Medicare Procedure and Patient Information
2012 Medicare Procedure Volume
Volume of procedures performed by April Anne Duran, PAC for Medicare patients.
| doctor visit | 32 |
|---|
April Anne Duran, PAC is in RICHLAND, WA specializing in obstetrics & gynecology and surgery. April Anne Duran, PAC is affiliated with Providence.
Biopsy
A biopsy is a procedure performed to remove a small sample of cells for testing. The cells are examined in a laboratory to check for disease, or sometimes to see how badly a known disease is affecting them. Biopsy can be performed on any part of the body.
Although biopsy is most often associated with cancer, it can also be used to check for other diseases, such as infections. A biopsy sample can be scraped, cut, collected with a needle, taken with a machine that punches out a tiny piece, or removed with the tiny tools in an endoscope.
In most cases, a biopsy is a simple outpatient procedure. Depending on the procedure, patients may need to stop taking certain medications beforehand, such as blood thinners. It is important for patients to tell doctors if they are pregnant, as certain biopsies require the use of x-rays to guide the needle to the right location. There is usually very little pain associated with a biopsy. Patients will have to wait a few days to hear the results.
Pessary
A pessary is a device that is inserted into the vagina to relieve symptoms associated with mild to moderate pelvic organ prolapse, a condition in which the womb, bladder, or rectum bulges into the vaginal canal. This device is made of either rubber or plastic and is a safe, nonsurgical way to provide support for prolapsed organs.
Pessaries come in different shapes and sizes, and finding the right one can take some trial and error. Before a pessary fitting, patients will be examined and evaluated based on prolapse-related symptoms they may be experiencing, which may include discomfort, urine leakage when sneezing or coughing, and trouble keeping tampons in.
The following tips can help guide the process of finding the right fit:
The device should be kept clean to avoid issues like vaginal odor, discharge, or irritation. To clean a pessary, it must be taken out and washed with soap and water. Healthcare providers will instruct patients on how to remove and reinsert the device. If patients are unable to do this on their own, they will need to get it done at the doctor's office at least once every two months.
Stress Urinary Incontinence
Stress urinary incontinence is a disorder in which the bladder leaks urine during activities that require exertion, such as lifting, laughing, coughing, and sneezing. Leakage occurs because the muscles responsible for holding urine have become weak. This type of incontinence will affect about one in three women at some point in their lives. It is particularly prevalent in women who have given birth vaginally, have been pregnant, are extremely overweight, or are in menopause. Although more women than men suffer from stress incontinence, men who have had prostate surgery are also at risk of developing this condition.
Treatments vary based on the severity of the incontinence. Mild to moderate leakage may be controlled by doing pelvic floor exercises, avoiding foods that can irritate the bladder, or taking medication. For severe incontinence, however, surgery may be necessary. The most common procedures for stress urinary incontinence are bladder suspension, artificial urinary sphincter surgery, and sling surgery.
Each of these procedures takes about an hour to an hour and a half. Patients will likely wake up with a catheter, a tube that drains urine, as swelling after surgery makes it difficult to urinate. Taking slow, short walks to keep the blood flow moving is usually encouraged within hours of the surgery. Although patients may return to work within seven to ten days after certain procedures, strenuous activities such as running and working out are not recommended for at least four to six weeks. In addition, patients should avoid lifting objects over 15 pounds for three months after any of these operations.
Click on any procedure below to see further details on volume and pricing among Medicare patients.
In 2023, April Anne Duran, PAC had a list price for hysterectomy (uterus removal), laparoscopic hysterectomy, laparoscopic surgery, minimally invasive hysterectomy, total hysterectomy, and total laparoscopic hysterectomy (TLH) that was lower than the list prices billed to Medicare by 95% of providers in related specialties within Washington. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.
In 2012, April Anne Duran, PAC performed more gynecologic procedures procedures for Medicare patients than 75% of providers in related specialties within Washington.
Volume of procedures performed by April Anne Duran, PAC for Medicare patients.
| doctor visit | 32 |
|---|
Volume of procedures performed by April Anne Duran, PAC for Medicare patients.
| doctor visit | 36 |
|---|
Information about Medicare patients treated by April Anne Duran, PAC.
| Male | 0 |
|---|---|
| Female | 56 |
| From 65 to 74 | 31 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 14 |
| Hypertension | 50 |
|---|---|
| High Cholesterol | 50 |
| Stroke | 0 |
| Ischemic Heart Disease | 0 |
| Depression | 38 |
| Chronic Kidney Disease | 20 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 30 |
| Dementia | 0 |
| Cancer | 0 |
The top procedures that April Anne Duran, PAC treated as in RICHLAND, WA during 2014 were breast exam and gynecologic procedures.
Volume of procedures performed by April Anne Duran, PAC for Medicare patients.
| breast exam | 13 |
|---|---|
| doctor visit | 31 |
| gynecologic procedures | 13 |
Information about Medicare patients treated by April Anne Duran, PAC.
| Male | 0 |
|---|---|
| Female | 70 |
| From 65 to 74 | 36 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 22 |
| Hypertension | 41 |
|---|---|
| High Cholesterol | 51 |
| Stroke | 0 |
| Ischemic Heart Disease | 0 |
| Depression | 30 |
| Chronic Kidney Disease | 0 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 17 |
| Dementia | 0 |
| Cancer | 0 |
Volume of procedures performed by April Anne Duran, PAC for Medicare patients.
| doctor visit | 16 |
|---|
Information about Medicare patients treated by April Anne Duran, PAC.
| Male | 0 |
|---|---|
| Female | 130 |
| From 65 to 74 | 68 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 34 |
| Hypertension | 51 |
|---|---|
| High Cholesterol | 46 |
| Stroke | 0 |
| Ischemic Heart Disease | 0 |
| Depression | 35 |
| Chronic Kidney Disease | 17 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 17 |
| Dementia | 0 |
| Cancer | 0 |
Information about Medicare patients treated by April Anne Duran, PAC.
| Male | 0 |
|---|---|
| Female | 61 |
| From 65 to 74 | 28 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 21 |
| Hypertension | 59 |
|---|---|
| High Cholesterol | 51 |
| Stroke | 0 |
| Ischemic Heart Disease | 23 |
| Depression | 39 |
| Chronic Kidney Disease | 30 |
| Asthma | 18 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 30 |
| Dementia | 0 |
| Cancer | 0 |
The top procedures that April Anne Duran, PAC treated as in RICHLAND, WA during 2017 were breast exam and gynecologic procedures.
Volume of procedures performed by April Anne Duran, PAC for Medicare patients.
| breast exam | 11 |
|---|---|
| doctor visit | 20 |
| gynecologic procedures | 11 |
Information about Medicare patients treated by April Anne Duran, PAC.
| Male | 0 |
|---|---|
| Female | 73 |
| Non-Hispanic White | 52 |
|---|---|
| Black | 0 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 33 |
|---|---|
| From 75 to 84 | 20 |
| 85 and over | 0 |
| Less than 65 | 20 |
| Hypertension | 58 |
|---|---|
| High Cholesterol | 42 |
| Stroke | 0 |
| Ischemic Heart Disease | 0 |
| Depression | 29 |
| Chronic Kidney Disease | 21 |
| Asthma | 16 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 21 |
| Dementia | 0 |
| Cancer | 0 |
The top procedures that April Anne Duran, PAC treated as in RICHLAND, WA during 2018 were urologic procedures, breast exam, gynecologic procedures and incontinence surgery.
Volume of procedures performed by April Anne Duran, PAC for Medicare patients.
| breast exam | 18 |
|---|---|
| cytology | 12 |
| doctor visit | 28 |
| gynecologic pathology | 12 |
| gynecologic procedures | 18 |
| incontinence surgery | 17 |
| minimally invasive procedures | 11 |
| pelvic surgery | 11 |
| preventive care | 12 |
| reconstructive surgery | 11 |
| urologic procedures | 28 |
Information about Medicare patients treated by April Anne Duran, PAC.
| Male | 0 |
|---|---|
| Female | 76 |
| Non-Hispanic White | 65 |
|---|---|
| Black | 0 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 34 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 21 |
| Hypertension | 59 |
|---|---|
| High Cholesterol | 38 |
| Stroke | 0 |
| Ischemic Heart Disease | 24 |
| Depression | 33 |
| Chronic Kidney Disease | 32 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 17 |
| Diabetes | 18 |
| Dementia | 0 |
| Cancer | 0 |
The top procedures that April Anne Duran, PAC treated as in RICHLAND, WA during 2019 were minimally invasive procedures, neurostimulation, urologic procedures and reconstructive surgery.
Volume of procedures performed by April Anne Duran, PAC for Medicare patients.
| breast exam | 16 |
|---|---|
| doctor visit | 29 |
| gynecologic procedures | 28 |
| incontinence surgery | 19 |
| minimally invasive procedures | 76 |
| neurostimulation | 64 |
| pelvic surgery | 28 |
| reconstructive surgery | 28 |
| urologic procedures | 47 |
Information about Medicare patients treated by April Anne Duran, PAC.
| Male | 0 |
|---|---|
| Female | 123 |
| Non-Hispanic White | 106 |
|---|---|
| Black | 0 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 68 |
|---|---|
| From 75 to 84 | 34 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 64 |
|---|---|
| High Cholesterol | 47 |
| Stroke | 0 |
| Ischemic Heart Disease | 19 |
| Depression | 32 |
| Chronic Kidney Disease | 32 |
| Asthma | 19 |
| Osteoperosis | 15 |
| Atrial Fibrilation | 0 |
| Heart Failure | 10 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 29 |
| Dementia | 15 |
| Cancer | 9 |
The top procedures that April Anne Duran, PAC treated as in RICHLAND, WA during 2020 were incontinence surgery, urologic procedures, minimally invasive procedures and gynecologic procedures.
Volume of procedures performed by April Anne Duran, PAC for Medicare patients.
| doctor visit | 24 |
|---|---|
| gynecologic procedures | 14 |
| incontinence surgery | 16 |
| minimally invasive procedures | 14 |
| urologic procedures | 16 |
Information about Medicare patients treated by April Anne Duran, PAC.
| Non-Hispanic White | 80 |
|---|---|
| Black | 0 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 49 |
|---|---|
| From 75 to 84 | 21 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 53 |
|---|---|
| High Cholesterol | 46 |
| Stroke | 0 |
| Ischemic Heart Disease | 0 |
| Depression | 24 |
| Chronic Kidney Disease | 26 |
| Asthma | 0 |
| Osteoperosis | 16 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 22 |
| Dementia | 0 |
| Cancer | 0 |
The top procedures that April Anne Duran, PAC treated as in RICHLAND, WA during 2021 were urologic procedures, reconstructive surgery, pelvic surgery and incontinence surgery.
Volume of procedures performed by April Anne Duran, PAC for Medicare patients.
| breast exam | 13 |
|---|---|
| doctor visit | 15 |
| gynecologic procedures | 13 |
| incontinence surgery | 18 |
| minimally invasive procedures | 14 |
| pelvic surgery | 49 |
| reconstructive surgery | 49 |
| urologic procedures | 56 |
Information about Medicare patients treated by April Anne Duran, PAC.
| Male | 0 |
|---|---|
| Female | 87 |
| From 65 to 74 | 45 |
|---|---|
| From 75 to 84 | 24 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 49 |
|---|---|
| High Cholesterol | 47 |
| Stroke | 0 |
| Ischemic Heart Disease | 16 |
| Depression | 29 |
| Chronic Kidney Disease | 24 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 23 |
| Dementia | 0 |
| Cancer | 0 |
The top procedures that April Anne Duran, PAC treated as in RICHLAND, WA during 2022 were incontinence surgery and urologic procedures.
Volume of procedures performed by April Anne Duran, PAC for Medicare patients.
| doctor visit | 13 |
|---|---|
| incontinence surgery | 18 |
| urologic procedures | 18 |
Information about Medicare patients treated by April Anne Duran, PAC.
| Male | 0 |
|---|---|
| Female | 75 |
| From 65 to 74 | 40 |
|---|---|
| From 75 to 84 | 24 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 47 |
|---|---|
| High Cholesterol | 71 |
| Stroke | 0 |
| Ischemic Heart Disease | 0 |
| Depression | 21 |
| Chronic Kidney Disease | 21 |
| Asthma | 15 |
| Osteoperosis | 16 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 21 |
| Dementia | 0 |
| Cancer | 0 |
Volume of procedures performed by April Anne Duran, PAC for Medicare patients.
The highest averages for the top procedures that April Anne Duran, PAC treated as in RICHLAND, WA were neurostimulation, urologic procedures, reconstructive surgery and pelvic surgery.
| breast exam | 14 |
|---|---|
| cytology | 12 |
| doctor visit | 24 |
| gynecologic pathology | 12 |
| gynecologic procedures | 16 |
| incontinence surgery | 17 |
| minimally invasive procedures | 28 |
| neurostimulation | 64 |
| pelvic surgery | 29 |
| preventive care | 12 |
| reconstructive surgery | 29 |
| urologic procedures | 33 |
Information about Medicare patients treated by April Anne Duran, PAC.
| Male | 0 |
|---|---|
| Female | 68 |
| Black / African American | 0 |
|---|---|
| Asian / Pacific Islander | 0 |
| Non-Hispanic White | 27 |
| Native American / Alaskan Native | 0 |
| Hispanic | 0 |
| Other | 0 |
| 75 to 84 | 11 |
|---|---|
| 85 and over | 0 |
| Less than 65 | 12 |
| 65 to 74 | 39 |
The highest averages of the most common conditions of Medicare patients that April Anne Duran, PAC treated were hypertension, high cholesterol, depression and diabetes.
| Hypertension | 48 |
|---|---|
| High Cholesterol | 44 |
| Stroke | 0 |
| Ischemic Heart Disease | 7 |
| Depression | 28 |
| Chronic Kidney Disease | 20 |
| Asthma | 6 |
| Osteoporosis | 4 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 1 |
| Diabetes | 20 |
| Atrial Fibrillation | 0 |
| Dementia | 1 |
| Cancer | 0 |
She is certified by the Board Certification: National Commission on Certification of Physician Assistants, Physician Assistant and has a state license in Washington.
Board Certification: Board Certification: National Commission on Certification of Physician Assistants, Physician Assistant
Licensed In: Washington
April Anne Duran, PAC is associated with these hospitals and organizations:
April Anne Duran, PAC appears to accept the following insurance providers: Humana PPO, CIGNA PPO, Medicare Advantage, TriWest, TRICARE, Medicaid, Humana, Cigna, United Healthcare Medicaid, OptumHealth Behavioral Solutions (United Behavioral Health), United Healthcare PPO, Providence, Humana HMO, First Health, Regence, Kaiser Permanente, Asuris Northwest Health PPO, Premera PPO, Naphcare, Moda PPO, Evernorth PPO and First Choice PPO.
According to our sources, April Anne Duran, PAC accepts the following insurance providers:
April Anne Duran, PAC has an exceptional overall rating with an average of 4.96 out of 5 stars based on 113 ratings. We collect ratings and reviews of April Anne Duran, PAC from all over the web to help you find the right in RICHLAND, WA.
To see all 113 reviews for April Anne Duran, PAC, view their full profile.
These charts describe general payments received by April Anne Duran, PAC. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
| Axonics, Inc. |
$75
Axonics $75 |
|---|---|
| Boston Scientific Corporation |
$18
$18 |
| Food and Beverage | $93 |
|---|
Ms. April Duran specializes in surgery and obstetrics & gynecology and practices in Richland, WA. These areas are among Ms. Duran's clinical interests: cystocele (bladder prolapse), dysfunctional uterine bleeding, and intrauterine device (IUD) insertion. The average patient rating for Ms. Duran is 5.0 stars (out of 5). She can accept Regence, Blue California, and United Healthcare PPO, as well as other insurance carriers. Her professional affiliations include Kadlec Regional Medical Center and Providence. Ms. Duran has an open panel in RICHLAND, WA according to Doctor.com.