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Compare the published Medicare service mix of Mark Daniel Flesher, M.D. with clinicians in the same registry specialty: Family Medicine.

KENNEWICK, WA · Exact areaEdit location

2024 published service data · 32 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Ma Hazel Lyn Gutierrez Gavino, MD

Family Medicine · Kennewick, WA

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)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (G0439)
  • Telephone medical discussion with physician, 11-20 minutes (99442)
82%Service-mix similarityView profile →

Maria Aleli Tabio Ello, M.D.

Family Medicine · Kennewick, WA

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)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (G0439)
  • Telephone medical discussion with physician, 11-20 minutes (99442)
80%Service-mix similarityView profile →

Katie Ann Karlson, MD

Family Medicine · Kennewick, WA

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)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (G0439)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
66%Service-mix similarityView profile →

Whitney Fix-Lanes, D.O.

Family Medicine · Kennewick, WA

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)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (G0439)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
64%Service-mix similarityView profile →

Joshua A Parmenter, DO

Family Medicine · Kennewick, WA

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)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (G0439)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
64%Service-mix similarityView profile →

James Daniel Vaughn, M.D.

Family Medicine · Kennewick, WA

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)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (G0439)
  • 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 →

Jennifer Follwell, DO

Family Medicine · Kennewick, WA

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)
62%Service-mix similarityView profile →

David Michael Ryan, D.O.

Family Medicine · Kennewick, WA

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 low level od decision making, if using time, 20 minutes or more (99213)
  • Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more (99215)
58%Service-mix similarityView profile →

Joshua David Lum, M.D.

Family Medicine · Kennewick, WA

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)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (G0439)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
58%Service-mix similarityView profile →

Ryan Thomas Burk, MD

Family Medicine · Kennewick, WA

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)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (G0439)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
57%Service-mix similarityView profile →

Sergio J Flores, MD

Family Medicine · Kennewick, WA

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)
56%Service-mix similarityView profile →

David Bonner, MD

Family Medicine · Kennewick, WA

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)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (G0439)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
55%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.