Randi J Kestler, MD

1 location · John Muir Physician Network · 488 clinicians in this group

Hospitals listed: John Muir Medical Center - Concord Campus · John Muir Medical Center - Walnut Creek Campus. That is not proof they admit you there this week.

Licence A126330 · Current

Licensed to practise in California · since 2013 · expires 2027-07-31 · University of Maryland School of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Medicare did not publish checkup rates for this clinician.

2 hospitals

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

• John Muir Medical Center - Concord CampusConcord, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of John Muir Health, which runs 3 hospitalsPatients rate it 3 of 5 · 77% would definitely recommend it
  Overall rating: 4 of 5 starsBetter than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.235, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.675, Oct 2024 – Sep 2025
• John Muir Medical Center - Walnut Creek CampusWalnut Creek, CAAcute Care Hospital · Voluntary non-profit - Other · Has an emergency department · Birthing-friendlyPart of John Muir Health, which runs 3 hospitalsPatients rate it 3 of 5 · 77% would definitely recommend it
  Overall rating: 2 of 5 starsWorse than the national rate — Abdominopelvic accidental puncture or laceration rate: 2.01 (1.17 to 2.85) · 2,206 cases, Jul 2022 – Jun 2024Worse than the national rate — Death rate among surgical inpatients with serious treatable complications: 222.42 (177.82 to 267.02) · 120 cases, Jul 2022 – Jun 2024Worse than the national rate — Pressure ulcer rate: 1.4 (0.91 to 1.9) · 9,764 cases, Jul 2022 – Jun 2024Worse than the national rate — SSI - Colon Surgery: 2.734, Oct 2024 – Sep 2025Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.536, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.341, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.455, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.245, Oct 2024 – Sep 2025

$46,897

Medicare paid this office $46,897 for 219 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Who their Medicare patients are

219 Original Medicare patients in 2024. Average age 77 · Under 65 11% · 85 and older 27% · Women 55% · Also on Medicaid 41% · Health risk score 2.40. Above the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 75% · Chronic kidney disease 48% · Diabetes 43% · Depression 43% · Heart failure 39% · Atrial fibrillation 38% · Coronary heart disease 37% · COPD 31% · Dementia 30% · Stroke 28% · Cancer 21%.

The office billed $167,532, Medicare allowed $59,254 and paid $46,897; for 535 services of 8 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

$4,716 in 2023

Medicaid paid $4,716 for 116 billed services this clinician did in 2023, up to 14 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

$12,434

Pharmacies billed $12,434 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

165 generic and 22 brand-name prescriptions · $12,434 in drug cost · 43 antibiotic prescriptions to 27 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Year by year

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

NPI

1780909242

Licence

CA A126330California A126330: Current · expires 2027-07-31

Group

John Muir Physician Network

Gender

Male