⚠️

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 →

Keith WickenhauserMD

Internal Medicine · Saint Charles, MO 63303

NPI: 1184042855

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15

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

22,405

Total Claims

$1.8M

Drug Cost

1,259

Beneficiaries

$1,457

Cost/Patient

Risk Score Breakdown 15/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-26%

Opioid rate vs peers

1.7% vs 2.2% avg

+3%

Cost per patient vs peers

$1,457 vs $1,411 avg

+6%

Brand preference vs peers

11.3% 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

1.7%

Opioid Rate

370

Opioid Claims

$4,552

Opioid Cost

5.1%

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 2,518 claims · $1.5M

Generic: 19,755 claims · $332K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban394$354K
Empagliflozin154$163K
Semaglutide89$150K
Sitagliptin Phosphate103$88K
Rsvpref3 Antigen/As01e/Pf226$72K
Mirabegron88$61K
Dulaglutide45$61K
Umeclidinium Brm/Vilanterol Tr87$56K
Dapagliflozin Propanediol41$44K
Fluticasone/Umeclidin/Vilanter50$44K
Semaglutide31$42K
Rivaroxaban44$34K
Budesonide/Formoterol Fumarate58$34K
Pitavastatin Calcium28$16K
Atorvastatin Calcium1,310$12K

Prescribing Profile

182

Unique Drugs

$682K

IRA Negotiated Drugs

$253K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

76

Avg Age

53%

Female

1.11

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