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Compare the published Medicare service mix of Sarah Wiersma Gorski, NP with clinicians in the same registry specialty: Nurse Practitioner (CMS).

MI · Exact areaEdit location

2024 published service data · 376 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Sukhvir Kaur Locham

Nurse Practitioner (CMS) · Detroit, MI

Shared published services
3 shared services · view billing descriptions
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Hospital discharge day management, more than 30 minutes (99239)
97%Service-mix similarityView profile →

Michelle L Weston, NURSE PRACTITIONER

Nurse Practitioner (CMS) · Hudsonville, MI

Shared published services
3 shared services · view billing descriptions
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Hospital discharge day management, more than 30 minutes (99239)
88%Service-mix similarityView profile →

Aaron N Achatz, FNP-C

Nurse Practitioner (CMS) · Roseville, MI

Shared published services
3 shared services · view billing descriptions
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Hospital discharge day management, more than 30 minutes (99239)
86%Service-mix similarityView profile →

Audrey Chegwidden Jones

Nurse Practitioner (CMS) · Farmington Hills, MI

Shared published services
2 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Hospital discharge day management, more than 30 minutes (99239)
81%Service-mix similarityView profile →

Betsy Thomas, APRN, CCRN, AGACNP

Nurse Practitioner (CMS) · West Bloomfield, MI

Shared published services
2 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Hospital discharge day management, more than 30 minutes (99239)
80%Service-mix similarityView profile →

David M Dyer, DNP, AGACNP-BC, RN

Nurse Practitioner (CMS) · Battle Creek, MI

Shared published services
3 shared services · view billing descriptions
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Hospital discharge day management, more than 30 minutes (99239)
76%Service-mix similarityView profile →

Brian Winters, NP

Nurse Practitioner (CMS) · Lansing, MI

Shared published services
2 shared services · view billing descriptions
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
74%Service-mix similarityView profile →

Ashley Lynn Mathew, NP

Nurse Practitioner (CMS) · West Branch, MI

Shared published services
2 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Hospital discharge day management, more than 30 minutes (99239)
73%Service-mix similarityView profile →

Amanda N Montoni

Nurse Practitioner (CMS) · Royal Oak, MI

Shared published services
2 shared services · view billing descriptions
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
73%Service-mix similarityView profile →

Bobbi Dare Gusler, DNP

Nurse Practitioner (CMS) · Grayling, MI

Shared published services
3 shared services · view billing descriptions
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Hospital discharge day management, more than 30 minutes (99239)
73%Service-mix similarityView profile →

Katherine J. Ashmore, N.P.

Specialty details in registry · Detroit, MI

Shared published services
2 shared services · view billing descriptions
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
72%Service-mix similarityView profile →

Alyson Holzen, NURSE PRACTITIONER

Specialty details in registry · Sterling Heights, MI

Shared published services
2 shared services · view billing descriptions
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
71%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.