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Compare the published Medicare service mix of Rachel Toma with clinicians in the same registry specialty: Specialty details in registry.

WARREN, MI · 10 milesEdit location
Within 10 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 · 61 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Devynn Suzanne Wojdyla, PA-C

Physician Assistant (CMS) · Detroit, MI

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
87%Service-mix similarity~8.5 milesView profile →

Radha Sampat, PA-C

Specialty details in registry · Clinton Township, MI

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
81%Service-mix similarity~9.4 milesView profile →

Sarah Lynn Rawski, PA-C

Physician Assistant (CMS) · Royal Oak, MI

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
74%Service-mix similarity~7.0 milesView profile →

James Gentile

Physician Assistant (CMS) · Sterling Heights, MI

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
72%Service-mix similarity~4.7 milesView profile →

Mark Rosen, PA-C

Physician Assistant (CMS) · Berkley, MI

Shared published services
1 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
66%Service-mix similarity~8.4 milesView profile →

Sarah Naji, PA-C

Specialty details in registry · Madison Heights, MI

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
63%Service-mix similarity~4.1 milesView profile →

Brandy Blackston, PA-C

Physician Assistant (CMS) · Berkley, MI

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
60%Service-mix similarity~8.4 milesView profile →

Brad Vamplew, PA-C

Physician Assistant (CMS) · Royal Oak, MI

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
56%Service-mix similarity~7.0 milesView profile →

Linda Ryznar, PA-C

Physician Assistant (CMS) · Detroit, MI

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
54%Service-mix similarity~9.9 milesView profile →

Ashleigh Alexandria Finazzo, PA

Physician Assistant (CMS) · Ferndale, MI

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
54%Service-mix similarity~6.2 milesView profile →

Benjamin Robert John Carolan, PA-C

Physician Assistant (CMS) · Troy, MI

Shared published services
1 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
53%Service-mix similarity~8.9 milesView profile →

Lauren Marie Blyly Centala, PA-C

Specialty details in registry · Harper Woods, MI

Shared published services
1 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)
49%Service-mix similarity~6.2 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.