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Compare the published Medicare service mix of Raphael El Youssef, MBBS with clinicians in the same registry specialty: Surgery.

COOS BAY, OR · Exact areaEdit location

2024 published service data · 5 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Charles W James, M.D.

Surgery · Coos Bay, OR

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)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Biopsy of large bowel using a flexible endoscope (45380)
88%Service-mix similarityView profile →

Derek Knight Rogalsky, M.D.

Surgery · Coos Bay, OR

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)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Biopsy of large bowel using a flexible endoscope (45380)
86%Service-mix similarityView profile →

Kathryn Johnson, MD

Surgery · Coos Bay, OR

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)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Biopsy of large bowel using a flexible endoscope (45380)
80%Service-mix similarityView profile →

Alex Michael Spencer, M.D.

Surgery · Coos Bay, OR

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)
  • Biopsy of large bowel using a flexible endoscope (45380)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
52%Service-mix similarityView profile →

Steven Alan Tersigni, MD, FACS

Surgery · Coos Bay, OR

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)
9%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.