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Compare the published Medicare service mix of Howard R Epstein, MD with clinicians in the same registry specialty: Hospice/Palliative Care (CMS).

SAINT LOUIS, MO · Exact areaEdit location

2024 published service data · 13 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Lindsay Schwalm, D.O.

Hospice/Palliative Care · Internal Medicine (CMS) · Saint Louis, MO

Shared published services
3 shared services · view billing descriptions
  • Advance care planning, first 30 minutes (99497)
  • 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)
91%Service-mix similarityView profile →

Daniel Paget, MD

Hospice/Palliative Care · Internal Medicine (CMS) · Saint Louis, MO

Shared published services
3 shared services · view billing descriptions
  • Advance care planning, first 30 minutes (99497)
  • 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)
80%Service-mix similarityView profile →

Suraj Kumar Alakkassery Kumaran, MD

Geriatric Medicine · Hospice/Palliative Care · Internal Medicine (CMS) · Saint Louis, MO

Shared published services
3 shared services · view billing descriptions
  • Advance care planning, first 30 minutes (99497)
  • 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)
75%Service-mix similarityView profile →

Megan Elizabeth Rau, MD

Hospice/Palliative Care · Internal Medicine (CMS) · Saint Louis, MO

Shared published services
3 shared services · view billing descriptions
  • Advance care planning, first 30 minutes (99497)
  • 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)
72%Service-mix similarityView profile →

Devin Christopher Odom, MD

Hospitalist · Internal Medicine (CMS) · Saint Louis, MO

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)
60%Service-mix similarityView profile →

Catherine Ann Vasilevski, D.O.

Internal Medicine (CMS) · Saint Louis, MO

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 moderate level of medical decision making, if using time, at least 75 minutes (99223)
53%Service-mix similarityView profile →

Eberechi Nkele Nwogu-Onyemkpa, MD

Hospice/Palliative Care · Internal Medicine (CMS) · Saint Louis, MO

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)
50%Service-mix similarityView profile →

Anitha Rayani, MD

Hospice/Palliative Care (CMS) · Saint Louis, MO

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)
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)
44%Service-mix similarityView profile →

James Michael Shear, MD

Hospice/Palliative Care · Internal Medicine (CMS) · Saint Louis, MO

Shared published services
1 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
39%Service-mix similarityView profile →

Michelle Goetz, D.O.

Hospice/Palliative Care · Hospitalist · Internal Medicine (CMS) · Saint Louis, MO

Shared published services
1 shared services · view billing descriptions
  • Advance care planning, first 30 minutes (99497)
21%Service-mix similarityView profile →

Katherine O'brien, MD

Hospice/Palliative Care · Internal Medicine (CMS) · Saint Louis, MO

Shared published services
1 shared services · view billing descriptions
  • Advance care planning, first 30 minutes (99497)
16%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.