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Compare the published Medicare service mix of Alexander David Lake, DO with clinicians in the same registry specialty: Gastroenterology · Hospitalist · Internal Medicine (CMS).

FL · Exact areaEdit location

2024 published service data · 500 eligible profiles compared. This search reached its 500-profile comparison limit, using NPI order. Narrow the location for a more focused comparison. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Christopher Narciso Nobo, M.D.

Gastroenterology · Internal Medicine (CMS) · Riverview, FL

Shared published services
3 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes (99231)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
77%Service-mix similarityView profile →

Onix Cesar Garib Alpizar, MD

Gastroenterology (CMS) · Hialeah, FL

Shared published services
3 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
70%Service-mix similarityView profile →

Michael G Valladares, DO

Gastroenterology · Internal Medicine (CMS) · Miami, FL

Shared published services
3 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes (99231)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
70%Service-mix similarityView profile →

Dmitry Mysh, MD

Gastroenterology (CMS) · Fort Myers, FL

Shared published services
3 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes (99231)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
69%Service-mix similarityView profile →

Carlos P Ramos Rodriguez, M.D.

Gastroenterology · Internal Medicine (CMS) · Miami, FL

Shared published services
3 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
68%Service-mix similarityView profile →

Eduardo Javier Quintero-Nazario, M.D.

Gastroenterology (CMS) · Boynton Beach, FL

Shared published services
3 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes (99231)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
68%Service-mix similarityView profile →

Saritza Mendoza, M.D.

Gastroenterology (CMS) · Palm Harbor, FL

Shared published services
3 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes (99231)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
68%Service-mix similarityView profile →

Marissa Bournique

Gastroenterology · Hospitalist · Internal Medicine (CMS) · Port St Lucie, FL

Shared published services
2 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes (99231)
66%Service-mix similarityView profile →

Ammar Hemaidan, MD

Gastroenterology · Internal Medicine (CMS) · Port Orange, FL

Shared published services
3 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes (99231)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
64%Service-mix similarityView profile →

Francesca Nicole Raffa, M.D.

Gastroenterology (CMS) · Doral, FL

Shared published services
3 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes (99231)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
64%Service-mix similarityView profile →

Michael Bays, D.O.

Gastroenterology (CMS) · Punta Gorda, FL

Shared published services
3 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes (99231)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
62%Service-mix similarityView profile →

William Rengifo Cam, MD

Gastroenterology (CMS) · New Smyrna Beach, FL

Shared published services
3 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes (99231)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
62%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.