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Compare the published Medicare service mix of Raphaele Espina Alaura, MSN, APRN, FNP-C with clinicians in the same registry specialty: Nurse Practitioner.

LAS VEGAS, NV · Exact areaEdit location

2024 published service data · 286 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Geneelou Tobias Cruz, APRN

Nurse Practitioner · Las Vegas, NV

Shared published services
3 shared services · view billing descriptions
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (85025)
  • Insertion of needle into vein for collection of blood sample (36415)
  • Blood test, comprehensive group of blood chemicals (80053)
86%Service-mix similarityView profile →

Shelley S Miles, APRN

Nurse Practitioner · Las Vegas, NV

Shared published services
3 shared services · view billing descriptions
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (85025)
  • Insertion of needle into vein for collection of blood sample (36415)
  • Blood test, comprehensive group of blood chemicals (80053)
84%Service-mix similarityView profile →

Shannon Kay Southwick, APRN

Nurse Practitioner · Las Vegas, NV

Shared published services
3 shared services · view billing descriptions
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (85025)
  • Insertion of needle into vein for collection of blood sample (36415)
  • Blood test, comprehensive group of blood chemicals (80053)
81%Service-mix similarityView profile →

Yashmine Ballesteros, APRN

Nurse Practitioner · Las Vegas, NV

Shared published services
3 shared services · view billing descriptions
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (85025)
  • Insertion of needle into vein for collection of blood sample (36415)
  • Blood test, comprehensive group of blood chemicals (80053)
76%Service-mix similarityView profile →

Michelle Lynn Bigg, APRN

Nurse Practitioner · Las Vegas, NV

Shared published services
3 shared services · view billing descriptions
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (85025)
  • Insertion of needle into vein for collection of blood sample (36415)
  • Blood test, comprehensive group of blood chemicals (80053)
71%Service-mix similarityView profile →

Marie Jo Borres

Nurse Practitioner · Las Vegas, NV

Shared published services
3 shared services · view billing descriptions
  • Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes (99349)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes (99348)
39%Service-mix similarityView profile →

Cecille Del Rosario Shappee, CNP

Nurse Practitioner · Las Vegas, NV

Shared published services
2 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)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
31%Service-mix similarityView profile →

Reinel Alcides Junco Martin

Nurse Practitioner · Las Vegas, NV

Shared published services
2 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)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
31%Service-mix similarityView profile →

Amy Louise Haycraft, N.P.

Nurse Practitioner · Las Vegas, NV

Shared published services
2 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)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
31%Service-mix similarityView profile →

Barbara Ruscingno, APN

Nurse Practitioner · Las Vegas, NV

Shared published services
2 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)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
31%Service-mix similarityView profile →

Wendy L Martinez, APRN

Nurse Practitioner · Las Vegas, NV

Shared published services
2 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)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
31%Service-mix similarityView profile →

Tyler Edward Russell, APRN

Nurse Practitioner · Las Vegas, NV

Shared published services
3 shared services · view billing descriptions
  • Insertion of needle into vein for collection of blood sample (36415)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
31%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.