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Compare the published Medicare service mix of Romeo Penaflor with clinicians in the same registry specialty: Family Nurse Practitioner.

HOUSTON, TX · Exact areaEdit location

2024 published service data · 500 eligible profiles compared. This search reached its 500-profile comparison limit, using NPI order. Narrow the location for a more focused comparison. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Odette Tiranke Kourouma, NP

Family Nurse Practitioner · Houston, TX

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Automated urinalysis test (81003)
90%Service-mix similarityView profile →

Daniel Garcia, NURSE PRACTITIONER

Family Nurse Practitioner · Houston, TX

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's (G2211)
85%Service-mix similarityView profile →

Anahita Jafari

Family Nurse Practitioner · Houston, TX

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Injection of drug or substance under skin or into muscle (96372)
82%Service-mix similarityView profile →

Colette Marie Lechmanick, FNP-C

Family Nurse Practitioner · Houston, TX

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Automated urinalysis test (81003)
80%Service-mix similarityView profile →

Troy Shannon Peet

Family Nurse Practitioner · Houston, TX

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Automated urinalysis test (81003)
75%Service-mix similarityView profile →

Daniela Maria Salas Beltran, APRN

Family Nurse Practitioner · Houston, TX

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Automated urinalysis test (81003)
74%Service-mix similarityView profile →

Guerlyne Henson, DNP,FNP-C

Family Nurse Practitioner · Houston, TX

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
73%Service-mix similarityView profile →

Sharron Mitchell, DNP, FNP-C, PMHNP-BC

Family Nurse Practitioner · Houston, TX

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
73%Service-mix similarityView profile →

Vanessa Rochelle Weaver, DNP, APRN, FNP-C

Family Nurse Practitioner · Houston, TX

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Injection of drug or substance under skin or into muscle (96372)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
73%Service-mix similarityView profile →

Tonia Lynette Jackson, FNP-C

Family Nurse Practitioner · Houston, TX

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
72%Service-mix similarityView profile →

Tracey Butay, CRNP

Family Nurse Practitioner · Houston, TX

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
72%Service-mix similarityView profile →

Shelley Ramirez, FNP

Family Nurse Practitioner · Houston, TX

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Injection of drug or substance under skin or into muscle (96372)
72%Service-mix similarityView profile →
How this comparison works

We use the same calendar year of CMS Medicare Physician & Other Practitioners data for both providers. Published non-drug service counts are combined by HCPCS code across places of service. We apply log(1 + count), normalize the vectors, and compare them using cosine similarity.

Candidates share the reference provider’s current NPPES primary taxonomy and match the location you enter. We examine up to 500 candidates in NPI order, then show up to 12 with the highest positive similarity within that set. The score is not a percentile, medical recommendation, or prediction. Suppressed services are not estimated. Medicare fee-for-service data does not describe a provider’s entire practice.

Source: CMS Medicare Physician & Other Practitioners - by Provider and Service : 2024-12-01 · Published May 21, 2026.