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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 →

Valerie KastensNP

Nurse Practitioner · Coeur D Alene, ID 83814

NPI: 1104878867

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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

11,739

Total Claims

$937K

Drug Cost

711

Beneficiaries

$1,317

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. 218,535 Nurse Practitioner providers

+35%

Opioid rate vs peers

5.1% vs 3.8% avg

+12%

Cost per patient vs peers

$1,317 vs $1,174 avg

+37%

Brand preference vs peers

12.1% 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.

Opioid Prescribing

5.1%

Opioid Rate

599

Opioid Claims

$11K

Opioid Cost

2.3%

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 1,415 claims · $712K

Generic: 10,251 claims · $220K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide118$146K
Apixaban141$106K
Empagliflozin93$97K
Semaglutide34$42K
Insulin Glargine,hum.Rec.Anlog41$31K
Sitagliptin Phosphate29$29K
Rivaroxaban23$26K
Budesonide/Formoterol Fumarate50$24K
Dapagliflozin Propanediol12$20K
Rosuvastatin Calcium416$19K
Mirabegron13$17K
Tiotropium Bromide12$13K
Levothyroxine Sodium848$12K
Potassium Chloride192$11K
Duloxetine Hcl256$11K

Prescribing Profile

141

Unique Drugs

$278K

IRA Negotiated Drugs

$197K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

74

Avg Age

77%

Female

1.07

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