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Compare the published Medicare service mix of Miranda Toomy Smith, PA with clinicians in the same registry specialty: Specialty details in registry.

VA · Exact areaEdit location

2024 published service data · 87 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Nicklaus Cary Doyle

Specialty details in registry · Newport News, VA

Shared published services
2 shared services · view billing descriptions
  • Emergency department visit with moderate level of medical decision making (99284)
  • Emergency department visit with high level of medical decision making (99285)
100%Service-mix similarityView profile →

Rachel Ellis, PA-S

Physician Assistant (CMS) · Norfolk, VA

Shared published services
2 shared services · view billing descriptions
  • Emergency department visit with moderate level of medical decision making (99284)
  • Emergency department visit with high level of medical decision making (99285)
100%Service-mix similarityView profile →

Kathryn Garcia, MD

Specialty details in registry · Salem, VA

Shared published services
2 shared services · view billing descriptions
  • Emergency department visit with moderate level of medical decision making (99284)
  • Emergency department visit with high level of medical decision making (99285)
95%Service-mix similarityView profile →

Tristan Loflin Looney, PA-C

Specialty details in registry · Roanoke, VA

Shared published services
2 shared services · view billing descriptions
  • Emergency department visit with moderate level of medical decision making (99284)
  • Emergency department visit with high level of medical decision making (99285)
90%Service-mix similarityView profile →

Jessica Gray

Specialty details in registry · Richmond, VA

Shared published services
2 shared services · view billing descriptions
  • Emergency department visit with moderate level of medical decision making (99284)
  • Emergency department visit with high level of medical decision making (99285)
89%Service-mix similarityView profile →

Tennessee Park, MD

Emergency Medicine (CMS) · Charlottesville, VA

Shared published services
2 shared services · view billing descriptions
  • Emergency department visit with moderate level of medical decision making (99284)
  • Emergency department visit with high level of medical decision making (99285)
84%Service-mix similarityView profile →

Alanna D'amelio, DO

Emergency Medicine (CMS) · Newport News, VA

Shared published services
2 shared services · view billing descriptions
  • Emergency department visit with moderate level of medical decision making (99284)
  • Emergency department visit with high level of medical decision making (99285)
81%Service-mix similarityView profile →

Mary Shell

Emergency Medicine (CMS) · Roanoke, VA

Shared published services
2 shared services · view billing descriptions
  • Emergency department visit with moderate level of medical decision making (99284)
  • Emergency department visit with high level of medical decision making (99285)
81%Service-mix similarityView profile →

Taylor Alexander Gload

Physician Assistant (CMS) · Norfolk, VA

Shared published services
2 shared services · view billing descriptions
  • Emergency department visit with moderate level of medical decision making (99284)
  • Emergency department visit with high level of medical decision making (99285)
80%Service-mix similarityView profile →

Katelyn Watson, PA-S

Physician Assistant (CMS) · Virginia Beach, VA

Shared published services
2 shared services · view billing descriptions
  • Emergency department visit with moderate level of medical decision making (99284)
  • Emergency department visit with high level of medical decision making (99285)
78%Service-mix similarityView profile →

Michael Wakim

Emergency Medicine (CMS) · Charlottesville, VA

Shared published services
1 shared services · view billing descriptions
  • Emergency department visit with moderate level of medical decision making (99284)
77%Service-mix similarityView profile →

Jared Vincent Balasbas Fernandez, DO

Emergency Medicine (CMS) · Newport News, VA

Shared published services
2 shared services · view billing descriptions
  • Emergency department visit with moderate level of medical decision making (99284)
  • Emergency department visit with high level of medical decision making (99285)
75%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.