HCPList Know more before you call. About
A DIFFERENT WAY TO EXPLORE

Similar work.
More providers to explore.

Compare the published Medicare service mix of Astrid Grouls, MD with clinicians in the same registry specialty: Hospice/Palliative Care · Internal Medicine (CMS).

HOUSTON, TX · Exact areaEdit location

2024 published service data · 30 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Karina Ramirez, M.D.

Hospice/Palliative Care · Internal Medicine (CMS) · Houston, TX

Shared published services
2 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
87%Service-mix similarityView profile →

Ahsan Azhar, MD

Hospice/Palliative Care · Internal Medicine (CMS) · Houston, TX

Shared published services
2 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
75%Service-mix similarityView profile →

Juleen Min, MD

Hospice/Palliative Care (CMS) · Houston, TX

Shared published services
2 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
73%Service-mix similarityView profile →

Joseph A Arthur, M.D

Hospice/Palliative Care · Internal Medicine (CMS) · Houston, TX

Shared published services
2 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
71%Service-mix similarityView profile →

Angelique Wong, M.D.

Family Practice · General Practice · Hospice/Palliative Care (CMS) · Houston, TX

Shared published services
2 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
68%Service-mix similarityView profile →

Rony Dev, D.O.

Hospice/Palliative Care · Internal Medicine (CMS) · Houston, TX

Shared published services
2 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
66%Service-mix similarityView profile →

Charu Agrawal

Hospice/Palliative Care · Internal Medicine (CMS) · Houston, TX

Shared published services
2 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
66%Service-mix similarityView profile →

Jacqueline Michelle Tschanz, MD

Hospice/Palliative Care (CMS) · Houston, TX

Shared published services
2 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
65%Service-mix similarityView profile →

Nhu-Nhu Tull, M.D.

Hospice/Palliative Care · Internal Medicine (CMS) · Houston, TX

Shared published services
2 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
64%Service-mix similarityView profile →

Onyinyechi Vanessa Evoh, MD

Hospice/Palliative Care · Internal Medicine (CMS) · Houston, TX

Shared published services
2 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
62%Service-mix similarityView profile →

Ali Haider, M.D.

Hospice/Palliative Care · Internal Medicine (CMS) · Houston, TX

Shared published services
2 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
59%Service-mix similarityView profile →

Donna S. Zhukovsky, M.D.

Hospice/Palliative Care · Internal Medicine · Medical Oncology (CMS) · Houston, TX

Shared published services
2 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
59%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.