Medicare Procedure and Patient Information
2013 Medicare Patient Data
Information about Medicare patients treated by Dr. Pamela Susan Lotke, MD.
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Dr. Pamela Susan Lotke, MD is an obstetrician and gynecologist in Washington, DC specializing in obstetrics & gynecology. She graduated from University of Pennsylvania School of Medicine in 1996 and has 28 years of experience. Dr. Pamela Susan Lotke, MD is affiliated with MedStar Washington Hospital Center, MedStar Health and WHC PHYSICIAN GROUP LLC.
106 Irving Street Northwest Suite 4700
Washington, DC 20010
2255 N Wyatt Drive
Tucson, AZ 85712
Cesarean Section (C-Section)
A Cesarean section (more often known as "C-Section") is a surgery performed during labor and delivery. A C-Section is a procedure that delivers a baby through an incision in the lower abdomen and uterus. In the United States, about a third of all births are performed by Cesarean section. Most often, a C-section is done by an obstetrician/gynecologist (OB-GYN), or in certain regions, a general surgeon or family physician.
C-section incisions can be up-and-down (vertical), from belly button to lower abdomen or side-to-side (horizontal), across the lower abdomen. Side-to-side incisions are more frequently used. After the exterior incisions are made, the doctor then cuts into the uterus and amniotic sac and delivers the infant and cuts the baby's umbilical cord. The mother receives medicine to expel the placenta and the doctor helps to safely remove it. Finally, the doctor uses sutures to seal the uterus and tissue incisions. The initial C-section skin incision is also closed with sutures or staples.
C-sections are typically performed with regional anesthesia, which inhibits pain in the lower half of the body, but allows mothers to be awake. However, some mothers may receive general anesthesia, where they are put to sleep during the surgical procedure.
C-sections may be planned or unplanned, depending on the circumstances of the birth.
Pre-existing conditions like heart disease, high blood pressure, herpes, and HIV may prompt a doctor to prescribe a C-section. Other situations for C-section include:
Other mothers may require a C-section due to complications arising during delivery. These unplanned, emergency C-sections allow for a healthy birth even when complex complications are present. Problems during labor which may necessitate a C-section include:
Mothers should expect about a six-week recovery period following a C-section, including an initial hospital stay of two to three days. While in the hospital, mothers may spend time with their baby and begin breastfeeding. After returning home, mothers should limit strenuous activities such as lifting, reaching, and exercise, and should make sure to get plenty of rest.
Hysterectomy (Uterus Removal)
A hysterectomy is an extremely common surgery performed to remove the uterus. Sometimes the fallopian tubes, ovaries, or cervix will be removed as well. A woman who has had a hysterectomy will no longer have periods and cannot get pregnant.
There are a variety of reasons that women have hysterectomies, including:
It is important to note that having any of these conditions does not necessarily mean that a hysterectomy is necessary. There are other available treatment options in most cases.
Although the uterus is responsible for a period, it is the ovaries that control the hormonal changes that women go through every month. So if a woman has a hysterectomy but keeps her ovaries, she might still experience hormonal swings every month even if she no longer has a period. Alternately, if a younger woman has a hysterectomy where her ovaries as removed, she will essentially be in immediate menopause.
A hysterectomy can be performed traditionally through one large cut in the abdomen, laparoscopically using tiny incisions and small tools, or through the vagina. Full recovery may take four to six weeks. After a hysterectomy, patients might experience sexual changes such as vaginal dryness or a change in libido. It is common to experience strong emotions after a hysterectomy, including both grief and relief. If a patient's ovaries were removed, they may be at higher risk for certain diseases, such as heart disease and osteoporosis. Taking hormonal birth control might reduce this risk.
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.
Volume of procedures performed by Dr. Pamela Susan Lotke, MD for Medicare patients.
The highest averages for the top procedures that Dr. Pamela Susan Lotke, MD treated as an obstetrician and gynecologist in Washington, DC were breast exam and gynecologic procedures.
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Information about Medicare patients treated by Dr. Pamela Susan Lotke, MD.
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The highest averages of the most common conditions of Medicare patients that Dr. Pamela Susan Lotke, MD treated were hypertension, diabetes, depression and high cholesterol.
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Dr. Pamela Susan Lotke, MD graduated from University of Pennsylvania School of Medicine in 1996. She completed residency at Beth Israel Deaconess Medical Center. She is certified by the American Board of Obstetrics and Gynecology, Obstetrics and Gynecology and has a state license in Arizona.
Medical School: University of Pennsylvania School of Medicine (1996)
Residency: Beth Israel Deaconess Medical Center (2000)
Board Certification: American Board of Obstetrics and Gynecology, Obstetrics and Gynecology
Licensed In: Arizona
Dr. Pamela Susan Lotke, MD is associated with these hospitals and organizations:
Dr. Pamela Susan Lotke, MD 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, Aetna HMO, Kaiser Select, Kaiser Permanente, CIGNA EPO, Aetna Medicare PPO, CIGNA Indemnity, AmeriHealth, AARP, Medicare Advantage, Coventry National Network PPO, Amerigroup, United Healthcare, Medicaid, Humana, 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, Health Services for Children with Special Needs (HSCSN), Carefirst Healthy Blue (HMO/POS), 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 and CareFirst MedStar Select PPO.
According to our sources, Dr. Pamela Susan Lotke, MD accepts the following insurance providers:
Dr. Pamela Susan Lotke, MD has an exceptional overall rating with an average of 4.7 out of 5 stars based on 80 ratings. We collect ratings and reviews of Dr. Pamela Susan Lotke, MD from all over the web to help you find the right in Washington, DC.
These charts describe general payments received by Dr. Pamela Susan Lotke, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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$21,585
Skyla $12,968 |
Mirena $6,261 |
Kyleena $950 |
$1,406 |
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$1,025
NEXPLANON $1,012 |
INVANZ $13 |
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$16
Liletta $16 |
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$12
Lupron $12 |
| $9,445 | |
| $9,014 | |
| $2,767 | |
| $1,412 |
Dr. Pamela Lotke is a specialist in obstetrics & gynecology. Her areas of expertise include colposcopy, adolescent gynecology, and dysfunctional uterine bleeding. Dr. Lotke can accept Amerigroup, Blue California, and Coventry, as well as other insurance carriers. She is a graduate of the University of Pennsylvania School of Medicine. She trained at Beth Israel Deaconess Medical Center for residency. Dr. Lotke speaks Spanish. She is professionally affiliated with MedStar Washington Hospital Center.