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Compare the published Medicare service mix of Milissa A Buriel, FNP with clinicians in the same registry specialty: Family Nurse Practitioner.

PLEASANT HILL, 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 · 45 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Jonelle Donica Pelobello, NP

Family Nurse Practitioner · Walnut Creek, CA

Shared published services
3 shared services · view billing descriptions
  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (G0101)
  • Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory (Q0091)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
76%Service-mix similarity~3.5 milesView profile →

Tiffany Hillmen Lai, FNP

Family Nurse Practitioner · Walnut Creek, CA

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)
40%Service-mix similarity~3.5 milesView profile →

David Thomas Chavez, ARNP

Family Nurse Practitioner · Walnut Creek, CA

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)
40%Service-mix similarity~2.5 milesView profile →

Melissa Nagel, FNP

Family Nurse Practitioner · Concord, CA

Shared published services
2 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)
38%Service-mix similarity~2.8 milesView profile →

Kathy Nguyen, FNP

Family Nurse Practitioner · Concord, CA

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 straightforward medical decision making, if using time, 10 minutes or more (99212)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
34%Service-mix similarity~2.8 milesView profile →

Jasmin Moultrie, NP

Family Nurse Practitioner · Walnut Creek, CA

Shared published services
1 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)
33%Service-mix similarity~3.5 milesView profile →

Lisa K Iijima, N.P.

Family Nurse Practitioner · Orinda, CA

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)
31%Service-mix similarity~7.5 milesView profile →

Desiree Agosto

Family Nurse Practitioner · Walnut Creek, CA

Shared published services
2 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)
31%Service-mix similarity~3.5 milesView profile →

Melanie Marie Anello, N.P.-C

Family Nurse Practitioner · Concord, CA

Shared published services
2 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)
31%Service-mix similarity~2.8 milesView profile →

Cherlyn Faith Alferos, FNP

Family Nurse Practitioner · Walnut Creek, CA

Shared published services
2 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)
29%Service-mix similarity~3.5 milesView profile →

Irina V Butorina, FNP

Family Nurse Practitioner · Orinda, CA

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)
27%Service-mix similarity~7.5 milesView profile →

Karen Tinder, NP

Family Nurse Practitioner · Walnut Creek, CA

Shared published services
2 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)
26%Service-mix similarity~3.5 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.