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Compare the published Medicare service mix of Milton Howard Spivack, FNP with clinicians in the same registry specialty: Family Nurse Practitioner.

TUCSON, AZ · Exact areaEdit location

2024 published service data · 419 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Kindra Crocker Roads, MSN, FNP-C

Family Nurse Practitioner · Tucson, AZ

Shared published services
3 shared services · view billing descriptions
  • Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes (99350)
  • Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month (99491)
  • Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow (G0181)
73%Service-mix similarityView profile →

Stephen Kabatha Karuga, NP

Family Nurse Practitioner · Tucson, AZ

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)
  • Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes (99350)
  • Advance care planning, first 30 minutes (99497)
66%Service-mix similarityView profile →

Diana M Mccully, FNP

Family Nurse Practitioner · Tucson, AZ

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)
  • Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes (99350)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (G0180)
64%Service-mix similarityView profile →

Charlene A Gundry, NP-C

Family Nurse Practitioner · Tucson, AZ

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)
  • Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes (99350)
  • Advance care planning, first 30 minutes (99497)
63%Service-mix similarityView profile →

Sharon Marie Morgan, APRN

Family Nurse Practitioner · Tucson, AZ

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)
  • Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes (99350)
  • Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month (99491)
62%Service-mix similarityView profile →

Natalie G Camras, FNP

Family Nurse Practitioner · Tucson, AZ

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)
  • Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes (99350)
  • Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patien (G0182)
60%Service-mix similarityView profile →

Janet G Chapman, NP

Family Nurse Practitioner · Tucson, AZ

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)
  • Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes (99350)
  • Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes (99345)
54%Service-mix similarityView profile →

Jennifer Kuker, FNP-BC

Family Nurse Practitioner · Tucson, AZ

Shared published services
3 shared services · view billing descriptions
  • Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes (99350)
  • Advance care planning, first 30 minutes (99497)
  • Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes (99345)
50%Service-mix similarityView profile →

Kerri A Akers, FNP-C

Family Nurse Practitioner · Tucson, AZ

Shared published services
3 shared services · view billing descriptions
  • Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month (99491)
  • Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow (G0181)
  • Advance care planning, first 30 minutes (99497)
48%Service-mix similarityView profile →

Aron Baquet, FNP

Family Nurse Practitioner · Tucson, AZ

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)
  • Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes (99350)
  • Advance care planning, first 30 minutes (99497)
47%Service-mix similarityView profile →

Masresha G Akalu, NP

Family Nurse Practitioner · Tucson, AZ

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)
  • Advance care planning, first 30 minutes (99497)
  • Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes (99345)
47%Service-mix similarityView profile →

Barbara Benkiser Mcgrath, NP

Family Nurse Practitioner · Tucson, AZ

Shared published services
2 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)
  • Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes (99350)
47%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.