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Compare the published Medicare service mix of Gayathri N Manickam, M.D. with clinicians in the same registry specialty: Family Practice · Sports Medicine (CMS).

MI · Exact areaEdit location

2024 published service data · 58 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Robert Anthony Edward Albers, D.O.

Family Practice · Sports Medicine (CMS) · Detroit, MI

Shared published services
3 shared services · view billing descriptions
  • Aspiration and/or injection of fluid from large joint (20610)
  • 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 moderate level of medical decision making, if using time, 45 minutes or more (99204)
93%Service-mix similarityView profile →

Andrew K. Cunningham, M.D.

Family Practice · Sports Medicine (CMS) · Detroit, MI

Shared published services
3 shared services · view billing descriptions
  • Aspiration and/or injection of fluid from large joint (20610)
  • 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 moderate level of medical decision making, if using time, 45 minutes or more (99204)
92%Service-mix similarityView profile →

Ramsey Shehab, M.D

Family Practice · Sports Medicine (CMS) · Dearborn, MI

Shared published services
3 shared services · view billing descriptions
  • Aspiration and/or injection of fluid from large joint (20610)
  • 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 moderate level of medical decision making, if using time, 45 minutes or more (99204)
91%Service-mix similarityView profile →

Stephen Michael Spadafore, M.D.

Family Practice (CMS) · Ann Arbor, MI

Shared published services
3 shared services · view billing descriptions
  • Aspiration and/or injection of fluid from large joint (20610)
  • 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 moderate level of medical decision making, if using time, 45 minutes or more (99204)
88%Service-mix similarityView profile →

Jason Nicholas Lazor, D.O.

Family Practice · Sports Medicine (CMS) · Grand Rapids, MI

Shared published services
3 shared services · view billing descriptions
  • Aspiration and/or injection of fluid from large joint (20610)
  • 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 moderate level of medical decision making, if using time, 45 minutes or more (99204)
85%Service-mix similarityView profile →

Alexander Lapka, DO

Family Practice · Sports Medicine (CMS) · Okemos, MI

Shared published services
3 shared services · view billing descriptions
  • Aspiration and/or injection of fluid from large joint (20610)
  • 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 moderate level of medical decision making, if using time, 45 minutes or more (99204)
85%Service-mix similarityView profile →

Adam Pinney

Family Practice (CMS) · Midland, MI

Shared published services
3 shared services · view billing descriptions
  • Aspiration and/or injection of fluid from large joint (20610)
  • 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 moderate level of medical decision making, if using time, 45 minutes or more (99204)
84%Service-mix similarityView profile →

Nancy White Vincent, M.D.

Family Practice · Sports Medicine (CMS) · Northville, MI

Shared published services
3 shared services · view billing descriptions
  • Aspiration and/or injection of fluid from large joint (20610)
  • 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 moderate level of medical decision making, if using time, 45 minutes or more (99204)
83%Service-mix similarityView profile →

Richard F Giannotti

Family Practice (CMS) · Midland, MI

Shared published services
3 shared services · view billing descriptions
  • Aspiration and/or injection of fluid from large joint (20610)
  • 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 moderate level of medical decision making, if using time, 45 minutes or more (99204)
82%Service-mix similarityView profile →

Joseph Lee Medellin, M.D.

Family Practice · Sports Medicine (CMS) · Troy, MI

Shared published services
3 shared services · view billing descriptions
  • Aspiration and/or injection of fluid from large joint (20610)
  • 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 moderate level of medical decision making, if using time, 45 minutes or more (99204)
81%Service-mix similarityView profile →

Miguel Angel Linares, M.D.

Family Practice · Sports Medicine (CMS) · Ann Arbor, MI

Shared published services
3 shared services · view billing descriptions
  • Aspiration and/or injection of fluid from large joint (20610)
  • 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 moderate level of medical decision making, if using time, 45 minutes or more (99204)
80%Service-mix similarityView profile →

James Thomas Vanhuysen, D.O.

Sports Medicine (CMS) · Kalamazoo, MI

Shared published services
3 shared services · view billing descriptions
  • Aspiration and/or injection of fluid from large joint (20610)
  • 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 moderate level of medical decision making, if using time, 45 minutes or more (99204)
79%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.