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Compare the published Medicare service mix of Gayle Lemmen Byker, MD with clinicians in the same registry specialty: Hospice/Palliative Care (CMS).

MIDLAND, MI · 100 milesEdit location
Within 100 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 · 15 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Collin Michael Rush, MD

Hospice/Palliative Care · Internal Medicine (CMS) · Royal Oak, MI

Shared published services
3 shared services · view billing descriptions
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
75%Service-mix similarity~94.7 milesView profile →

Christopher Meeusen, M.D.

Hospice/Palliative Care · Internal Medicine (CMS) · Grand Rapids, MI

Shared published services
2 shared services · view billing descriptions
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
71%Service-mix similarity~82.5 milesView profile →

Kayla Nicole Andres, MD

Hospice/Palliative Care · Internal Medicine (CMS) · Grand Rapids, MI

Shared published services
3 shared services · view billing descriptions
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
71%Service-mix similarity~82.5 milesView profile →

Chelsea Uganski, M.D.

Hospice/Palliative Care · Internal Medicine (CMS) · Grand Rapids, MI

Shared published services
3 shared services · view billing descriptions
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
64%Service-mix similarity~82.5 milesView profile →

Maria Jose Silveira, MD

Hospice/Palliative Care · Internal Medicine (CMS) · Ann Arbor, MI

Shared published services
1 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
63%Service-mix similarity~96.5 milesView profile →

Michael Dozeman, M.D.

General Practice · Hospice/Palliative Care (CMS) · Grand Rapids, MI

Shared published services
2 shared services · view billing descriptions
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
59%Service-mix similarity~79.8 milesView profile →

Elena Diane Wahmhoff, MD

Hospice/Palliative Care (CMS) · Grand Rapids, MI

Shared published services
3 shared services · view billing descriptions
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
58%Service-mix similarity~82.5 milesView profile →

Zohra Jabein Khan

Internal Medicine (CMS) · Bloomfield Hills, MI

Shared published services
2 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
47%Service-mix similarity~87.3 milesView profile →

Adam Douglas Marks, M.D.

Geriatric Medicine · Hospice/Palliative Care · Internal Medicine · Pediatric Medicine (CMS) · Ann Arbor, MI

Shared published services
1 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
42%Service-mix similarity~96.5 milesView profile →

Jonathan Belding Abraham, M.D.

Emergency Medicine (CMS) · Grand Rapids, MI

Shared published services
2 shared services · view billing descriptions
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
37%Service-mix similarity~82.5 milesView profile →

Jennifer Humble, DO

Family Practice (CMS) · Grand Rapids, MI

Shared published services
1 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
18%Service-mix similarity~82.5 milesView profile →

Vani Koets, M.D.

Hospice/Palliative Care (CMS) · Grand Rapids, MI

Shared published services
1 shared services · view billing descriptions
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
17%Service-mix similarity~82.5 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.