Medicare Procedure and Patient Information
2012 Medicare Procedure Volume
Volume of procedures performed by Dr. Rafael David Gottenger, MD for Medicare patients.
| doctor visit | 47 |
|---|
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Dr. Rafael David Gottenger, MD is a plastic surgeon in South Miami, FL specializing in plastic surgery. He graduated from Ohio State University College of Medicine. Dr. Rafael David Gottenger, MD is affiliated with Baptist Health, HCA Florida Healthcare, Jackson Health System, Nicklaus Children's Hospital and HCA Florida Aventura Hospital HCA Florida Mercy Hospital.
Baptist Health
Blepharoplasty
Blepharoplasty is a surgical procedure to remove excess tissue around the eyelids. With aging, skin loses elasticity. In some people, skin can pool around the eyes causing wrinkles, puffiness, under-eye bags, and drooping.
During a blepharoplasty, tiny incisions are made under local anesthesia, and any excess skin or underlying tissue is removed from the eyelids. The procedure takes between one and three hours, and patients may have bruising and swelling around their eyes for a few days afterwards. Icing the area may help.
The surgery is sometimes done along with other facial surgery as part of a facelift. Typically, a blepharoplasty is considered cosmetic. In severe cases, however, upper eyelids may droop so significantly that they make it hard to see. In these cases, blepharoplasty may be considered a necessary treatment.
Breast Reconstruction
Breast reconstruction is surgery to restore the appearance of the breast, usually after a mastectomy. The choice of how to proceed after the removal of a breast is a deeply personal one, with some women opting to wear a prosthetic form in a bra, and others choosing to embrace their new breastless form as a reminder of their strength and survival. Those options are perfectly acceptable, but many women feel most comfortable with their missing breast tissue surgically replaced. Breast reconstruction can be part of a patient's return to normal after experiencing breast cancer.
There are a few different methods used to create the round shape of the breast on the chest. A flap of fat, skin, and muscle can be taken from the side, abdomen or buttock and implanted on the chest to create a breast from the patient's own tissue. Alternatively, the skin over the chest may be gradually stretched to allow for the placement of an implant. Stretching of the skin is done using expanders, which are similar to breast implants, except they increase in size when saltwater solution is injected into them. Many women also choose to combine the flap procedure with implant placement to achieve their desired result. Once the new breast shape is formed, a nipple can be created and even tattooed to match the other side.
Reconstruction may be done in a single surgery or broken up into multiple procedures:
Breast reconstruction is not perfect. The two breasts may not always look exactly identical, although they will be close. There may be small scars, and a loss of sensation in the reconstructed breast. A reconstructed breast will not produce milk, so patients may have trouble breastfeeding. Still, reconstruction is a great option for women who want that part of their appearance back.
Rhinoplasty
Rhinoplasty is any surgery done to change the shape and structure of the nose. It is commonly done for cosmetic purposes, but it may also be done to reduce breathing difficulties. Surgery may include any part of bone or cartilage of the nose. In some cases, cartilage is transplanted from the ear or rib to augment the nose.
Rhinoplasty may be done for reasons that are primarily about appearance, such as:
Rhinoplasty may also be done to correct a deviated septum or other breathing impairment. In that case, the nasal structure is adjusted so that airflow is increased to a comfortable level.
Typically, rhinoplasty is only performed on adults because kids' and teens' faces are still growing and changing. After a rhinoplasty, healing will take 1-2 weeks, but subtle shifts in the face and occasional swelling can last up to a year.
Volume of procedures performed by Dr. Rafael David Gottenger, MD for Medicare patients.
| doctor visit | 47 |
|---|
Volume of procedures performed by Dr. Rafael David Gottenger, MD for Medicare patients.
| doctor visit | 36 |
|---|
Information about Medicare patients treated by Dr. Rafael David Gottenger, MD.
| Non-Hispanic White | 0 |
|---|---|
| Black | 0 |
| Hispanic | 30 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 19 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 17 |
| Hypertension | 65 |
|---|---|
| High Cholesterol | 47 |
| Stroke | 0 |
| Ischemic Heart Disease | 37 |
| Depression | 35 |
| Chronic Kidney Disease | 31 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 41 |
| Dementia | 0 |
| Cancer | 37 |
Volume of procedures performed by Dr. Rafael David Gottenger, MD for Medicare patients.
| doctor visit | 25 |
|---|
Information about Medicare patients treated by Dr. Rafael David Gottenger, MD.
| Non-Hispanic White | 0 |
|---|---|
| Black | 0 |
| Hispanic | 21 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 13 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 11 |
| Hypertension | 67 |
|---|---|
| High Cholesterol | 64 |
| Stroke | 0 |
| Ischemic Heart Disease | 39 |
| Depression | 53 |
| Chronic Kidney Disease | 0 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 39 |
| Dementia | 0 |
| Cancer | 50 |
Volume of procedures performed by Dr. Rafael David Gottenger, MD for Medicare patients.
| doctor visit | 48 |
|---|
Information about Medicare patients treated by Dr. Rafael David Gottenger, MD.
| Non-Hispanic White | 0 |
|---|---|
| Black | 0 |
| Hispanic | 56 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 42 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 24 |
| Hypertension | 64 |
|---|---|
| High Cholesterol | 66 |
| Stroke | 0 |
| Ischemic Heart Disease | 43 |
| Depression | 41 |
| Chronic Kidney Disease | 0 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 41 |
| Dementia | 0 |
| Cancer | 52 |
Volume of procedures performed by Dr. Rafael David Gottenger, MD for Medicare patients.
| doctor visit | 40 |
|---|
Information about Medicare patients treated by Dr. Rafael David Gottenger, MD.
| Non-Hispanic White | 0 |
|---|---|
| Black | 0 |
| Hispanic | 28 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 24 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 15 |
| Hypertension | 68 |
|---|---|
| High Cholesterol | 74 |
| Stroke | 0 |
| Ischemic Heart Disease | 43 |
| Depression | 38 |
| Chronic Kidney Disease | 34 |
| Asthma | 28 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 21 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 43 |
| Dementia | 0 |
| Cancer | 53 |
Volume of procedures performed by Dr. Rafael David Gottenger, MD for Medicare patients.
| doctor visit | 20 |
|---|
Information about Medicare patients treated by Dr. Rafael David Gottenger, MD.
| Male | 13 |
|---|---|
| Female | 28 |
| Non-Hispanic White | 0 |
|---|---|
| Black | 0 |
| Hispanic | 24 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 16 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 12 |
| Hypertension | 75 |
|---|---|
| High Cholesterol | 71 |
| Stroke | 0 |
| Ischemic Heart Disease | 46 |
| Depression | 44 |
| Chronic Kidney Disease | 39 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 29 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 44 |
| Dementia | 0 |
| Cancer | 44 |
The top procedures that Dr. Rafael David Gottenger, MD treated as a plastic surgeon in South Miami, FL during 2018 were hospital care and inpatient care.
Volume of procedures performed by Dr. Rafael David Gottenger, MD for Medicare patients.
| doctor visit | 22 |
|---|---|
| hospital care | 12 |
| inpatient care | 12 |
Information about Medicare patients treated by Dr. Rafael David Gottenger, MD.
| Male | 16 |
|---|---|
| Female | 32 |
| Non-Hispanic White | 0 |
|---|---|
| Black | 0 |
| Hispanic | 25 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 19 |
|---|---|
| From 75 to 84 | 11 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 65 |
|---|---|
| High Cholesterol | 60 |
| Stroke | 0 |
| Ischemic Heart Disease | 31 |
| Depression | 44 |
| Chronic Kidney Disease | 35 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 25 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 35 |
| Dementia | 0 |
| Cancer | 35 |
Volume of procedures performed by Dr. Rafael David Gottenger, MD for Medicare patients.
| doctor visit | 28 |
|---|
Information about Medicare patients treated by Dr. Rafael David Gottenger, MD.
| Non-Hispanic White | 0 |
|---|---|
| Black | 0 |
| Hispanic | 24 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 18 |
|---|---|
| From 75 to 84 | 11 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 71 |
|---|---|
| High Cholesterol | 71 |
| Stroke | 0 |
| Ischemic Heart Disease | 39 |
| Depression | 29 |
| Chronic Kidney Disease | 27 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 29 |
| Dementia | 0 |
| Cancer | 39 |
Volume of procedures performed by Dr. Rafael David Gottenger, MD for Medicare patients.
| doctor visit | 28 |
|---|
Information about Medicare patients treated by Dr. Rafael David Gottenger, MD.
| Non-Hispanic White | 0 |
|---|---|
| Black | 0 |
| Hispanic | 27 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 15 |
|---|---|
| From 75 to 84 | 12 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 66 |
|---|---|
| High Cholesterol | 75 |
| Stroke | 0 |
| Ischemic Heart Disease | 42 |
| Depression | 29 |
| Chronic Kidney Disease | 34 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 34 |
| Dementia | 0 |
| Cancer | 55 |
Information about Medicare patients treated by Dr. Rafael David Gottenger, MD.
| Non-Hispanic White | 0 |
|---|---|
| Black | 0 |
| Hispanic | 22 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 16 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 69 |
|---|---|
| High Cholesterol | 72 |
| Stroke | 0 |
| Ischemic Heart Disease | 0 |
| Depression | 0 |
| Chronic Kidney Disease | 42 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 47 |
| Dementia | 0 |
| Cancer | 36 |
The top procedures that Dr. Rafael David Gottenger, MD treated as a plastic surgeon in South Miami, FL during 2022 were hospital care and inpatient care.
Volume of procedures performed by Dr. Rafael David Gottenger, MD for Medicare patients.
| hospital care | 16 |
|---|---|
| inpatient care | 16 |
Information about Medicare patients treated by Dr. Rafael David Gottenger, MD.
| Male | 17 |
|---|---|
| Female | 31 |
| Non-Hispanic White | 0 |
|---|---|
| Black | 0 |
| Hispanic | 25 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 17 |
|---|---|
| From 75 to 84 | 12 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 73 |
|---|---|
| High Cholesterol | 67 |
| Stroke | 0 |
| Ischemic Heart Disease | 29 |
| Depression | 38 |
| Chronic Kidney Disease | 25 |
| Asthma | 0 |
| Osteoperosis | 27 |
| Atrial Fibrilation | 23 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 40 |
| Dementia | 27 |
| Cancer | 42 |
Volume of procedures performed by Dr. Rafael David Gottenger, MD for Medicare patients.
| doctor visit | 34 |
|---|
Information about Medicare patients treated by Dr. Rafael David Gottenger, MD.
| Non-Hispanic White | 0 |
|---|---|
| Black | 0 |
| Hispanic | 20 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 19 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 75 |
|---|---|
| High Cholesterol | 75 |
| Stroke | 0 |
| Ischemic Heart Disease | 34 |
| Depression | 44 |
| Chronic Kidney Disease | 27 |
| Asthma | 0 |
| Osteoperosis | 37 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 44 |
| Dementia | 0 |
| Cancer | 49 |
Volume of procedures performed by Dr. Rafael David Gottenger, MD for Medicare patients.
| doctor visit | 32 |
|---|
Information about Medicare patients treated by Dr. Rafael David Gottenger, MD.
| Non-Hispanic White | 0 |
|---|---|
| Black | 0 |
| Hispanic | 19 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 17 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 72 |
|---|---|
| High Cholesterol | 75 |
| Stroke | 0 |
| Ischemic Heart Disease | 38 |
| Depression | 0 |
| Chronic Kidney Disease | 0 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 0 |
| Dementia | 0 |
| Cancer | 53 |
Volume of procedures performed by Dr. Rafael David Gottenger, MD for Medicare patients.
The highest averages for the top procedures that Dr. Rafael David Gottenger, MD treated as a plastic surgeon in South Miami, FL were hospital care and inpatient care.
| doctor visit | 32 |
|---|---|
| hospital care | 14 |
| inpatient care | 14 |
Information about Medicare patients treated by Dr. Rafael David Gottenger, MD.
| Male | 3 |
|---|---|
| Female | 7 |
| Black / African American | 0 |
|---|---|
| Asian / Pacific Islander | 0 |
| Non-Hispanic White | 0 |
| Hispanic | 24 |
| Native American / Alaskan Native | 0 |
| Other | 0 |
| 75 to 84 | 3 |
|---|---|
| 85 and over | 0 |
| Less than 65 | 6 |
| 65 to 74 | 18 |
The highest averages of the most common conditions of Medicare patients that Dr. Rafael David Gottenger, MD treated were hypertension, high cholesterol, cancer and diabetes.
| Hypertension | 63 |
|---|---|
| High Cholesterol | 62 |
| Stroke | 0 |
| Ischemic Heart Disease | 32 |
| Depression | 30 |
| Chronic Kidney Disease | 22 |
| Asthma | 2 |
| Osteoporosis | 4 |
| Heart Failure | 5 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 33 |
| Atrial Fibrillation | 1 |
| Dementia | 2 |
| Cancer | 41 |
Dr. Rafael David Gottenger, MD graduated from Ohio State University College of Medicine. He completed residency at Mount Sinai Medical Center of Florida. He is certified by the Plastic Surgery, American Board of Plastic Surgery and has a state license in Florida.
Medical School: Ohio State University College of Medicine
Residency: Mount Sinai Medical Center of Florida (2002)
Board Certification: Plastic Surgery, American Board of Plastic Surgery (2006)
Licensed In: Florida
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These charts describe general payments received by Dr. Rafael David Gottenger, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
| Allergan Inc. |
$139,168
NATRELLE $76,960 |
AlloDerm $42,221 |
STRATTICE $13,132 |
NATRELLE IMPLANTS $4,442 |
SERI $537 |
Other $1,876 |
|---|---|---|---|---|---|---|
| KCI USA, Inc |
$128,857
VAC THERAPY $43,158 |
VAC VERAFLO $21,000 |
PREVENA $18,730 |
VAC ULTA $9,077 |
VAC VIA $7,487 |
Other $29,405 |
| Allergan, Inc. |
$32,013
Revolve $14,290 |
NATRELLE SALINE-FILLED BREAST IMPLANTS $13,406 |
ARTIA RECONSTRUCTIVE TISSUE MATRIX $3,600 |
NATRELLE $678 |
BOTOX $15 |
Other $24 |
| AbbVie Inc. |
$31,999
NATRELLE SALINE-FILLED BREAST IMPLANTS $3,133 |
ARTIA $2,209 |
AlloDerm $1,266 |
STRATTICE RECONSTRUCTIVE TISSUE MATRIX BPS $131 |
BOTOX $20 |
Other $25,240 |
| LIFECELL CORPORATION |
$21,429
AlloDerm $20,802 |
STRATTICE $627 |
||||
| Other |
$35,852
Cavilon $5,624 |
OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex) $5,102 |
Motiva Implant Matrix $2,961 |
Mesh $2,198 |
SIENTRA HIGH STRENGTH COHESIVE SILICONE GEL BREAST IMPLANT $1,863 |
Other $18,103 |
| Consulting Fee | $116,454 |
|---|---|
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $115,140 |
| Gift | $53,668 |
| Travel and Lodging | $41,194 |
| Food and Beverage | $34,337 |
| Other | $28,525 |
Dr. Rafael David Gottenger, MD has received 9 research payments totaling $400.
Dr. Rafael Gottenger's area of specialization is plastic surgery. His clinical interests include facelift, blepharoplasty, and tummy tuck (abdominoplasty). His professional affiliations include Nicklaus Children's Hospital, South Miami Hospital, and Baptist Hospital of Miami. Dr. Gottenger is a graduate of Luis Razetti School of Medicine and Ohio State University College of Medicine. His residency was performed at Ohio State University Medical Center and Mount Sinai Medical Center of Florida. In addition to English, Dr. Gottenger (or staff) speaks Hebrew, Spanish, and German.