anxiolytic) that works by affecting certain natural substances in the brain (neurotransmitters). In 2023, this provider wrote 35 Medicare prescriptions for Buspirone Hcl, about 83% of the volume of the typical Wisconsin prescriber of this medication (42). Medicare paid an average of $47.64 per fill, versus $22.14 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average WI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 43 30-Day Fills standardized to 30-day supplies 1,290 Days of Medication total across all patients in 2023 | |||
| Quetiapine Fumarate | 35 | $98.01 | ▼ Less than typical |
About Quetiapine Fumarate: This medication is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾ Quetiapine is known as an anti-psychotic drug (atypical type). It works by helping to restore the balance of certain natural substances (neurotransmitters) in the brain. This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. It may also improve your mood, sleep, appetite, and energy level. Quetiapine can help prevent severe mood swings or decrease how often mood swings occur. A dibenzothiazepine and ANTIPSYCHOTIC AGENT that targets the SEROTONIN 5-HT2 RECEPTOR; HISTAMINE H1 RECEPTOR, adrenergic alpha1 and alpha2 receptors, as well as the DOPAMINE D1 RECEPTOR and DOPAMINE D2 RECEPTOR. It is used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER and DEPRESSIVE DISORDER. In 2023, this provider wrote 35 Medicare prescriptions for Quetiapine Fumarate, about half the volume of the typical Wisconsin prescriber of this medication (59). Medicare paid an average of $98.01 per fill, versus $29.36 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average WI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 39 30-Day Fills standardized to 30-day supplies 1,130 Days of Medication total across all patients in 2023 | |||
| Gabapentin | 31 | $13.19▼ below WI avg | ▼ Less than typical |
About Gabapentin: Gabapentin is used with other medications to prevent and control seizures. Show more ▾ It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug. A cyclohexane-gamma-aminobutyric acid derivative that is used for the treatment of PARTIAL SEIZURES; NEURALGIA; and RESTLESS LEGS SYNDROME. In 2023, this provider wrote 31 Medicare prescriptions for Gabapentin, about a third of the volume of the typical Wisconsin prescriber of this medication (84). Medicare paid an average of $13.19 per fill, versus $24.37 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average WI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WI average for this medication. 31 30-Day Fills standardized to 30-day supplies 896 Days of Medication total across all patients in 2023 | |||
| Escitalopram Oxalate | 26 | $17.41 | ▼ Less than typical |
About Escitalopram Oxalate: Escitalopram is used to treat depression and anxiety. Show more ▾ It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRI). It may improve your energy level and feelings of well-being and decrease nervousness. S-enantiomer of CITALOPRAM. Belongs to a class of drugs known as SELECTIVE SEROTONIN REUPTAKE INHIBITORS, used to treat depression and generalized anxiety disorder. In 2023, this provider wrote 26 Medicare prescriptions for Escitalopram Oxalate, about half the volume of the typical Wisconsin prescriber of this medication (48). Medicare paid an average of $17.41 per fill, versus $15.23 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average WI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 44 30-Day Fills standardized to 30-day supplies 1,320 Days of Medication total across all patients in 2023 | |||
| Hydroxyzine Hcl | 24 | $49.03 | ≈ Typical |
About Hydroxyzine Hcl: Hydroxyzine is used to treat itching caused by allergies. Show more ▾ It is an antihistamine and works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Hydroxyzine may also be used short-term to treat anxiety or to help you feel sleepy/relaxed before and after surgery. In 2023, this provider wrote 24 Medicare prescriptions for Hydroxyzine Hcl, about 83% of the volume of the typical Wisconsin prescriber of this medication (29). Medicare paid an average of $49.03 per fill, versus $20.88 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average WI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 34 30-Day Fills standardized to 30-day supplies 965 Days of Medication total across all patients in 2023 | |||
| Topiramate | 20 | $14.66▼ below WI avg | ▼ Less than typical |
About Topiramate: Topiramate is used alone or with other medications to prevent and control seizures (epilepsy). Show more ▾ This medication is also used to prevent migraine headaches and decrease how often you get them. Topiramate will not treat a migraine headache once it occurs. If you get a migraine headache, treat it as directed by your doctor (such as by taking pain medication, lying down in a dark room). Topiramate is known as an anticonvulsant or antiepileptic drug. A sulfamate-substituted fructose analog that was originally identified as a hypoglycemic agent. It is used for the treatment of EPILEPSY and MIGRAINE DISORDERS, and may also promote weight loss. In 2023, this provider wrote 20 Medicare prescriptions for Topiramate, about half the volume of the typical Wisconsin prescriber of this medication (34). Medicare paid an average of $14.66 per fill, versus $21.48 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average WI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WI average for this medication. 29 30-Day Fills standardized to 30-day supplies 819 Days of Medication total across all patients in 2023 | |||
| Sertraline Hcl | 19 | $7.27▼ below WI avg | ▼ Less than typical |
About Sertraline Hcl: Sertraline is used to treat depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder (social phobia), and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Show more ▾ This medication may improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. It may decrease fear, anxiety, unwanted thoughts, and the number of panic attacks. It may also reduce the urge to perform repeated tasks (compulsions such as hand-washing, counting, and checking) that interfere with daily living. Sertraline is known as a selective serotonin reuptake inhibitor (SSRI). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. In 2023, this provider wrote 19 Medicare prescriptions for Sertraline Hcl, about a quarter of the volume of the typical Wisconsin prescriber of this medication (72). Medicare paid an average of $7.27 per fill, versus $12.83 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average WI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WI average for this medication. 19 30-Day Fills standardized to 30-day supplies 544 Days of Medication total across all patients in 2023 | |||
| Mirtazapine | 18 | $14.00▼ below WI avg | ▼ Less than typical |
About Mirtazapine: Mirtazapine is used to treat depression. Show more ▾ It improves mood and feelings of well-being. Mirtazapine is an antidepressant that works by restoring the balance of natural chemicals (neurotransmitters) in the brain. A piperazinoazepine tetracyclic compound that enhances the release of NOREPINEPHRINE and SEROTONIN through blockage of presynaptic ALPHA-2 ADRENERGIC RECEPTORS. It also blocks both 5-HT2 and 5-HT3 serotonin receptors and is a potent HISTAMINE H1 RECEPTOR antagonist. It is used for the treatment of depression, and may also be useful for the treatment of anxiety disorders. In 2023, this provider wrote 18 Medicare prescriptions for Mirtazapine, about a third of the volume of the typical Wisconsin prescriber of this medication (44). Medicare paid an average of $14.00 per fill, versus $25.84 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average WI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WI average for this medication. 18 30-Day Fills standardized to 30-day supplies 540 Days of Medication total across all patients in 2023 | |||
| Aripiprazole | 18 | $38.99▼ below WI avg | ▼ Less than typical |
About Aripiprazole: Aripiprazole is used to treat certain mental/mood disorders (such as bipolar disorder, schizophrenia, Tourette's syndrome, and irritability associated with autistic disorder). Show more ▾ It may also be used in combination with other medication to treat depression. Aripiprazole is known as an antipsychotic drug (atypical type). It works by helping to restore the balance of certain natural chemicals in the brain (neurotransmitters). This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. Aripiprazole can treat severe mood swings and decrease how often mood swings occur. A piperazine and quinolone derivative that is used primarily as an antipsychotic agent. It is a partial agonist of SEROTONIN RECEPTOR, 5-HT1A and DOPAMINE D2 RECEPTORS, where it also functions as a post-synaptic antagonist, and an antagonist of SEROTONIN RECEPTOR, 5-HT2A. It is used for the treatment of SCHIZOPHRENIA and BIPOLAR DISORDER, and as an adjunct therapy for the treatment of depression. In 2023, this provider wrote 18 Medicare prescriptions for Aripiprazole, about a third of the volume of the typical Wisconsin prescriber of this medication (51). Medicare paid an average of $38.99 per fill, versus $116.49 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average WI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WI average for this medication. 28 30-Day Fills standardized to 30-day supplies 840 Days of Medication total across all patients in 2023 | |||
| Lorazepam | 16 | $21.00 | ▼ Less than typical |
About Lorazepam: This medication is used to treat serious seizures that do not stop (status epilepticus). Show more ▾ It is also used before surgeries or procedures to cause drowsiness, decrease anxiety, and cause forgetfulness about the procedure or surgery. Lorazepam belongs to a class of medications called benzodiazepines, which produce a calming effect on the brain and nerves (central nervous system). It is thought to work by increasing the effect of a certain natural chemical (GABA) in the brain. A benzodiazepine used as an anti-anxiety agent with few side effects. It also has hypnotic, anticonvulsant, and considerable sedative properties and has been proposed as a preanesthetic agent. In 2023, this provider wrote 16 Medicare prescriptions for Lorazepam, about a third of the volume of the typical Wisconsin prescriber of this medication (48). Medicare paid an average of $21.00 per fill, versus $7.88 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average WI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 16 30-Day Fills standardized to 30-day supplies 437 Days of Medication total across all patients in 2023 | |||
| Risperidone | 14 | $17.09 | ▼ Less than typical |
About Risperidone: Risperidone is used to treat a certain mental/mood disorder called schizophrenia. Show more ▾ This medication can decrease hallucinations, help you to think more clearly and positively about yourself, feel less agitated, and take a more active part in everyday life. Risperidone is an antipsychotic drug (atypical type). It works by helping to restore the balance of certain natural substances in the brain. A selective blocker of DOPAMINE D2 RECEPTORS and SEROTONIN 5-HT2 RECEPTORS that acts as an atypical antipsychotic agent. It has been shown to improve both positive and negative symptoms in the treatment of SCHIZOPHRENIA. In 2023, this provider wrote 14 Medicare prescriptions for Risperidone, about a third of the volume of the typical Wisconsin prescriber of this medication (49). Medicare paid an average of $17.09 per fill, versus $15.75 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average WI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 14 30-Day Fills standardized to 30-day supplies 420 Days of Medication total across all patients in 2023 | |||
| Amitriptyline Hcl | 14 | $13.10▼ below WI avg | ▼ Less than typical |
About Amitriptyline Hcl: This medication is used to treat mental/mood problems such as depression. Show more ▾ It may help improve mood and feelings of well-being, relieve anxiety and tension, help you sleep better, and increase your energy level. This medication belongs to a class of medications called tricyclic antidepressants. It works by affecting the balance of certain natural chemicals (neurotransmitters such as serotonin) in the brain. In 2023, this provider wrote 14 Medicare prescriptions for Amitriptyline Hcl, about half the volume of the typical Wisconsin prescriber of this medication (24). Medicare paid an average of $13.10 per fill, versus $23.78 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average WI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the WI average for this medication. 14 30-Day Fills standardized to 30-day supplies 420 Days of Medication total across all patients in 2023 | |||
| Fluoxetine Hcl | 11 | $29.25 | ▼ Less than typical |
About Fluoxetine Hcl: This long-acting form of fluoxetine is used to treat depression in people who have been successfully treated with the form of fluoxetine that is taken daily. Show more ▾ Fluoxetine is a selective serotonin reuptake inhibitor (SSRI). SSRIs work by helping to restore the balance of certain natural substances in the brain (neurotransmitters such as serotonin). Fluoxetine may decrease anxiety, improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living. The first highly specific serotonin uptake inhibitor. It is used as an antidepressant and often has a more acceptable side-effects profile than traditional antidepressants. In 2023, this provider wrote 11 Medicare prescriptions for Fluoxetine Hcl, about a quarter of the volume of the typical Wisconsin prescriber of this medication (43). Medicare paid an average of $29.25 per fill, versus $17.10 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average WI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 19 30-Day Fills standardized to 30-day supplies 570 Days of Medication total across all patients in 2023 | |||
| Bupropion Hcl | 11 | $47.78 | ▼ Less than typical |
About Bupropion Hcl: Bupropion is used to treat depression. Show more ▾ It can improve your mood and feelings of well-being. It may work by helping to restore the balance of certain natural chemicals (neurotransmitters) in your brain. In 2023, this provider wrote 11 Medicare prescriptions for Bupropion Hcl, about half the volume of the typical Wisconsin prescriber of this medication (19). Medicare paid an average of $47.78 per fill, versus $34.88 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average WI prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill Gross Part D cost per fill; not the patient's out-of-pocket price. 11 30-Day Fills standardized to 30-day supplies 330 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for SANGITA PATEL MD is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2023, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Psychiatry prescribing approach at this Green Bay, WI practice.
Reading the costs. Drug costs are gross amounts paid to pharmacies under Part D, including both plan and beneficiary payments. They are not the price a patient pays at the pharmacy counter. Medications with fewer than 11 claims are excluded from the federal source data, and state comparisons use the average volume among WI prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
