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Compare the published Medicare service mix of Tom Garofalo, M.D. with clinicians in the same registry specialty: Colorectal Surgery (Proctology) · General Surgery (CMS).

CLEVELAND, OH · Exact areaEdit location

2024 published service data · 21 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

David Robert Rosen, M.D.

General Surgery (CMS) · Cleveland, OH

Shared published services
3 shared services · view billing descriptions
  • Diagnostic exam of anus using an endoscope (46600)
  • 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)
69%Service-mix similarityView profile →

Ajaratu Keshinro, M.D.

Colorectal Surgery (Proctology) (CMS) · Cleveland, OH

Shared published services
3 shared services · view billing descriptions
  • Diagnostic exam of anus using an endoscope (46600)
  • 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)
59%Service-mix similarityView profile →

Vincent J Obias, M.D.

Colorectal Surgery (Proctology) (CMS) · Cleveland, OH

Shared published services
3 shared services · view billing descriptions
  • Diagnostic exam of anus using an endoscope (46600)
  • 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)
53%Service-mix similarityView profile →

Bradley J Champagne, MD

Colorectal Surgery (Proctology) · General Surgery (CMS) · Cleveland, OH

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)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (G0121)
49%Service-mix similarityView profile →

Anuradha Rani Bhama, M.D.

Colorectal Surgery (Proctology) · General Surgery (CMS) · Cleveland, OH

Shared published services
3 shared services · view billing descriptions
  • Diagnostic exam of anus using an endoscope (46600)
  • 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)
48%Service-mix similarityView profile →

Jean Ashburn, M.D.

General Practice (CMS) · Cleveland, OH

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)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more (99205)
48%Service-mix similarityView profile →

Scott Russell Steele, M.D.

Colorectal Surgery (Proctology) · General Surgery (CMS) · Cleveland, OH

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)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
47%Service-mix similarityView profile →

Cristan Elizabeth Anderson, M.D.

General Surgery (CMS) · Cleveland, OH

Shared published services
2 shared services · view billing descriptions
  • Diagnostic exam of anus using an endoscope (46600)
  • New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)
47%Service-mix similarityView profile →

Leonardo De Castro Duraes, MD, PHD

Colorectal Surgery (Proctology) (CMS) · Cleveland, OH

Shared published services
3 shared services · view billing descriptions
  • Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito (G0500)
  • Biopsy of large bowel using a flexible endoscope (45380)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
46%Service-mix similarityView profile →

Hermann Kessler, MD, PHD

Colorectal Surgery (Proctology) · General Surgery (CMS) · Cleveland, OH

Shared published services
3 shared services · view billing descriptions
  • Diagnostic exam of anus using an endoscope (46600)
  • 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)
46%Service-mix similarityView profile →

Michael Heng Cheng Liu, M.D.

General Surgery (CMS) · Cleveland, OH

Shared published services
3 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)
  • Biopsy of large bowel using a flexible endoscope (45380)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
41%Service-mix similarityView profile →

Anna Spivak, D.O.

Colorectal Surgery (Proctology) (CMS) · Cleveland, OH

Shared published services
3 shared services · view billing descriptions
  • Diagnostic exam of anus using an endoscope (46600)
  • 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)
41%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.