JACOB MICHAEL WILMES PMHNP-BC
Prescription History 1902671639
Nurse Practitioner - Psychiatric/Mental Health in Saint Louis, MO

Active since November 22, 2023PECOS EnrolledAccepts Medicare Assignment
1400 LEMAY FERRY RD, SAINT LOUIS, MO 63125(314) 776-7999 Get Directions

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 5, 2024, Nov 22, 2023 (2 updates tracked since 2023).

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for JACOB MICHAEL WILMES PMHNP-BC, an active Psychiatric/Mental Health specialist practicing in Saint Louis, MO. Our medical registry currently tracks 20 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 850 documented patient claims. Among these therapy options, the most frequently utilized medication is Sertraline Hcl, which accounts for 167 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.

20
Medications
850
Total Claims
850
30-Day Fills
Sertraline Hcl
Most Prescribed · 167 claims
View details
20 medications · 2024 Medicare Part D
Medicare Part D medications prescribed by JACOB MICHAEL WILMES PMHNP-BC in 2024, with prescription volumes, average cost per fill, and MO state comparisons
Medication Prescriptions (2024)Rx (2024) Avg Cost per FillCost / Fill Vs. Other MO PrescribersVs. MO Avg

About Sertraline Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder). Show more ▾

It is also used to treat a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Sertraline belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A selective serotonin uptake inhibitor that is used in the treatment of depression.

In 2024, this provider wrote 167 Medicare prescriptions for Sertraline Hcl, about 2 times the volume of the typical Missouri prescriber of this medication (82.4). Medicare paid an average of $10.95 per fill, versus $7.86 statewide.

How often this provider prescribes it

This provider
167
MO average
82.4

This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$10.95
MO average
$7.86

Gross Part D cost per fill; not the patient's out-of-pocket price.

167
30-Day Fills
standardized to 30-day supplies
4,554
Days of Medication
total across all patients in 2024

About Trazodone Hcl: This medication is used to treat depression. Show more ▾

Trazodone works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A serotonin uptake inhibitor that is used as an antidepressive agent. It has been shown to be effective in patients with major depressive disorders and other subsets of depressive disorders. It is generally more useful in depressive disorders associated with insomnia and anxiety. This drug does not aggravate psychotic symptoms in patients with schizophrenia or schizoaffective disorders. (From AMA Drug Evaluations Annual, 1994, p309)

In 2024, this provider wrote 95 Medicare prescriptions for Trazodone Hcl, about the same volume as the typical Missouri prescriber of this medication (92.7). Medicare paid an average of $8.77 per fill, versus $7.90 statewide.

How often this provider prescribes it

This provider
95
MO average
92.7

This provider's prescribing volume for this medication is in line with the average MO prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$8.77
MO average
$7.90

Gross Part D cost per fill; not the patient's out-of-pocket price.

95
30-Day Fills
standardized to 30-day supplies
2,102
Days of Medication
total across all patients in 2024

About Quetiapine Fumarate: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾

Quetiapine belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. 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 2024, this provider wrote 86 Medicare prescriptions for Quetiapine Fumarate, about 1.2 times the volume of the typical Missouri prescriber of this medication (69.4). Medicare paid an average of $13.45 per fill, versus $16.57 statewide.

How often this provider prescribes it

This provider
86
MO average
69.4

This provider's prescribing volume for this medication is in line with the average MO prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$13.45
MO average
$16.57

This provider's average cost per fill is below the MO average for this medication.

86
30-Day Fills
standardized to 30-day supplies
1,510
Days of Medication
total across all patients in 2024

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). An anxiolytic agent and serotonin receptor agonist belonging to the azaspirodecanedione class of compounds. Its structure is unrelated to those of the BENZODIAZAPINES, but it has an efficacy comparable to DIAZEPAM.

In 2024, this provider wrote 71 Medicare prescriptions for Buspirone Hcl, about the same volume as the typical Missouri prescriber of this medication (63.4). Medicare paid an average of $12.64 per fill, versus $13.90 statewide.

How often this provider prescribes it

This provider
71
MO average
63.4

This provider's prescribing volume for this medication is in line with the average MO prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$12.64
MO average
$13.90

This provider's average cost per fill is below the MO average for this medication.

71
30-Day Fills
standardized to 30-day supplies
1,276
Days of Medication
total across all patients in 2024

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 2024, this provider wrote 55 Medicare prescriptions for Prazosin Hcl, about the same volume as the typical Missouri prescriber of this medication (48.2). Medicare paid an average of $8.86 per fill, versus $15.82 statewide.

How often this provider prescribes it

This provider
55
MO average
48.2

This provider's prescribing volume for this medication is in line with the average MO prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$8.86
MO average
$15.82

This provider's average cost per fill is below the MO average for this medication.

55
30-Day Fills
standardized to 30-day supplies
793
Days of Medication
total across all patients in 2024

About Mirtazapine: This medication is used to treat depression. Show more ▾

Mirtazapine works by helping to restore the balance of certain natural substances 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 2024, this provider wrote 51 Medicare prescriptions for Mirtazapine, about 84% of the volume of the typical Missouri prescriber of this medication (60.5). Medicare paid an average of $17.49 per fill, versus $17.80 statewide.

How often this provider prescribes it

This provider
51
MO average
60.5

This provider's prescribing volume for this medication is in line with the average MO prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$17.49
MO average
$17.80

This provider's average cost per fill is below the MO average for this medication.

51
30-Day Fills
standardized to 30-day supplies
925
Days of Medication
total across all patients in 2024

About Olanzapine: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder). Show more ▾

It may also be used in combination with other medication to treat depression. Olanzapine belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. Talk to the doctor about the risks and benefits of treatment (especially when used by teenagers). See also Precautions section. A benzodiazepine derivative that binds SEROTONIN RECEPTORS; MUSCARINIC RECEPTORS; HISTAMINE H1 RECEPTORS; ADRENERGIC ALPHA-1 RECEPTORS; and DOPAMINE RECEPTORS. It is an antipsychotic agent used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER; and MAJOR DEPRESSIVE DISORDER; it may also reduce nausea and vomiting in patients undergoing chemotherapy.

In 2024, this provider wrote 47 Medicare prescriptions for Olanzapine, about 78% of the volume of the typical Missouri prescriber of this medication (60). Medicare paid an average of $7.56 per fill, versus $23.83 statewide.

How often this provider prescribes it

This provider
47
MO average
60.0

This provider's prescribing volume for this medication is in line with the average MO prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$7.56
MO average
$23.83

This provider's average cost per fill is below the MO average for this medication.

47
30-Day Fills
standardized to 30-day supplies
751
Days of Medication
total across all patients in 2024

About Hydroxyzine Pamoate: 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. A histamine H1 receptor antagonist that is effective in the treatment of chronic urticaria, dermatitis, and histamine-mediated pruritus. Unlike its major metabolite CETIRIZINE, it does cause drowsiness. It is also effective as an antiemetic, for relief of anxiety and tension, and as a sedative.

In 2024, this provider wrote 41 Medicare prescriptions for Hydroxyzine Pamoate, about the same volume as the typical Missouri prescriber of this medication (36.2). Medicare paid an average of $7.08 per fill, versus $13.09 statewide.

How often this provider prescribes it

This provider
41
MO average
36.2

This provider's prescribing volume for this medication is in line with the average MO prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$7.08
MO average
$13.09

This provider's average cost per fill is below the MO average for this medication.

41
30-Day Fills
standardized to 30-day supplies
576
Days of Medication
total across all patients in 2024

About Escitalopram Oxalate: This medication is used to treat certain mental/mood disorders (such as depression, anxiety). Show more ▾

Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. 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 2024, this provider wrote 39 Medicare prescriptions for Escitalopram Oxalate, about half the volume of the typical Missouri prescriber of this medication (68). Medicare paid an average of $9.46 per fill, versus $9.52 statewide.

How often this provider prescribes it

This provider
39
MO average
68.0

This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$9.46
MO average
$9.52

This provider's average cost per fill is below the MO average for this medication.

39
30-Day Fills
standardized to 30-day supplies
920
Days of Medication
total across all patients in 2024

About Quetiapine Fumarate Er: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾

It is also used with other medications to treat depression. Quetiapine belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. 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 2024, this provider wrote 38 Medicare prescriptions for Quetiapine Fumarate Er, about 1.4 times the volume of the typical Missouri prescriber of this medication (27.6). Medicare paid an average of $36.34 per fill, versus $70.43 statewide.

How often this provider prescribes it

This provider
38
MO average
27.6

This provider prescribes this medication more often than the average MO prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$36.34
MO average
$70.43

This provider's average cost per fill is below the MO average for this medication.

38
30-Day Fills
standardized to 30-day supplies
631
Days of Medication
total across all patients in 2024

About Bupropion Xl: This medication is used to treat depression. Show more ▾

It is also be used to prevent seasonal affective disorder (SAD), a type of depression that occurs each year at the same time (for example, during winter). Bupropion works by helping to restore the balance of certain natural substances (dopamine, norepinephrine) in the brain. A propiophenone-derived antidepressant and antismoking agent that inhibits the uptake of DOPAMINE.

In 2024, this provider wrote 26 Medicare prescriptions for Bupropion Xl, about half the volume of the typical Missouri prescriber of this medication (50.8). Medicare paid an average of $31.93 per fill, versus $21.98 statewide.

How often this provider prescribes it

This provider
26
MO average
50.8

This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$31.93
MO average
$21.98

Gross Part D cost per fill; not the patient's out-of-pocket price.

26
30-Day Fills
standardized to 30-day supplies
668
Days of Medication
total across all patients in 2024

About Donepezil Hcl: Donepezil is used to treat confusion (dementia) related to Alzheimer's disease. Show more ▾

It does not cure Alzheimer's disease, but it may improve memory, awareness, and the ability to function. This medication is an enzyme blocker that works by restoring the balance of natural substances (neurotransmitters) in the brain. An indan and piperidine derivative that acts as a selective and reversible inhibitor of ACETYLCHOLINESTERASE. Donepezil is highly selective for the central nervous system and is used in the management of mild to moderate DEMENTIA in ALZHEIMER DISEASE.

In 2024, this provider wrote 21 Medicare prescriptions for Donepezil Hcl, about a third of the volume of the typical Missouri prescriber of this medication (70.6). Medicare paid an average of $11.35 per fill, versus $10.60 statewide.

How often this provider prescribes it

This provider
21
MO average
70.6

This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$11.35
MO average
$10.60

Gross Part D cost per fill; not the patient's out-of-pocket price.

21
30-Day Fills
standardized to 30-day supplies
630
Days of Medication
total across all patients in 2024

About Fluoxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder). Show more ▾

It is also used to treat a certain eating disorder (bulimia) and a severe form of premenstrual syndrome (premenstrual dysphoric disorder). Fluoxetine belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. 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 2024, this provider wrote 18 Medicare prescriptions for Fluoxetine Hcl, about a third of the volume of the typical Missouri prescriber of this medication (52). Medicare paid an average of $3.97 per fill, versus $9.54 statewide.

How often this provider prescribes it

This provider
18
MO average
52.1

This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$3.97
MO average
$9.54

This provider's average cost per fill is below the MO average for this medication.

18
30-Day Fills
standardized to 30-day supplies
268
Days of Medication
total across all patients in 2024

About Bupropion Hcl: This medication is used to treat depression. Show more ▾

Bupropion works by helping to restore the balance of certain natural substances (dopamine, norepinephrine) in the brain. A propiophenone-derived antidepressant and antismoking agent that inhibits the uptake of DOPAMINE.

In 2024, this provider wrote 16 Medicare prescriptions for Bupropion Hcl, about 67% of the volume of the typical Missouri prescriber of this medication (24). Medicare paid an average of $8.27 per fill, versus $20.62 statewide.

How often this provider prescribes it

This provider
16
MO average
24.0

This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$8.27
MO average
$20.62

This provider's average cost per fill is below the MO average for this medication.

16
30-Day Fills
standardized to 30-day supplies
224
Days of Medication
total across all patients in 2024

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. A histamine H1 receptor antagonist that is effective in the treatment of chronic urticaria, dermatitis, and histamine-mediated pruritus. Unlike its major metabolite CETIRIZINE, it does cause drowsiness. It is also effective as an antiemetic, for relief of anxiety and tension, and as a sedative.

In 2024, this provider wrote 14 Medicare prescriptions for Hydroxyzine Hcl, about a third of the volume of the typical Missouri prescriber of this medication (40.2). Medicare paid an average of $22.70 per fill, versus $17.74 statewide.

How often this provider prescribes it

This provider
14
MO average
40.2

This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$22.70
MO average
$17.74

Gross Part D cost per fill; not the patient's out-of-pocket price.

14
30-Day Fills
standardized to 30-day supplies
262
Days of Medication
total across all patients in 2024

About Paliperidone Er: This medication is used to treat certain mental/mood disorders (such as schizophrenia, schizoaffective disorder). Show more ▾

Paliperidone belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain. A benzisoxazole derivative and active metabolite of RISPERIDONE that functions as a DOPAMINE D2 RECEPTOR ANTAGONIST and SEROTONIN 5-HT2 RECEPTOR ANTAGONIST. It is an ANTIPSYCHOTIC AGENT used in the treatment of SCHIZOPHRENIA.

In 2024, this provider wrote 14 Medicare prescriptions for Paliperidone Er, about a third of the volume of the typical Missouri prescriber of this medication (38.5). Medicare paid an average of $42.99 per fill, versus $189.96 statewide.

How often this provider prescribes it

This provider
14
MO average
38.5

This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$42.99
MO average
$189.96

This provider's average cost per fill is below the MO average for this medication.

14
30-Day Fills
standardized to 30-day supplies
199
Days of Medication
total across all patients in 2024

About Risperidone: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder, irritability associated with autistic disorder). Show more ▾

Risperidone belongs to a class of drugs known as atypical antipsychotics. 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 2024, this provider wrote 14 Medicare prescriptions for Risperidone, about a quarter of the volume of the typical Missouri prescriber of this medication (56.5). Medicare paid an average of $11.87 per fill, versus $13.52 statewide.

How often this provider prescribes it

This provider
14
MO average
56.5

This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$11.87
MO average
$13.52

This provider's average cost per fill is below the MO average for this medication.

14
30-Day Fills
standardized to 30-day supplies
298
Days of Medication
total across all patients in 2024

About Bupropion Hcl Sr: This medication is used to treat depression. Show more ▾

Bupropion works by helping to restore the balance of certain natural substances (dopamine, norepinephrine) in the brain. A propiophenone-derived antidepressant and antismoking agent that inhibits the uptake of DOPAMINE.

In 2024, this provider wrote 13 Medicare prescriptions for Bupropion Hcl Sr, about half the volume of the typical Missouri prescriber of this medication (30.3). Medicare paid an average of $5.45 per fill, versus $19.42 statewide.

How often this provider prescribes it

This provider
13
MO average
30.3

This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$5.45
MO average
$19.42

This provider's average cost per fill is below the MO average for this medication.

13
30-Day Fills
standardized to 30-day supplies
182
Days of Medication
total across all patients in 2024

About Desvenlafaxine Succinate Er: This medication is used to treat depression. Show more ▾

Desvenlafaxine belongs to a class of drugs known as serotonin-norepinephrine reuptake inhibitors (SNRIs). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A cyclohexanol and phenol derivative and metabolite of venlafaxine that functions as a SEROTONIN AND NORADRENALINE REUPTAKE INHIBITOR (SNRI) and is used as an ANTIDEPRESSIVE AGENT.

In 2024, this provider wrote 13 Medicare prescriptions for Desvenlafaxine Succinate Er, about half the volume of the typical Missouri prescriber of this medication (29). Medicare paid an average of $58.76 per fill, versus $56.99 statewide.

How often this provider prescribes it

This provider
13
MO average
29.0

This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$58.76
MO average
$56.99

Gross Part D cost per fill; not the patient's out-of-pocket price.

13
30-Day Fills
standardized to 30-day supplies
390
Days of Medication
total across all patients in 2024

About Paroxetine Hcl: This medication is used to treat certain mental/mood disorders (such as depression, panic attacks, obsessive compulsive disorder, anxiety disorders, post-traumatic stress disorder). Show more ▾

Paroxetine belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs). It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. A serotonin uptake inhibitor that is effective in the treatment of depression.

In 2024, this provider wrote 11 Medicare prescriptions for Paroxetine Hcl, about a third of the volume of the typical Missouri prescriber of this medication (32.9). Medicare paid an average of $5.97 per fill, versus $12.81 statewide.

How often this provider prescribes it

This provider
11
MO average
32.9

This provider prescribes this medication less often than the average MO prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$5.97
MO average
$12.81

This provider's average cost per fill is below the MO average for this medication.

11
30-Day Fills
standardized to 30-day supplies
208
Days of Medication
total across all patients in 2024
No medications match the current filters.
= the 5 medications this provider prescribes most.▲ More than typical≈ Typical▼ Less than typical= prescription volume vs the average MO prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the MO average cost per fill.

About this data. The prescription history for JACOB MICHAEL WILMES PMHNP-BC is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2024, 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 Psychiatric/Mental Health prescribing approach at this Saint Louis, MO 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 among MO prescribers of the same medication and form, shown only when at least five prescribers contribute. Always confirm current medications and costs directly with the provider and your plan.

About the medication summaries. Drug use descriptions come from the CMS Medicare Part D Drug Spending Dashboard (2024), and substance definitions from Medical Subject Headings (MeSH) 2026, U.S. National Library of Medicine. They are summaries that do not contain all possible information about a medication and are not individual medical advice. Ask a health care professional about any medication and your specific health needs.