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Compare the published Medicare service mix of Miguel Angel Sierra-Hoffman, M.D. with clinicians in the same registry specialty: Critical Care (Intensivists) · Infectious Disease · Internal Medicine · Pulmonary Disease (CMS).

VICTORIA, TX · 100 milesEdit location
Within 100 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 · 23 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Kimberly Ann Moran, M.D.

Infectious Disease · Internal Medicine (CMS) · San Antonio, TX

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)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
79%Service-mix similarity~97.9 milesView profile →

Luis A Cisneros, MD

Infectious Disease · Internal Medicine (CMS) · San Antonio, TX

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)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
73%Service-mix similarity~97.9 milesView profile →

Michael Andrew Forgione, MD

Infectious Disease (CMS) · Jbsa Lackland, TX

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)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
72%Service-mix similarity~97.5 milesView profile →

Nicolas A. Melgarejo, M.D.

Infectious Disease · Internal Medicine (CMS) · San Antonio, TX

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)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
72%Service-mix similarity~97.4 milesView profile →

Gino Guillermo Tapia Zegarra, MD

Infectious Disease (CMS) · San Antonio, TX

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)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
69%Service-mix similarity~97.2 milesView profile →

Manuel Camilo Endo Carvajal, MD

Infectious Disease · Internal Medicine (CMS) · San Antonio, TX

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)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
68%Service-mix similarity~99.2 milesView profile →

Bruce Wood, MD

Specialty details in registry · New Braunfels, TX

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)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
67%Service-mix similarity~88.1 milesView profile →

Ruth Carolina Serrano Pinilla, MD

Infectious Disease · Internal Medicine (CMS) · San Antonio, TX

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)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
67%Service-mix similarity~99.2 milesView profile →

Janice John Koshy, M.D.

Infectious Disease (CMS) · Katy, TX

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)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
64%Service-mix similarity~95.6 milesView profile →

Gemma Almira Berlanga, M.D.

Infectious Disease · Internal Medicine (CMS) · San Antonio, TX

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)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
63%Service-mix similarity~97.2 milesView profile →

Mir Akbar Ali, MD

Specialty details in registry · Corpus Christi, TX

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)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
62%Service-mix similarity~78.5 milesView profile →

Duane Russell Hospenthal, MD, PHD

Infectious Disease · Internal Medicine (CMS) · San Antonio, TX

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)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
59%Service-mix similarity~97.2 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.