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Compare the published Medicare service mix of Gerardo Gonzalez-Guardiola, M.D. with clinicians in the same registry specialty: Vascular Surgery (CMS).

FRISCO, TX · 25 milesEdit location
Within 25 miles · Approximate ZIP-area distance

Approximate straight-line distances between ZIP-area centers; a city search starts from the average of its ZIP centers. Uses the primary reported practice ZIP, not an exact office address or driving distance. Records without matched coordinates are excluded. How distance works

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

Michael Cyrus Siah

Vascular Surgery (CMS) · Dallas, 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)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel (37253)
71%Service-mix similarity~24.1 milesView profile →

Michael Shih, M.D.

Vascular Surgery (CMS) · Dallas, TX

Shared published services
3 shared services · view billing descriptions
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes (99231)
  • Review by radiologist of arm or leg artery image (75710)
67%Service-mix similarity~24.1 milesView profile →

Daniel Alfson, M.D.

Vascular Surgery (CMS) · Garland, 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)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
61%Service-mix similarity~19.5 milesView profile →

Franklin See-Lai Yau, M.D.

General Surgery · Vascular Surgery (CMS) · Rowlett, 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)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
60%Service-mix similarity~24.5 milesView profile →

Joseph Matthew Liechty, MD

General Surgery · Vascular Surgery (CMS) · 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)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Ultrasound evaluation of blood vessel with review by radiologist, initial vessel (37252)
59%Service-mix similarity~10.1 milesView profile →

Michelle Nicole Moe-Aiken, M.D.

Vascular Surgery (CMS) · Keller, 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)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Ultrasound study of arm and leg arteries (93922)
59%Service-mix similarity~25.0 milesView profile →

Carlos P Cruz, M D

General Surgery · Vascular Surgery (CMS) · Denton, 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)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes (99231)
57%Service-mix similarity~14.7 milesView profile →

Russell C Lam, M.D.

General Surgery · Vascular Surgery (CMS) · Dallas, 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)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel (37253)
55%Service-mix similarity~21.0 milesView profile →

Raul Enrique Ortega, M.D.

General Surgery · Vascular Surgery (CMS) · Denton, TX

Shared published services
3 shared services · view billing descriptions
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes (99231)
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
55%Service-mix similarity~18.3 milesView profile →

Mujtaba Mohammed Ali, M.D.

General Surgery · Vascular Surgery (CMS) · Mckinney, 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)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Ultrasound study of arm and leg arteries (93922)
54%Service-mix similarity~12.0 milesView profile →

Todd A Spencer, M.D.

Vascular Surgery (CMS) · Dallas, TX

Shared published services
3 shared services · view billing descriptions
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel (37253)
  • Ultrasound evaluation of blood vessel with review by radiologist, initial vessel (37252)
54%Service-mix similarity~19.0 milesView profile →

Ranan Ayal Mendelsberg, M.D.

General Surgery · Vascular Surgery (CMS) · Garland, 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)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
54%Service-mix similarity~19.5 milesView 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 approximate distance 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.