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Compare the published Medicare service mix of Melissa M Wisniewski, NP with clinicians in the same registry specialty: Family Nurse Practitioner.

ORCHARD PARK, NY · Exact areaEdit location

2024 published service data · 25 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Erin Cathrine Larkowski, FNP-BC

Family Nurse Practitioner · Orchard Park, NY

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)
  • Automated urinalysis test (81003)
  • 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 →

Elaine M Lopez, NP

Family Nurse Practitioner · Orchard Park, NY

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)
  • 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 →

Betsy Rose Mikac, NURSE PRACTITIONER

Family Nurse Practitioner · Orchard Park, NY

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)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (G0439)
70%Service-mix similarityView profile →

Anna Haseley, N.P.

Family Nurse Practitioner · Orchard Park, NY

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)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
68%Service-mix similarityView profile →

Leah Danielle Speciale, RN, BSN, FNP-BC

Family Nurse Practitioner · Orchard Park, NY

Shared published services
2 shared services · view billing descriptions
  • Automated urinalysis test (81003)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
66%Service-mix similarityView profile →

Sarah J Mackinnon, FNP-BC

Family Nurse Practitioner · Orchard Park, NY

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)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
63%Service-mix similarityView profile →

Kathryn Ryan, FNP-BC

Family Nurse Practitioner · Orchard Park, NY

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)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (G0439)
62%Service-mix similarityView profile →

Mary Kate Murray

Family Nurse Practitioner · Orchard Park, NY

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)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
61%Service-mix similarityView profile →

Betsey Dechert-Boss, NP

Family Nurse Practitioner · Orchard Park, NY

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)
  • 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 →

Kimberly Christine Esford, FNP

Family Nurse Practitioner · Orchard Park, NY

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)
  • 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 →

Ellen Kahle, RN, FNP

Family Nurse Practitioner · Orchard Park, NY

Shared published services
2 shared services · view billing descriptions
  • Automated urinalysis test (81003)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
53%Service-mix similarityView profile →

Kaitlin Dragonette

Family Nurse Practitioner · Orchard Park, NY

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)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (G0439)
51%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.