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Compare the published Medicare service mix of Nalini Jagram-Payer, M.D. with clinicians in the same registry specialty: Family Medicine.

SIOUX FALLS, SD · Exact areaEdit location

2024 published service data · 129 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Alex Qader, M.D.

Family Medicine · Sioux Falls, SD

Shared published services
3 shared services · view billing descriptions
  • Emergency department visit with high level of medical decision making (99285)
  • Emergency department visit with moderate level of medical decision making (99284)
  • Emergency department visit with low level of medical decision making (99283)
82%Service-mix similarityView profile →

Maurice Allen Dale Chessmore, MD

Family Medicine · Sioux Falls, SD

Shared published services
1 shared services · view billing descriptions
  • Emergency department visit with high level of medical decision making (99285)
24%Service-mix similarityView profile →

Kari Jo Hultgren, MD

Family Medicine · Sioux Falls, SD

Shared published services
1 shared services · view billing descriptions
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (93010)
19%Service-mix similarityView profile →

Kimberly A Hanssen, DO

Family Medicine · Sioux Falls, SD

Shared published services
1 shared services · view billing descriptions
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (93010)
18%Service-mix similarityView profile →

Michael P Stotz, DO

Family Medicine · Sioux Falls, SD

Shared published services
1 shared services · view billing descriptions
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (93010)
17%Service-mix similarityView profile →

Stephen Thomas Foley, MD

Family Medicine · Sioux Falls, SD

Shared published services
1 shared services · view billing descriptions
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (93010)
17%Service-mix similarityView profile →

Fenil Sudhakar Patel, MD, MBA

Family Medicine · Sioux Falls, SD

Shared published services
1 shared services · view billing descriptions
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (93010)
16%Service-mix similarityView profile →

Tricia Knutson, M.D.

Family Medicine · Sioux Falls, SD

Shared published services
1 shared services · view billing descriptions
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (93010)
16%Service-mix similarityView profile →

Gregg Harvison, M.D.

Family Medicine · Sioux Falls, SD

Shared published services
1 shared services · view billing descriptions
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (93010)
15%Service-mix similarityView profile →

Carilyn Vankalsbeek, M.D.

Family Medicine · Sioux Falls, SD

Shared published services
1 shared services · view billing descriptions
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (93010)
15%Service-mix similarityView profile →

Christopher Boschee, DO

Family Medicine · Sioux Falls, SD

Shared published services
1 shared services · view billing descriptions
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (93010)
15%Service-mix similarityView profile →

Joseph J Seurer

Family Medicine · Sioux Falls, SD

Shared published services
1 shared services · view billing descriptions
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (93010)
15%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.