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Compare the published Medicare service mix of Albert John Fenoy, M.D. with clinicians in the same registry specialty: Neurosurgery (CMS).

TX · Exact areaEdit location

2024 published service data · 377 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

David Bruce Ramsey, MD

Neurosurgery (CMS) · Sherman, TX

Shared published services
3 shared services · view billing descriptions
  • 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)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
71%Service-mix similarityView profile →

Steven C Zielinski, M.D.

Neurosurgery (CMS) · Waco, TX

Shared published services
3 shared services · view billing descriptions
  • 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)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
70%Service-mix similarityView profile →

Ryan B Kochanski, M.D.

Neurosurgery (CMS) · San Antonio, TX

Shared published services
3 shared services · view billing descriptions
  • 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)
  • Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more (99215)
61%Service-mix similarityView profile →

Fernando E Silva, MD

Neurosurgery (CMS) · Beaumont, TX

Shared published services
3 shared services · view billing descriptions
  • 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)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
60%Service-mix similarityView profile →

Om James Neeley, M.D.

Neurosurgery (CMS) · San Antonio, TX

Shared published services
3 shared services · view billing descriptions
  • 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)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
59%Service-mix similarityView profile →

Nader Pouratian, MD

Neurosurgery (CMS) · Dallas, TX

Shared published services
3 shared services · view billing descriptions
  • 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)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
58%Service-mix similarityView profile →

Caetano Jose Porto Coimbra, MD

Neurosurgery (CMS) · Dallas, TX

Shared published services
3 shared services · view billing descriptions
  • 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)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
58%Service-mix similarityView profile →

Saman P Javedan, M.D.

Neurosurgery (CMS) · Shenandoah, TX

Shared published services
3 shared services · view billing descriptions
  • 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)
  • Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more (99215)
57%Service-mix similarityView profile →

Jonathan Dean Breshears, M.D.

Neurosurgery (CMS) · Houston, TX

Shared published services
3 shared services · view billing descriptions
  • 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)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
55%Service-mix similarityView profile →

Nitin Tandon, M.D.

Neurosurgery (CMS) · Houston, TX

Shared published services
3 shared services · view billing descriptions
  • 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 high level of medical decision making, if using time, 40 minutes or more (99215)
  • Insertion of brain neurostimulator pulse device with connection to 2 or more electrode arrays (61886)
55%Service-mix similarityView profile →

David Michael Panczykowski, M.D.

Neurosurgery (CMS) · Houston, TX

Shared published services
3 shared services · view billing descriptions
  • 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)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
54%Service-mix similarityView profile →

Anant I Patel, M.D.

Neurosurgery (CMS) · Austin, TX

Shared published services
3 shared services · view billing descriptions
  • 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)
  • Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more (99215)
54%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.