⚠️

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 →

Rise KesterAPRN

Nurse Practitioner · Kingfisher, OK 73750

NPI: 1063637130

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13

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

13,298

Total Claims

$1.3M

Drug Cost

578

Beneficiaries

$2,258

Cost/Patient

Risk Score Breakdown 13/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

-75%

Opioid rate vs peers

1.0% vs 3.8% avg

+92%

Cost per patient vs peers

$2,258 vs $1,174 avg

+53%

Brand preference vs peers

13.5% vs 8.9% 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

1.0%

Opioid Rate

127

Opioid Claims

$1,405

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 1,782 claims · $1.0M

Generic: 11,397 claims · $268K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban160$113K
Tirzepatide85$99K
Semaglutide72$82K
Empagliflozin73$72K
Insulin Aspart83$70K
Insulin Glargine,hum.Rec.Anlog81$50K
Dapagliflozin Propanediol68$49K
Insulin Degludec39$43K
Sitagliptin Phosphate21$35K
Dulaglutide25$28K
Fluticasone/Umeclidin/Vilanter35$25K
Linagliptin35$22K
Rivaroxaban32$22K
Insulin Degludec34$20K
Brexpiprazole27$20K

Prescribing Profile

170

Unique Drugs

$360K

IRA Negotiated Drugs

$209K

GLP-1 Drugs

13.0

Anomaly Score

Patient Profile

73

Avg Age

71%

Female

1.46

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.Methodology · About