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Compare the published Medicare service mix of Rachelle Nicole Packey, PA-C with clinicians in the same registry specialty: Physician Assistant.

ROYAL OAK, MI · Exact areaEdit location

2024 published service data · 95 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Inge Maria Hanschu, PA-C

Physician Assistant · Royal Oak, MI

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
99%Service-mix similarityView profile →

Stephanie Spaniolo, PA-C

Physician Assistant · Royal Oak, MI

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
64%Service-mix similarityView profile →

Erin R Rohlfing, PA-C

Physician Assistant · Royal Oak, MI

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
63%Service-mix similarityView profile →

Michelle Marie Forcina, PA-C

Physician Assistant · Royal Oak, MI

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
55%Service-mix similarityView profile →

Alexandra Fretter, PA-C

Physician Assistant · Royal Oak, MI

Shared published services
1 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
54%Service-mix similarityView profile →

Scott Burns Ruhle

Physician Assistant · Royal Oak, MI

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
54%Service-mix similarityView profile →

Muhaimin Manik, PA-C

Physician Assistant · Royal Oak, MI

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)
51%Service-mix similarityView profile →

Samuel John Muench, PA-C

Physician Assistant · Royal Oak, MI

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • 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 moderate level of decision making, if using time, 30 minutes or more (99214)
50%Service-mix similarityView profile →

Catherine Lee, PA

Physician Assistant · Royal Oak, MI

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
48%Service-mix similarityView profile →

Sarang Patel

Physician Assistant · Royal Oak, MI

Shared published services
1 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)
48%Service-mix similarityView profile →

Lauren Shina

Physician Assistant · Royal Oak, MI

Shared published services
1 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)
48%Service-mix similarityView profile →

Maegen Mandeville, PA

Physician Assistant · Royal Oak, MI

Shared published services
2 shared services · view billing descriptions
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
42%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.