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Compare the published Medicare service mix of James Douglas Wirthlin, MD with clinicians in the same registry specialty: Anesthesiology.

SAINT LOUIS, MO · Exact areaEdit location

2024 published service data · 233 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Alexander H Young, MD

Anesthesiology · Saint Louis, MO

Shared published services
3 shared services · view billing descriptions
  • Ultrasonic guidance for needle placement (76942)
  • Other procedure on nervous system (64999)
  • Continuous infusion of anesthetic agent and/or steroid into arm nerve bundle through catheter (64416)
83%Service-mix similarityView profile →

Monica Marie Keeline, MD

Anesthesiology · Saint Louis, MO

Shared published services
3 shared services · view billing descriptions
  • Ultrasonic guidance for needle placement (76942)
  • Other procedure on nervous system (64999)
  • Continuous infusion of anesthetic agent and/or steroid into arm nerve bundle through catheter (64416)
77%Service-mix similarityView profile →

Mitchell Ross Platin, MD

Anesthesiology · Saint Louis, MO

Shared published services
3 shared services · view billing descriptions
  • Ultrasonic guidance for needle placement (76942)
  • Other procedure on nervous system (64999)
  • Continuous infusion of anesthetic agent and/or steroid into arm nerve bundle through catheter (64416)
75%Service-mix similarityView profile →

Shahrdad Khodamoradi, MD

Anesthesiology · Saint Louis, MO

Shared published services
3 shared services · view billing descriptions
  • Ultrasonic guidance for needle placement (76942)
  • Other procedure on nervous system (64999)
  • Continuous infusion of anesthetic agent and/or steroid into arm nerve bundle through catheter (64416)
74%Service-mix similarityView profile →

Ryan Guffey, MD

Anesthesiology · Saint Louis, MO

Shared published services
3 shared services · view billing descriptions
  • Ultrasonic guidance for needle placement (76942)
  • Other procedure on nervous system (64999)
  • Continuous infusion of anesthetic agent and/or steroid into arm nerve bundle through catheter (64416)
74%Service-mix similarityView profile →

Christopher David Livesay, D.O.

Anesthesiology · Saint Louis, MO

Shared published services
2 shared services · view billing descriptions
  • Ultrasonic guidance for needle placement (76942)
  • Other procedure on nervous system (64999)
67%Service-mix similarityView profile →

Branden Edward Yee, MD

Anesthesiology · Saint Louis, MO

Shared published services
3 shared services · view billing descriptions
  • Ultrasonic guidance for needle placement (76942)
  • Other procedure on nervous system (64999)
  • Continuous infusion of anesthetic agent and/or steroid into arm nerve bundle through catheter (64416)
63%Service-mix similarityView profile →

Vafa Foroughi, MD

Anesthesiology · Saint Louis, MO

Shared published services
3 shared services · view billing descriptions
  • Ultrasonic guidance for needle placement (76942)
  • Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) (64415)
  • Injection of anesthetic agent and/or steroid into other nerve or branch (64450)
59%Service-mix similarityView profile →

Jing Zhong, MD

Anesthesiology · Saint Louis, MO

Shared published services
2 shared services · view billing descriptions
  • Ultrasonic guidance for needle placement (76942)
  • Other procedure on nervous system (64999)
56%Service-mix similarityView profile →

Andrew Liao, MD

Anesthesiology · Saint Louis, MO

Shared published services
3 shared services · view billing descriptions
  • Other procedure on nervous system (64999)
  • Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) (64415)
  • Injection of anesthetic agent and/or steroid into other nerve or branch (64450)
55%Service-mix similarityView profile →

Daniel Luke Helsten, MD

Anesthesiology · Saint Louis, MO

Shared published services
2 shared services · view billing descriptions
  • Ultrasonic guidance for needle placement (76942)
  • Other procedure on nervous system (64999)
53%Service-mix similarityView profile →

Daniel Patrick Fernandez, MD

Anesthesiology · Saint Louis, MO

Shared published services
3 shared services · view billing descriptions
  • Ultrasonic guidance for needle placement (76942)
  • Other procedure on nervous system (64999)
  • Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) (64415)
49%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.