⚠️

Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.

Read our methodology →

Nicholas PapanosM.D.

Internal Medicine · Park Ridge, IL 60068

NPI: 1134110448

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21

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

10,382

Total Claims

$823K

Drug Cost

646

Beneficiaries

$1,273

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-69%

Opioid rate vs peers

0.7% vs 2.2% avg

-10%

Cost per patient vs peers

$1,273 vs $1,411 avg

+49%

Brand preference vs peers

15.9% vs 10.6% avg

⚠️ Opioid + Benzodiazepine Co-Prescriber

This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.

🔎 Data Overview

⚠️

This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.

Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.

Opioid Prescribing

0.7%

Opioid Rate

71

Opioid Claims

$3,486

Opioid Cost

Long-Acting Rate

Brand vs Generic

84% generic

Brand: 1,646 claims · $605K

Generic: 8,718 claims · $216K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban519$175K
Mirabegron107$27K
Empagliflozin23$21K
Fluticasone/Vilanterol43$21K
Semaglutide14$18K
Sacubitril/Valsartan31$14K
Sitagliptin Phosphate15$12K
Brexpiprazole19$12K
Linagliptin/Metformin Hcl13$10K
Atorvastatin Calcium673$10K
Linagliptin29$9,863
Insulin Glargine,hum.Rec.Anlog29$9,164
Insulin Aspart29$9,058
Pantoprazole Sodium246$8,363
Ticagrelor31$8,217

Prescribing Profile

140

Unique Drugs

$237K

IRA Negotiated Drugs

$18K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

68

Avg Age

55%

Female

1.83

Avg Risk Score

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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations of wrongdoing.Methodology · About · Dispute this data