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Compare the published Medicare service mix of Amy Pike Gianino with clinicians in the same registry specialty: Family Nurse Practitioner.

NORWELL, MA · Exact areaEdit location

2024 published service data · 12 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Brian D Russell, FNP-BC

Family Nurse Practitioner · Norwell, MA

Shared published services
3 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)
  • Hospital discharge day management, 30 minutes or less (99238)
40%Service-mix similarityView profile →

Rashmi Patel, FNP-C

Family Nurse Practitioner · Norwell, MA

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)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • X-ray of chest, 2 views (71046)
30%Service-mix similarityView profile →

Renee Nicole Gaudette Mcrae, FNP, APRN

Family Nurse Practitioner · Norwell, MA

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)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • X-ray of chest, 2 views (71046)
28%Service-mix similarityView profile →

Nicole Carraggi

Family Nurse Practitioner · Norwell, MA

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)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • X-ray of chest, 2 views (71046)
24%Service-mix similarityView profile →

Christina Marie Bulman, CNP

Family Nurse Practitioner · Norwell, MA

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)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • X-ray of chest, 2 views (71046)
24%Service-mix similarityView profile →

Kaitlin Yogel, FNP-BC

Family Nurse Practitioner · Norwell, MA

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)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • X-ray of chest, 2 views (71046)
24%Service-mix similarityView profile →

Alyson Pisarczyk Messina, FNP

Family Nurse Practitioner · Norwell, MA

Shared published services
2 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)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
24%Service-mix similarityView profile →

Kristen M Lika, FNP-C

Family Nurse Practitioner · Norwell, MA

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)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Automated urinalysis test (81003)
23%Service-mix similarityView profile →

Lori V. Devereaux, FNP-BC

Family Nurse Practitioner · Norwell, MA

Shared published services
2 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)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
22%Service-mix similarityView profile →

Laura K Phillips, NURSE PRACTITIONER

Family Nurse Practitioner · Norwell, MA

Shared published services
2 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)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
21%Service-mix similarityView profile →

Christina Defusco Abouleish, NP

Family Nurse Practitioner · Norwell, MA

Shared published services
1 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)
8%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.