Medicare Procedure and Patient Information
2014 Medicare Patient Data
Information about Medicare patients treated by Dr. Maria L. Ciani, MD.
| Male | |
|---|---|
| Female |
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Dr. Maria L. Ciani, MD is an obstetrician and gynecologist in Olympia, WA specializing in obstetrics & gynecology. She graduated from University of Missouri-Kansas City School of Medicine in 2010 and has 15 years of experience. Dr. Maria L. Ciani, MD is affiliated with Providence and KAISER FOUNDATION HEALTH PLAN OF WASHINGTON.
Cryotherapy
Cryotherapy is the targeted use of extreme cold to destroy unhealthy or unwanted tissue. The doctor applies the cold on the skin or injects it through a needle to reach the inside of the body, where it freezes away the problem tissue. Cryotherapy is often used to remove minor skin problems such as warts or skin tags, and it is also used to treat some small tumors.
To achieve the cold temperatures needed for cryotherapy, liquid nitrogen or argon gas is passed through a tube, which becomes cold enough to freeze cells on contact. Alternatively, liquid nitrogen can be swabbed directly onto the skin or via a spray, which applies only a specific, small amount to the skin at a time.
Because the area treated is typically very small, cryotherapy is not usually painful. There may be a sensation of cold and possibly some slight discomfort. Cryotherapy is very fast and can easily be performed in a doctor's office. It also doesn't require stitches, because there is no cutting involved. These benefits make cryotherapy a good choice for many issues, including:
Depending on the procedure, it usually takes three to four weeks to heal after cryotherapy. If it was done internally, patients may feel sore or have a small amount of swelling the first day afterwards. If cryotherapy was performed on the skin, patients will have a scab where their tissue was removed. Keep it clean and dry so it can heal.
Endometrial Ablation
Endometrial ablation is a procedure that destroys and removes a thin layer of the uterine lining. It is usually performed to treat heavy menstrual bleeding, especially if bleeding cannot be controlled by medications. After an endometrial ablation, periods often stop completely. If they do not, they are much lighter and easier to manage.
There are many different ways that the uterine lining can be removed, including radiofrequency, heat, microwaves, and cold. Ablations are usually performed with local anesthetic by an OB/GYN. A probe is inserted into the uterus through the vagina, and the end of the probe is expanded or moved around to access the uterine lining. Cramping and discharge afterwards are normal, but the procedure is not particularly painful.
Endometrial ablation is not for everyone. It shouldn't be done by women who have reached menopause, or women with uterine cancer or uterine infections. It is important to remember that an endometrial ablation does not remove the uterus or ovaries, so regular pelvic exams are still important after this procedure. Women who are considering endometrial ablation should also be done having children. Pregnancy is possible after an endometrial ablation, though not likely. If pregnancy does occur, an ablation increases the risks of miscarriage and other problems, so reliable birth control must be used after endometrial ablation all the way through menopause.
Hysteroscopy
A hysteroscopy is a diagnostic procedure performed to examine the inside of the uterus. A thin tube with a camera and light at the end, called a hysteroscope, is inserted through the vagina. It allows the physician to view the cervix and uterine walls. Sometimes, gas or liquid is used to expand the uterus and allow a better view. If necessary, tiny instruments can also be passed through the tube and used for certain procedures, such as taking a biopsy or removing a polyp.
Hysteroscopy is often done to figure out the cause of abnormal menstrual bleeding. However, it can also be used to:
If surgery is necessary, hysteroscopy is often used along with laparoscopy, a kind of surgery performed through small incisions in the abdomen. Tiny tools are passed through the incisions, and the hysteroscope guides the doctors while surgery is performed.
Information about Medicare patients treated by Dr. Maria L. Ciani, MD.
| Male | |
|---|---|
| Female |
Volume of procedures performed by Dr. Maria L. Ciani, MD for Medicare patients.
| doctor visit | 16 |
|---|
Information about Medicare patients treated by Dr. Maria L. Ciani, MD.
| Male | |
|---|---|
| Female |
| From 65 to 74 | |
|---|---|
| From 75 to 84 | |
| 85 and over | |
| Less than 65 |
Volume of procedures performed by Dr. Maria L. Ciani, MD for Medicare patients.
| doctor visit | 29 |
|---|
Information about Medicare patients treated by Dr. Maria L. Ciani, MD.
| Male | |
|---|---|
| Female |
| From 65 to 74 | |
|---|---|
| From 75 to 84 | |
| 85 and over | |
| Less than 65 |
The most common conditions of Medicare patients that Dr. Maria L. Ciani, MD treated during 2016 were hypertension and depression.
| Hypertension | |
|---|---|
| High Cholesterol | |
| Stroke | |
| Ischemic Heart Disease | |
| Depression | |
| Chronic Kidney Disease | |
| Asthma | |
| Osteoperosis | |
| Atrial Fibrilation | |
| Heart Failure | |
| Chronic Obstructive Pulmonary Disease | |
| Diabetes | |
| Dementia | |
| Cancer |
Information about Medicare patients treated by Dr. Maria L. Ciani, MD.
| Male | |
|---|---|
| Female |
| From 65 to 74 | |
|---|---|
| From 75 to 84 | |
| 85 and over | |
| Less than 65 |
The most common conditions of Medicare patients that Dr. Maria L. Ciani, MD treated during 2017 were hypertension.
| Hypertension | |
|---|---|
| High Cholesterol | |
| Stroke | |
| Ischemic Heart Disease | |
| Depression | |
| Chronic Kidney Disease | |
| Asthma | |
| Osteoperosis | |
| Atrial Fibrilation | |
| Heart Failure | |
| Chronic Obstructive Pulmonary Disease | |
| Diabetes | |
| Dementia | |
| Cancer |
Volume of procedures performed by Dr. Maria L. Ciani, MD for Medicare patients.
| doctor visit | 22 |
|---|
Information about Medicare patients treated by Dr. Maria L. Ciani, MD.
| Male | |
|---|---|
| Female |
| 75 to 84 | |
|---|---|
| 85 and over | |
| Less than 65 | |
| 65 to 74 |
The highest averages of the most common conditions of Medicare patients that Dr. Maria L. Ciani, MD treated were hypertension and depression.
| Hypertension | |
|---|---|
| High Cholesterol | |
| Stroke | |
| Ischemic Heart Disease | |
| Depression | |
| Chronic Kidney Disease | |
| Asthma | |
| Osteoporosis | |
| Heart Failure | |
| Chronic Obstructive Pulmonary Disease | |
| Diabetes | |
| Atrial Fibrillation | |
| Cancer | |
| Dementia |
Dr. Maria L. Ciani, MD graduated from University of Missouri-Kansas City School of Medicine in 2010. She completed residency at Exempla Saint Joseph Hospital, Denver. She is certified by the American Board of Obstetrics and Gynecology, Obstetrics and Gynecology and has a state license in Washington.
Medical School: University of Missouri-Kansas City School of Medicine (2010)
Residency: Exempla Saint Joseph Hospital, Denver (2014)
Board Certification: American Board of Obstetrics and Gynecology, Obstetrics and Gynecology
Licensed In: Washington
Dr. Maria L. Ciani, MD is associated with these hospitals and organizations:
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These charts describe general payments received by Dr. Maria L. Ciani, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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$76
Lupron $76 |
| $76 |
Dr. Maria Ciani's medical specialty is obstetrics & gynecology. Her clinical interests include colposcopy, annual gynecological exam (well woman exam), and cryotherapy. Dr. Ciani is professionally affiliated with Providence. She is a graduate of the University of Missouri-Kansas City School of Medicine.