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Liana G. Chotikul, CRNP

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Specializes in: Spine Surgery and Internal Medicine (Adult Medicine)

Professional interests include: spinal deformity, cervical laminoplasty, compression fractures, and more.

1420 Key Highway Floor 2
Baltimore, MD 21230

(410) 554-2867

Liana G. Chotikul, CRNP is a nurse in Baltimore, MD specializing in spine surgery and internal medicine (adult medicine). Liana G. Chotikul, CRNP is affiliated with MedStar Union Memorial Hospital, MedStar Health, AGAPE PHYSICAL THERAPY AND SPORTS REHABILITATION LP and MEDSTAR MEDICAL GROUP II LLC.

Office Locations

Address:

1420 Key Highway Floor 2
Baltimore, MD 21230

Address:

2118 Greenspring Drive Suite 210
Lutherville Timonium, MD 21093

Address:

3333 N. Calvert Street Suite 655
Baltimore, MD 21218

Address:

810 Bestgate Road Suite 310
Annapolis, MD 21401

Some issues Liana G. Chotikul, CRNP can help you with:

Spinal Cord Injury

Spinal cord injury medicine is a branch of medicine that treats damage to the spinal cord from an injury or a nontraumatic myelopathy, which is any disorder that affects the spinal area. The spinal cord is a section of nerve tissue protected by the vertebrae (spinal bones). Trauma to the spinal cord, typically caused by compression or bent vertebrae, prevents the body and brain from communicating. This can result in pain, loss of sensation, and impaired physical function and movement. Acute spinal cord injuries (SCIs) are a leading cause of permanent disability. Spinal cord injuries may develop from accidents or myelopathies, disorders that provoke spinal compression. Traumatic incidents such as falls, sports injuries, vehicle accidents, and bullet or stab wounds can cause an acute spinal cord injury.

Spinal cord injury medicine seeks to stabilize the spine and to alleviate the symptoms of spine damage. Practitioners of spinal cord injury medicine are called spinal cord injury specialists. Spinal cord injury medicine is an interdisciplinary field, meaning physicians of various specialties may be trained to treat spinal cord injuries.

Damage to the spinal cord may initially be diagnosed through X-ray, MRI, or CT scans. Patients can also undergo spinal exams to evaluate their sensory ability and strength. Injuries to the spinal cord can be complete (no feeling or sensation) or incomplete (some feeling or sensation remains). Conditions spinal cord injury medicine specialists may treat include:

Paralysis, such as paraplegia (loss of function in the legs), or quadriplegia (loss of function from the neck down)
Spine fracture or trauma, which can lead to impairment and/or significant pain
Spinal infections
Myelopathies, such as herniated disks, spinal tumors, and rheumatoid arthritis
Inflammatory diseases such as ankylosing spondylosis, and degenerative conditions like Lou Gehrig's disease (ALS)

Treatment for spinal cord injuries often involves surgery, either directly after an injury occurs or at a later date. Surgery for spine injuries is intended to ease spinal compression and stabilize the spine. Surgical procedures can involve shifting vertebrae, removing bone, or altering spinal placement with implantable devices. Patients with significant spinal trauma may require urgent surgical intervention.

Surgical treatments can be complemented by rehabilitative physical therapy to improve mobility. Spinal cord injury specialists also treat complications arising from a spinal injury, such as respiratory or bladder conditions. Some patients with spinal cord injuries may require lifelong treatment. Spinal cord injury specialists aim to help these patients successfully adjust and lead an improved quality of life. An emerging treatment for spinal cord injuries is neural prosthetics, which replicate patients' lost nerve function. Neural prostheses may be used as artificial body parts or assistive devices that patients may cognitively control. Other assistive devices include wheelchairs and scooters.

Spinal cord injury specialists may collaborate with physical therapists, radiologists, neurologists, urologists, and orthopedists.

Spinal Fusion

Spinal fusion is a surgical procedure to permanently join together two or more vertebrae, the bones in the spine. Certain spinal disorders can lead to instability and pain, and the idea behind spinal fusion is that fusing vertebrae together can both make them stronger and reduce motion, which can sometimes reduce pain.

There are several different types of spinal fusion surgery available, mostly depending on where a patient's pain is located and whether his or her surgeon will perform the procedure through the back, front, or side. In general, a fusion is performed by packing the vertebrae to be fused with grafted bone. This bone may be taken from the patient's hip, may be donated from a cadaver, or it may be a manufactured synthetic material. The bone is placed along the vertebrae, and sometimes, the disc that lies in between the vertebrae is removed and replaced with grafted bone. The bone material will grow and cement the two vertebrae together. After the bone graft is placed, the vertebrae are sometimes held in place with rods, screws, plates, or cages, depending on the weakness of the spine and needs of the graft.

Spinal fusion is a significant surgery and can take three to four hours or more. Recovery is typically two to four days in the hospital. After surgery, it is important to remember that the fusion takes time to grow from the bone graft. So, the actual fusion is not complete for several months. Patients will probably feel somewhat better right away, but it may take a while to feel the full effects of the fusion as the bone grows into place. In the meantime, doctors might have patients wear a brace to protect their spine and keep it properly aligned.

Spinal fusion is not used for all kinds of back pain. Changing the way the spine moves can lead to strain on the other joints in the back, and fusion is only performed when the benefits outweigh the risks. Some spine disorders that are treated with fusion include:

Curvature disorders, such as scoliosis and kyphosis
Degenerative disc disease
Spondylolisthesis, a disorder that causes vertebrae to slip over each other
Significant spinal fractures that cause instability
Weakened spine due to infection or tumor
Some cases of spinal stenosis, a narrowing of the spinal column
Chronic lower back pain (although the use of fusion to treat this is controversial)

Regardless of the diagnosis, there is always a possibility of 'failure' with spinal fusion, or of the surgery not fully solving the pain. This is more likely when fusion is used primarily to treat pain instead of structural problems. Patients can improve their chances of a successful outcome by stopping smoking, maintaining a healthy weight, moving their body every day, and following their doctor's instructions for any physical therapy that they are prescribed.

Spinal Osteotomy

Spinal osteotomy is a surgical procedure used to treat significant spinal deformity, sometimes as part of a spinal reconstruction. During spinal osteotomy, one or more pieces of bone are removed. This creates a curve, allowing for proper realignment of the spine.

There are three major types of spinal osteotomy. In order of amount of bone removed, they are:

Smith-Peterson osteotomy or SPO, which offers a small amount of correction and is often performed on multiple levels of the spine. This procedure is the least invasive, removing a small piece of bone from the back of the vertebra.
Pedicle subtraction osteotomy or PSO, which is often used in the lower back for the treatment of flatback syndrome, a condition in which the lower spine loses its natural curve. A slice or wedge of bone going through the entire vertebral column is removed, allowing more movement for repositioning.
Vertebral column resection or VCR, which is the most involved spinal osteotomy surgery. It is almost always performed as part of a spinal reconstruction. One or more entire vertebrae are removed, and the spine is fused into place with rods or screws.

After surgery, it is common to stay in the hospital for several days. Recovery can be slow, and patients will likely need help doing regular activities for the first few weeks. Lifting objects and bending or twisting, such as when getting out of bed or into a car, will be extremely difficult at first. Physical therapy can help patients heal and move. Most daily activities can be resumed after six weeks, and most patients return to full activity, including playing certain sports, within a year.

Although the recovery from spinal osteotomy can be significant, it can be quite effective at reducing pain. Correcting a spinal deformity can also improve appearance and self-esteem, increase balance, and improve stability when moving.

arthrodesis (bone fusion surgery)	90
decompression surgery	102
doctor visit	155
hospital care	10
inpatient care	10
neck surgery	51
nerve procedures	102
spinal procedures	295
X-rays	13

**Gender**
Male	87
Female	123

**Ethnicity**
Non-Hispanic White	190
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	101
From 75 to 84	62
85 and over	21
Less than 65	26

Hypertension	75
High Cholesterol	70
Stroke	7
Ischemic Heart Disease	37
Depression	24
Chronic Kidney Disease	18
Asthma	10
Osteoperosis	13
Atrial Fibrilation	8
Heart Failure	9
Chronic Obstructive Pulmonary Disease	13
Diabetes	33
Dementia	7
Cancer	10

arthrodesis (bone fusion surgery)	78
decompression surgery	92
doctor visit	157
hospital care	18
inpatient care	18
neck surgery	34
nerve procedures	92
spinal procedures	254
X-rays	21

**Gender**
Male	91
Female	114

**Ethnicity**
Non-Hispanic White	187
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	103
From 75 to 84	59
85 and over	26
Less than 65	17

Hypertension	75
High Cholesterol	67
Stroke	0
Ischemic Heart Disease	43
Depression	28
Chronic Kidney Disease	26
Asthma	15
Osteoperosis	16
Atrial Fibrilation	11
Heart Failure	16
Chronic Obstructive Pulmonary Disease	17
Diabetes	30
Dementia	9
Cancer	13

arthrodesis (bone fusion surgery)	65
decompression surgery	91
doctor visit	132
hospital care	23
inpatient care	23
neck surgery	46
nerve procedures	91
spinal procedures	239
X-rays	22

**Gender**
Male	170
Female	234

**Ethnicity**
Non-Hispanic White	366
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	188
From 75 to 84	92
85 and over	66
Less than 65	58

Hypertension	75
High Cholesterol	71
Stroke	9
Ischemic Heart Disease	41
Depression	33
Chronic Kidney Disease	23
Asthma	14
Osteoperosis	13
Atrial Fibrilation	14
Heart Failure	10
Chronic Obstructive Pulmonary Disease	14
Diabetes	33
Dementia	8
Cancer	9

arthrodesis (bone fusion surgery)	86
decompression surgery	118
doctor visit	243
hospital care	34
inpatient care	34
neck surgery	36
nerve procedures	118
spinal procedures	326
X-rays	48

**Gender**
Male	111
Female	179

**Ethnicity**
Non-Hispanic White	265
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	151
From 75 to 84	81
85 and over	31
Less than 65	27

Hypertension	75
High Cholesterol	62
Stroke	6
Ischemic Heart Disease	36
Depression	29
Chronic Kidney Disease	26
Asthma	19
Osteoperosis	10
Atrial Fibrilation	15
Heart Failure	15
Chronic Obstructive Pulmonary Disease	13
Diabetes	28
Dementia	13
Cancer	11

arthrodesis (bone fusion surgery)	66
decompression surgery	124
doctor visit	243
hospital care	35
inpatient care	35
neck surgery	38
nerve procedures	124
revision surgery	16
spinal procedures	304
X-rays	40

**Gender**
Male	114
Female	168

**Ethnicity**
Non-Hispanic White	250
Black	16
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	126
From 75 to 84	104
85 and over	31
Less than 65	21

Hypertension	75
High Cholesterol	56
Stroke	5
Ischemic Heart Disease	37
Depression	31
Chronic Kidney Disease	27
Asthma	10
Osteoperosis	13
Atrial Fibrilation	12
Heart Failure	11
Chronic Obstructive Pulmonary Disease	17
Diabetes	33
Dementia	12
Cancer	15

arthrodesis (bone fusion surgery)	64
decompression surgery	111
doctor visit	206
hospital care	26
inpatient care	26
neck surgery	32
nerve procedures	111
revision surgery	23
spinal procedures	258
X-rays	23

**Gender**
Male	101
Female	168

**Ethnicity**
Non-Hispanic White	237
Black	16
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	123
From 75 to 84	93
85 and over	33
Less than 65	20

Hypertension	75
High Cholesterol	70
Stroke	9
Ischemic Heart Disease	39
Depression	34
Chronic Kidney Disease	32
Asthma	11
Osteoperosis	12
Atrial Fibrilation	18
Heart Failure	17
Chronic Obstructive Pulmonary Disease	17
Diabetes	32
Dementia	12
Cancer	17

arthrodesis (bone fusion surgery)	71
decompression surgery	111
doctor visit	227
hospital care	42
inpatient care	42
neck surgery	44
nerve procedures	111
revision surgery	17
spinal procedures	295
X-rays	39

**Gender**
Male	113
Female	169

**Ethnicity**
Non-Hispanic White	252
Black	18
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	125
From 75 to 84	99
85 and over	32
Less than 65	26

Hypertension	75
High Cholesterol	68
Stroke	6
Ischemic Heart Disease	38
Depression	31
Chronic Kidney Disease	32
Asthma	8
Osteoperosis	13
Atrial Fibrilation	17
Heart Failure	17
Chronic Obstructive Pulmonary Disease	15
Diabetes	28
Dementia	14
Cancer	13

arthrodesis (bone fusion surgery)	52
decompression surgery	87
doctor visit	161
hospital care	22
inpatient care	22
neck surgery	33
nerve procedures	87
revision surgery	14
spinal procedures	196
X-rays	13

**Gender**
Male	100
Female	128

**Ethnicity**
Non-Hispanic White	203
Black	13
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	102
From 75 to 84	73
85 and over	32
Less than 65	21

Hypertension	75
High Cholesterol	67
Stroke	7
Ischemic Heart Disease	40
Depression	34
Chronic Kidney Disease	23
Asthma	10
Osteoperosis	12
Atrial Fibrilation	16
Heart Failure	19
Chronic Obstructive Pulmonary Disease	16
Diabetes	27
Dementia	11
Cancer	13

bone surgery	10
decompression surgery	97
nerve procedures	97
spinal procedures	152

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Liana G. Chotikul, CRNP for Medicare patients.

The highest averages for the top procedures that Liana G. Chotikul, CRNP treated as a nurse in Baltimore, MD were spinal procedures, nerve procedures, decompression surgery and arthrodesis (bone fusion surgery).

arthrodesis (bone fusion surgery)	72
bone surgery	10
decompression surgery	105
doctor visit	193
hospital care	26
inpatient care	26
neck surgery	39
nerve procedures	105
revision surgery	17
spinal procedures	263
X-rays	27

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Liana G. Chotikul, CRNP.

**Gender**
Male	88
Female	128

**Ethnicity**
Black / African American	6
Asian / Pacific Islander	0
Non-Hispanic White	195
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	66
85 and over	27
Less than 65	21
65 to 74	101

Average of Total of Conditions of Medicare patients treated by Liana G. Chotikul, CRNP From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Liana G. Chotikul, CRNP treated were hypertension, high cholesterol, ischemic heart disease and depression.

Hypertension	60
High Cholesterol	53
Stroke	4
Ischemic Heart Disease	31
Depression	24
Chronic Kidney Disease	20
Asthma	9
Osteoporosis	10
Heart Failure	11
Chronic Obstructive Pulmonary Disease	12
Diabetes	24
Atrial Fibrillation	11
Cancer	10
Dementia	8

Education & Training

She is certified by the Certification Board of Perioperative Nursing and has a state license in Maryland.

Board Certification: Certification Board of Perioperative Nursing

Licensed In: Maryland

Affiliations & Hospitals

Liana G. Chotikul, CRNP is associated with these hospitals and organizations:

MedStar Union Memorial Hospital

MedStar Health

AGAPE PHYSICAL THERAPY AND SPORTS REHABILITATION LP

MEDSTAR MEDICAL GROUP II LLC

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Liana G. Chotikul, CRNP appears to accept the following insurance providers: CIGNA Choice Fund PPO, MAMSI, First Health PPO, Blue Choice, Golden Rule, Great-West Healthcare, TRICARE, Community Care Network (CCN), Coventry, TRICARE Reserve Select, Aetna Managed Choice POS, Beech Street PPO, Aetna HMO, Kaiser Select, Kaiser Permanente, CIGNA EPO, Aetna Medicare PPO, CIGNA Indemnity, AARP, Medicare Advantage, Coventry National Network PPO, United Healthcare, Medicaid, Cigna, Virginia Premier Health Plan, WellPoint, Aetna, CIGNA Network Open Access, Private Healthcare Systems (PHCS), HealthyBlue PPO, MedStar Family Choice - Maryland Health Choice, CareFirst NASCO, CareFirst Maryland Indemnity or PPO, Traditional Medicare Fee for Service, United Optimum Choice Preferred (POS) & OCI Direct (HMO), Innovation Health: Open POS Plus, MedStar Family Choice DC Healthy Families, Carefirst EPO, Innovation Health: HMO & EPO Plus, United Community Plan - Maryland Health Choice Program, CareFirst Administrators, United Student Resources, United Select HMO - EPO/NPP, United MD IPA Preferred (POS), United Options (PPO) (includes Empire PPO), Uniformed Services Family Health Plan (USFHP), Innovation Health: Network Only Plus, United MD IPA (HMO), United Choice Plus, CareFirst Blue Card Program (Out-of-area BCBS plans), Innovation Health: PPO, HumanaChoice Honor's plan PPO, MedStar Family Choice DC Healthcare Alliance, United Choice, United Optimum Choice, Federal Employee Program (Std/Basic PPO/Blue Focus), Innovation Health: POS, Maryland Point of Service Plan (MPOS), Innovation Health: Open Network Only Plus, United Select Plus (POS), CareFirst BC/BS Advantage Core/Enhanced, United Erickson Advantage Plans, Priority Partners - Maryland Health Choice, Carefirst Healthy Blue (HMO/POS), Health Services for Children with Special Needs (HSCSN), D-SNP), I-SNP, CareFirst MedStar PPO, CareFirst (NCA) Indemnity, United Core Essential (HMO), Innovation Health: POS Plus, HumanaChoice PPO, United Nursing Home Plan (C-SNP, Innovation Health: Open POS II, Innovation Health: Indemnity, United GEHA (for all other states) Compass Rose, Veterans Affairs Community Care Network, United Navigate, Carefirst Blue Preferred PPO, Police and Fire Clinic, Employee Health Plan (EHP) and CareFirst MedStar Select PPO.

Insurance Accepted by Provider includes:

According to our sources, Liana G. Chotikul, CRNP accepts the following insurance providers:

CIGNA Choice Fund PPO

MAMSI

First Health PPO

Blue Choice

Golden Rule

Great-West Healthcare

TRICARE

Community Care Network (CCN)

Coventry

TRICARE Reserve Select

Aetna Managed Choice POS

Beech Street PPO

Aetna HMO

Kaiser Select

Kaiser Permanente

CIGNA EPO

Aetna Medicare PPO

CIGNA Indemnity

AARP

Medicare Advantage

Coventry National Network PPO

United Healthcare

Medicaid

Cigna

Virginia Premier Health Plan

WellPoint

Aetna

CIGNA Network Open Access

Private Healthcare Systems (PHCS)

HealthyBlue PPO

MedStar Family Choice - Maryland Health Choice

CareFirst NASCO

CareFirst Maryland Indemnity or PPO

Traditional Medicare Fee for Service

United Optimum Choice Preferred (POS) & OCI Direct (HMO)

Innovation Health: Open POS Plus

MedStar Family Choice DC Healthy Families

Carefirst EPO

Innovation Health: HMO & EPO Plus

United Community Plan - Maryland Health Choice Program

CareFirst Administrators

United Student Resources

United Select HMO - EPO/NPP

United MD IPA Preferred (POS)

United Options (PPO) (includes Empire PPO)

Uniformed Services Family Health Plan (USFHP)

Innovation Health: Network Only Plus

United MD IPA (HMO)

United Choice Plus

CareFirst Blue Card Program (Out-of-area BCBS plans)

Innovation Health: PPO

HumanaChoice Honor's plan PPO

MedStar Family Choice DC Healthcare Alliance

United Choice

United Optimum Choice

Federal Employee Program (Std/Basic PPO/Blue Focus)

Innovation Health: POS

Maryland Point of Service Plan (MPOS)

Innovation Health: Open Network Only Plus

United Select Plus (POS)

CareFirst BC/BS Advantage Core/Enhanced

United Erickson Advantage Plans

Priority Partners - Maryland Health Choice

Carefirst Healthy Blue (HMO/POS)

Health Services for Children with Special Needs (HSCSN)

D-SNP)

I-SNP

CareFirst MedStar PPO

CareFirst (NCA) Indemnity

United Core Essential (HMO)

Innovation Health: POS Plus

HumanaChoice PPO

United Nursing Home Plan (C-SNP

Innovation Health: Open POS II

Innovation Health: Indemnity

United GEHA (for all other states) Compass Rose

Veterans Affairs Community Care Network

United Navigate

Carefirst Blue Preferred PPO

Police and Fire Clinic

Employee Health Plan (EHP)

CareFirst MedStar Select PPO

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Ratings & Reviews

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General Payments

These charts describe general payments received by Liana G. Chotikul, CRNP. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Globus Medical, Inc.	$32 ExcelsiusGPS Robotic Navigation System $32

**Types of Payments**
Food and Beverage	$32

Biography

Ms. Liana Chotikul has obtained a license to practice in Maryland.

Select Year:

Liana G. Chotikul, CRNP

Office Locations

Some issues Liana G. Chotikul, CRNP can help you with:

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Liana G. Chotikul, CRNP in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Liana G. Chotikul, CRNP in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Liana G. Chotikul, CRNP in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Liana G. Chotikul, CRNP in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Liana G. Chotikul, CRNP in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Liana G. Chotikul, CRNP in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Liana G. Chotikul, CRNP in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Liana G. Chotikul, CRNP in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Average Medicare Procedure Volume From 2013 - 2021

Average Medicare Patient Data From 2013 - 2021

Average of Total of Conditions of Medicare patients treated by Liana G. Chotikul, CRNP From 2013 - 2021

Education & Training

Affiliations & Hospitals

Insurance Information

Ratings & Reviews

General Payments

Biography

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