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Compare the published Medicare service mix of Meera Misra Shukla, M.D. with clinicians in the same registry specialty: Internal Medicine.

CORONA DEL MAR, CA · 10 milesEdit location
Within 10 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 · 206 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Lynda Marie Adrig, MD

Internal Medicine · Irvine, CA

Shared published services
3 shared services · view billing descriptions
  • Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes (99349)
  • Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes (99350)
  • Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes (99348)
44%Service-mix similarity~9.6 milesView profile →

Rafael Arturo Penunuri, M.D.

Internal Medicine · Newport Beach, CA

Shared published services
3 shared services · view billing descriptions
  • Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes (99349)
  • Assessment of and care planning for patient with impaired thought processing, typically 60 minutes (99483)
  • Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes (99350)
30%Service-mix similarity~3.6 milesView profile →

Wesam G Houshan, MD

Internal Medicine · Santa Ana, CA

Shared published services
1 shared services · view billing descriptions
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
25%Service-mix similarity~8.7 milesView profile →

Farrokh Alemzadeh, MD

Internal Medicine · Irvine, CA

Shared published services
3 shared services · view billing descriptions
  • Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month (99487)
  • Assessment of and care planning for patient with impaired thought processing, typically 60 minutes (99483)
  • Advance care planning, first 30 minutes (99497)
22%Service-mix similarity~7.9 milesView profile →

Ghalib Mohammad Wahidi, M.D.

Internal Medicine · Santa Ana, CA

Shared published services
2 shared services · view billing descriptions
  • Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month (99487)
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
17%Service-mix similarity~8.7 milesView profile →

William J Tsai, M.D.

Internal Medicine · Irvine, CA

Shared published services
2 shared services · view billing descriptions
  • Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes (99349)
  • Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes (99350)
16%Service-mix similarity~4.9 milesView profile →

Ratul Chatterjee, M.D.

Internal Medicine · Huntington Beach, CA

Shared published services
3 shared services · view billing descriptions
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
  • Advance care planning, first 30 minutes (99497)
  • Transitional care management services for problem of high complexity (99496)
15%Service-mix similarity~9.1 milesView profile →

Allyson Akeko Hoppe, M.D.

Internal Medicine · Newport Beach, CA

Shared published services
2 shared services · view billing descriptions
  • Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes (99310)
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
14%Service-mix similarity~3.6 milesView profile →

Duc Nguyen, MD

Internal Medicine · Santa Ana, CA

Shared published services
2 shared services · view billing descriptions
  • Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes (99349)
  • Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes (99310)
14%Service-mix similarity~8.7 milesView profile →

Hoang Tran Nguyen, M.D.

Internal Medicine · Fountain Valley, CA

Shared published services
3 shared services · view billing descriptions
  • Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes (99458)
  • Transitional care management services for problem of high complexity (99496)
  • Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days (99454)
12%Service-mix similarity~8.7 milesView profile →

Magdi G Messiha, M.D.

Internal Medicine · Newport Beach, CA

Shared published services
1 shared services · view billing descriptions
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
12%Service-mix similarity~3.6 milesView profile →

Meena Kumari Meka, M.D.

Internal Medicine · Santa Ana, CA

Shared published services
2 shared services · view billing descriptions
  • Advance care planning, first 30 minutes (99497)
  • Transitional care management services for problem of high complexity (99496)
12%Service-mix similarity~8.7 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.