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Compare the published Medicare service mix of Sunil S. Rayan, M.D. with clinicians in the same registry specialty: Vascular Surgery (CMS).

ENCINITAS, CA · 25 milesEdit location
Within 25 miles · Approximate ZIP-area distance

Approximate straight-line distances between ZIP-area centers; a city search starts from the average of its ZIP centers. Uses the primary reported practice ZIP, not an exact office address or driving distance. Records without matched coordinates are excluded. How distance works

2024 published service data · 29 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Ann Catherine Gaffey, MD

Vascular Surgery (CMS) · La Jolla, CA

Shared published services
3 shared services · view billing descriptions
  • Ultrasound study of arm or leg veins with compression and maneuvers (93970)
  • New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more (99205)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
70%Service-mix similarity~13.9 milesView profile →

Scott Edward Musicant, MD

Interventional Radiology · Vascular Surgery (CMS) · La Mesa, CA

Shared published services
3 shared services · view billing descriptions
  • Ultrasound study of arm or leg veins with compression and maneuvers (93970)
  • New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more (99205)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
65%Service-mix similarity~23.6 milesView profile →

Mahmoud Malas, M.D.

Vascular Surgery (CMS) · La Jolla, CA

Shared published services
3 shared services · view billing descriptions
  • Ultrasound study of arm or leg veins with compression and maneuvers (93970)
  • New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more (99205)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
61%Service-mix similarity~13.9 milesView profile →

Patrick Russell Cook, D.O.

Vascular Surgery (CMS) · La Mesa, CA

Shared published services
3 shared services · view billing descriptions
  • Ultrasound study of arm or leg veins with compression and maneuvers (93970)
  • New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more (99205)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
60%Service-mix similarity~23.6 milesView profile →

Omar Al-Nouri, D.O.

Vascular Surgery (CMS) · La Jolla, CA

Shared published services
3 shared services · view billing descriptions
  • Ultrasound study of arm or leg veins with compression and maneuvers (93970)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
56%Service-mix similarity~13.9 milesView profile →

Vincent Joseph Guzzetta, MD

Specialty details in registry · La Mesa, CA

Shared published services
3 shared services · view billing descriptions
  • Ultrasound study of arm or leg veins with compression and maneuvers (93970)
  • New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more (99205)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
56%Service-mix similarity~23.6 milesView profile →

Thomas Tino Terramani, MD

Interventional Radiology · Vascular Surgery (CMS) · La Mesa, CA

Shared published services
3 shared services · view billing descriptions
  • Ultrasound study of arm or leg veins with compression and maneuvers (93970)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (93971)
56%Service-mix similarity~23.6 milesView profile →

Luis C. Cajas-Monson, M.D.

Vascular Surgery (CMS) · La Mesa, CA

Shared published services
3 shared services · view billing descriptions
  • Ultrasound study of arm or leg veins with compression and maneuvers (93970)
  • New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more (99205)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
54%Service-mix similarity~23.6 milesView profile →

Tom Alsaigh, M.D.

Vascular Surgery (CMS) · San Diego, CA

Shared published services
3 shared services · view billing descriptions
  • Ultrasound study of arm or leg veins with compression and maneuvers (93970)
  • New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more (99205)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
54%Service-mix similarity~11.5 milesView profile →

Jeffrey Scott Weiss, MD

Vascular Surgery (CMS) · San Diego, CA

Shared published services
3 shared services · view billing descriptions
  • Ultrasound study of arm or leg veins with compression and maneuvers (93970)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
53%Service-mix similarity~21.7 milesView profile →

Curtis Clayton Horton, M.D.

General Surgery (CMS) · San Diego, CA

Shared published services
3 shared services · view billing descriptions
  • Ultrasound study of arm or leg veins with compression and maneuvers (93970)
  • New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more (99205)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
53%Service-mix similarity~19.0 milesView profile →

Anatoly J Bulkin, M.D.

General Surgery · Vascular Surgery (CMS) · Escondido, CA

Shared published services
3 shared services · view billing descriptions
  • Ultrasound study of arm or leg veins with compression and maneuvers (93970)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
52%Service-mix similarity~10.2 milesView 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 approximate distance 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.