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Compare the published Medicare service mix of Sharilyn Butteling with clinicians in the same registry specialty: Nurse Practitioner (CMS).

HI · Exact areaEdit location

2024 published service data · 20 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Mariam R Myers, APRN-RX PMHNP-BC

Nurse Practitioner (CMS) · Honolulu, HI

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)
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
100%Service-mix similarityView profile →

Molly Wynn Palmer, RN, APRN

Specialty details in registry · Kihei, HI

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)
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
100%Service-mix similarityView profile →

Ann M Cox, APRN

Nurse Practitioner (CMS) · Kailua Kona, HI

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)
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
100%Service-mix similarityView profile →

Betty King, ARNP

Nurse Practitioner (CMS) · Honolulu, HI

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)
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
100%Service-mix similarityView profile →

Amanda Nall, PMHNP-BC

Nurse Practitioner (CMS) · Kapaa, HI

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)
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
94%Service-mix similarityView profile →

Dave Fields, PMHNP

Nurse Practitioner (CMS) · Mililani, HI

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)
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
90%Service-mix similarityView profile →

Angela K Brogan, PMHNP-BC

Specialty details in registry · Kahului, HI

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)
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
88%Service-mix similarityView profile →

Adam Roller, APRN

Nurse Practitioner (CMS) · Ewa Beach, HI

Shared published services
1 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)
72%Service-mix similarityView profile →

Melissa Leilani Garnett, DNP

Nurse Practitioner (CMS) · Hilo, HI

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)
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
72%Service-mix similarityView profile →

George S Mackel, PMHNP

Nurse Practitioner (CMS) · Honolulu, HI

Shared published services
1 shared services · view billing descriptions
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
69%Service-mix similarityView profile →

David Guo, NURSE PRACTITIONER

Nurse Practitioner (CMS) · Honolulu, HI

Shared published services
1 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)
61%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.