A DIFFERENT WAY TO EXPLORE

Similar work.
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Compare the published Medicare service mix of Byron James Juan Ricana, APRN with clinicians in the same registry specialty: Nurse Practitioner (CMS).

HENDERSON, NV · Exact areaEdit location

2024 published service data · 22 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Noreen Ferma Roces, APRN

Nurse Practitioner (CMS) · Henderson, NV

Shared published services
2 shared services · view billing descriptions
  • 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)
87%Service-mix similarityView profile →

Laurie Annette Osborne, APRN

Nurse Practitioner (CMS) · Henderson, NV

Shared published services
2 shared services · view billing descriptions
  • 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)
82%Service-mix similarityView profile →

Emil Almachar, ACNPC-AG

Nurse Practitioner (CMS) · Henderson, NV

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)
80%Service-mix similarityView profile →

Bryce Pacheco, APRN-BC

Nurse Practitioner (CMS) · Henderson, NV

Shared published services
2 shared services · view billing descriptions
  • 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)
67%Service-mix similarityView profile →

Lacey Harding, DNP

Specialty details in registry · Henderson, NV

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)
61%Service-mix similarityView profile →

Mary Kristine Hispano Daria, APRN, AGACNP-BC

Nurse Practitioner (CMS) · Henderson, NV

Shared published services
1 shared services · view billing descriptions
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
60%Service-mix similarityView profile →

Theresa Elizabeth Gordon, APRN

Nurse Practitioner (CMS) · Henderson, NV

Shared published services
2 shared services · view billing descriptions
  • 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)
49%Service-mix similarityView profile →

Naomi Satina Cruz-Moreno, APRN

Nurse Practitioner (CMS) · Henderson, NV

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)
49%Service-mix similarityView profile →

Amanda Michelle Cowan, AGACNP

Nurse Practitioner (CMS) · Henderson, NV

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)
47%Service-mix similarityView profile →

Keith Monsay, APRN-CNP

Nurse Practitioner (CMS) · Henderson, NV

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)
44%Service-mix similarityView profile →

Joseph Poliquin

Nurse Practitioner (CMS) · Henderson, NV

Shared published services
1 shared services · view billing descriptions
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
36%Service-mix similarityView profile →

Catherine Molina, APRN, FNP-C

Nurse Practitioner (CMS) · Henderson, NV

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)
34%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.