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Compare the published Medicare service mix of Francisco C Rugama, MD with clinicians in the same registry specialty: Specialty details in registry.

TX · Exact areaEdit location

2024 published service data · 124 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Mark J Fleschler, M.D.

Geriatric Medicine · Internal Medicine (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)
  • Insertion of needle into vein for collection of blood sample (36415)
  • Injection of drug or substance under skin or into muscle (96372)
62%Service-mix similarityView profile →

Chandrakant G Patel, MD

Internal Medicine (CMS) · Nederland, 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)
  • Administration of influenza virus vaccine (G0008)
  • 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 →

Syed Zahid H Shah

Geriatric Medicine · Internal Medicine (CMS) · Allen, 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)
  • Insertion of needle into vein for collection of blood sample (36415)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (G0439)
57%Service-mix similarityView profile →

Alejandro Arizmendi, MD

Geriatric Medicine · Internal Medicine (CMS) · Helotes, 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)
  • Detection test by immunoassay with direct visual observation for influenza virus (87804)
  • Injection of drug or substance under skin or into muscle (96372)
56%Service-mix similarityView profile →

Suruchii Kathpalia, M.D.

Geriatric Medicine · Internal Medicine (CMS) · Pflugerville, 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)
  • Insertion of needle into vein for collection of blood sample (36415)
  • Administration of influenza virus vaccine (G0008)
55%Service-mix similarityView profile →

Anthony Kiem Nguyen, D.O.

Geriatric Medicine · Internal Medicine (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)
  • Insertion of needle into vein for collection of blood sample (36415)
  • Injection of drug or substance under skin or into muscle (96372)
53%Service-mix similarityView profile →

Jill Louise Studley

Geriatric Medicine · Internal Medicine (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)
  • Insertion of needle into vein for collection of blood sample (36415)
  • Administration of influenza virus vaccine (G0008)
53%Service-mix similarityView profile →

Afroze Ali, MD

Geriatric Medicine · Internal Medicine (CMS) · Houston, TX

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)
53%Service-mix similarityView profile →

Keya Malhotra, MBBS

Internal Medicine (CMS) · Lubbock, 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)
  • Detection test by immunoassay with direct visual observation for influenza virus (87804)
  • Injection of drug or substance under skin or into muscle (96372)
53%Service-mix similarityView profile →

Sriranjani Bajjuri, M.D.

Geriatric Medicine · Internal Medicine (CMS) · Arlington, TX

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)
53%Service-mix similarityView profile →

Michael R Todd, M.D.

Internal Medicine (CMS) · Ft Worth, 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)
  • Insertion of needle into vein for collection of blood sample (36415)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
52%Service-mix similarityView profile →

Glendalyz Alberto, MD

Geriatric Medicine · Internal Medicine (CMS) · Austin, 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)
  • Administration of influenza virus vaccine (G0008)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
51%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.