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Compare the published Medicare service mix of Desiree Jayne Domingo Leal, FNP-BC with clinicians in the same registry specialty: Nurse Practitioner.

CA · 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.

Maria Behrooj, N.P.

Nurse Practitioner · Mission Hills, CA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Injection of drug or substance under skin or into muscle (96372)
  • Detection test by immunoassay with direct visual observation for influenza virus (87804)
87%Service-mix similarityView profile →

Upasna Sharma, NP

Nurse Practitioner · San Francisco, CA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Detection test by immunoassay with direct visual observation for influenza virus (87804)
  • Automated urinalysis test (81003)
75%Service-mix similarityView profile →

Joanna Crocker

Nurse Practitioner · Bakersfield, CA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Injection of drug or substance under skin or into muscle (96372)
  • Automated urinalysis test (81003)
69%Service-mix similarityView profile →

Amy Helen Watson, NP, PAC, MSN

Nurse Practitioner · Fresno, CA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Injection of drug or substance under skin or into muscle (96372)
  • Detection test by immunoassay with direct visual observation for influenza virus (87804)
67%Service-mix similarityView profile →

Anjali Asrani, NP

Nurse Practitioner · San Francisco, CA

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Injection of drug or substance under skin or into muscle (96372)
62%Service-mix similarityView profile →

Mariusz Niedzwiecki

Nurse Practitioner · San Jose, CA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Detection test by immunoassay with direct visual observation for influenza virus (87804)
  • Automated urinalysis test (81003)
61%Service-mix similarityView profile →

Meghan Escoto, NP

Nurse Practitioner · Tehachapi, CA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Injection of drug or substance under skin or into muscle (96372)
  • Automated urinalysis test (81003)
57%Service-mix similarityView profile →

Jennifer Elise Graham, RN FNP

Nurse Practitioner · Benicia, CA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Injection of drug or substance under skin or into muscle (96372)
  • Automated urinalysis test (81003)
57%Service-mix similarityView profile →

Rose Kim Chang Hull, NP

Nurse Practitioner · Fresno, CA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Injection of drug or substance under skin or into muscle (96372)
  • Automated urinalysis test (81003)
57%Service-mix similarityView profile →

Robin D Medina-Reinhart, NP, FNP

Nurse Practitioner · Clovis, CA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Injection of drug or substance under skin or into muscle (96372)
  • Automated urinalysis test (81003)
55%Service-mix similarityView profile →

Will Edan Toperoff, NP

Nurse Practitioner · San Diego, CA

Shared published services
1 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
55%Service-mix similarityView profile →

Seanny Min, NP

Nurse Practitioner · Stanford, CA

Shared published services
1 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
55%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.