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Compare the published Medicare service mix of Andrea Valls, APRN with clinicians in the same registry specialty: Nurse Practitioner (CMS).

ROUND ROCK, TX · Exact areaEdit location

2024 published service data · 16 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Michelle Galles, APRN

Nurse Practitioner (CMS) · Round Rock, TX

Shared published services
3 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
73%Service-mix similarityView profile →

Emilie Anne Reyes, MSN, APRN, ACNPC-AG

Nurse Practitioner (CMS) · Round Rock, TX

Shared published services
3 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
60%Service-mix similarityView profile →

Courtney Lee Parr, ACNP-BC, ACNS-BC

Specialty details in registry · Round Rock, TX

Shared published services
2 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
55%Service-mix similarityView profile →

Jessica Ann Laster, NP

Nurse Practitioner (CMS) · Round Rock, TX

Shared published services
3 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
  • Critical care, first 30-74 minutes (99291)
49%Service-mix similarityView profile →

Thomas Ryan Marshall, APRN, AGACNP-BC

Nurse Practitioner (CMS) · Round Rock, TX

Shared published services
2 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Critical care, first 30-74 minutes (99291)
44%Service-mix similarityView profile →

Sinimol Jose

Nurse Practitioner (CMS) · Round Rock, TX

Shared published services
1 shared services · view billing descriptions
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
42%Service-mix similarityView profile →

Leanne Marie Cowles, AGACNP-BC

Nurse Practitioner (CMS) · Round Rock, TX

Shared published services
2 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes (99231)
42%Service-mix similarityView profile →

Soumya Mohanan, NURSE PRACTITIONER

Nurse Practitioner (CMS) · Round Rock, TX

Shared published services
2 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
40%Service-mix similarityView profile →

Audra J. Sunderland, AGACNP

Nurse Practitioner (CMS) · Round Rock, TX

Shared published services
1 shared services · view billing descriptions
  • Critical care, first 30-74 minutes (99291)
32%Service-mix similarityView profile →

Jeremy Loren Nelson, ACNP-BC

Nurse Practitioner (CMS) · Round Rock, TX

Shared published services
1 shared services · view billing descriptions
  • Critical care, first 30-74 minutes (99291)
32%Service-mix similarityView profile →

Heather Parks, AGACNP-BC

Nurse Practitioner (CMS) · Round Rock, TX

Shared published services
1 shared services · view billing descriptions
  • Critical care, first 30-74 minutes (99291)
32%Service-mix similarityView profile →

Abigail Ruth Jaeger

Nurse Practitioner (CMS) · Round Rock, TX

Shared published services
1 shared services · view billing descriptions
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
24%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.