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Compare the published Medicare service mix of Alison Nicole Pulec Gouin, PA-C with clinicians in the same registry specialty: Physician Assistant.

PLANO, TX · Exact areaEdit location

2024 published service data · 78 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Linh Truong, PA

Physician Assistant · Plano, TX

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)
  • Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's (G2211)
  • Insertion of needle into vein for collection of blood sample (36415)
74%Service-mix similarityView profile →

Ashley Rios

Physician Assistant · Plano, TX

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)
  • Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's (G2211)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
63%Service-mix similarityView profile →

Sydney Pareti Beavers, PA

Physician Assistant · Plano, TX

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)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (93000)
  • Insertion of needle into vein for collection of blood sample (36415)
59%Service-mix similarityView profile →

Meagan E Gilbert, PA-C

Physician Assistant · Plano, TX

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)
  • Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more (99215)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
50%Service-mix similarityView profile →

Aimi N Dalness, PA-C

Physician Assistant · Plano, TX

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)
50%Service-mix similarityView profile →

Diana Reimann, PA-C

Physician Assistant · Plano, TX

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)
  • Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's (G2211)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
49%Service-mix similarityView profile →

Natalia Watts, P.A.

Physician Assistant · Plano, TX

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)
  • Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more (99215)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
49%Service-mix similarityView profile →

Michelle Kukielski, PA-C

Physician Assistant · Plano, TX

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)
  • Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more (99215)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
47%Service-mix similarityView profile →

Jaime Roman, PA-C

Physician Assistant · Plano, TX

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)
  • Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's (G2211)
  • Insertion of needle into vein for collection of blood sample (36415)
44%Service-mix similarityView profile →

Jacqueline Breann Street, PA-C

Physician Assistant · Plano, TX

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)
42%Service-mix similarityView profile →

Lisa Adams, PA-C

Physician Assistant · Plano, TX

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)
42%Service-mix similarityView profile →

Megan Canady, PA-C

Physician Assistant · Plano, TX

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)
39%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.