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Compare the published Medicare service mix of Lorena P De Marco Garcia, MD with clinicians in the same registry specialty: Vascular Surgery (CMS).

WA · Exact areaEdit location

2024 published service data · 86 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Nicholas D Garcia, MD

Vascular Surgery (CMS) · Tacoma, WA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (93971)
71%Service-mix similarityView profile →

Charles Hillenbrand, MD

General Surgery (CMS) · Olympia, WA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (93971)
71%Service-mix similarityView profile →

Jonathan Scott Ratcliff, M.D.

General Surgery · Vascular Surgery (CMS) · Tacoma, WA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (93971)
70%Service-mix similarityView profile →

Peter Kreishman, M.D.

Vascular Surgery (CMS) · Tacoma, WA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (93971)
  • Ultrasound study of arm or leg veins with compression and maneuvers (93970)
66%Service-mix similarityView profile →

Luke Xiaoli Zhan, M.D., PH.D.

Vascular Surgery (CMS) · Spokane, WA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (93971)
63%Service-mix similarityView profile →

Mitchell David Cahn, M.D.

General Surgery · Vascular Surgery (CMS) · Sunnyside, WA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (93971)
  • Ultrasound study of arm or leg veins with compression and maneuvers (93970)
62%Service-mix similarityView profile →

Joseph Anton Davis, MD

General Surgery · Vascular Surgery (CMS) · Spokane, WA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (93971)
  • Ultrasound study of arm or leg veins with compression and maneuvers (93970)
62%Service-mix similarityView profile →

David Fj Tollefson, MD

Specialty details in registry · Olympia, WA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (93971)
  • Ultrasound study of arm or leg veins with compression and maneuvers (93970)
58%Service-mix similarityView profile →

Ryan D. Nachreiner, M.D.

Vascular Surgery (CMS) · Spokane, WA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (93971)
  • Ultrasound study of arm or leg veins with compression and maneuvers (93970)
57%Service-mix similarityView profile →

Kathleen Gibson, MD

General Surgery · Vascular Surgery (CMS) · Seattle, WA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (93971)
  • Ultrasound study of arm or leg veins with compression and maneuvers (93970)
56%Service-mix similarityView profile →

Sarah Elizabeth Koch, MD

Critical Care (Intensivists) · Vascular Surgery (CMS) · Tacoma, WA

Shared published services
3 shared services · view billing descriptions
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (93971)
  • Ultrasound study of arm or leg veins with compression and maneuvers (93970)
56%Service-mix similarityView profile →

Renee Carole Minjarez, M.D.

Vascular Surgery (CMS) · Bellevue, WA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (93971)
  • Ultrasound study of arm or leg veins with compression and maneuvers (93970)
56%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.