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Dr. Randy Paul Fiorentino, MD

Accepting New Patients

(89 Ratings)

Specializes in: Gynecology

St. Louis University School of Medicine

Professional interests include: hysterectomy (uterus removal), gynecologic surgery, endometrial ablation, and more.

1140 West La Veta Avenue Suite 770
Orange, CA 92868

(714) 835-8715

Dr. Randy Paul Fiorentino, MD is a gynecologist in Orange, CA specializing in gynecology. He graduated from St. Louis University School of Medicine. Dr. Randy Paul Fiorentino, MD is affiliated with St. Joseph Heritage Medical Group, Children's Hospital of Orange County and Providence Medical Foundation.

Office Locations

Address:

1140 West La Veta Avenue Suite 770
Orange, CA 92868

Address:

363 South Main Street Suite 345
Orange, CA 92868

Some issues Dr. Randy Paul Fiorentino, MD can help you with:

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.

Gynecologic Surgery

Gynecologic surgery is surgery performed on a woman's pelvic region. It is usually performed by an OB/GYN and can involve the bladder, rectum, or reproductive organs. Surgery in this area may be performed for many reasons, but the most common procedures include:

Hysterectomy
Fibroid removal
Treatment of endometriosis or other heavy bleeding
Cancer treatment, including cervical, uterine, and ovarian cancers
Removal of ovarian cysts
Infertility treatment
Treatment for incontinence
Sterilization or 'tube-tying'
Surgery for pelvic organ prolapse
Repair of vaginal tears

More and more, gynecologic surgery is moving towards the use of minimally invasive surgery. Minimally invasive surgery uses several small incisions and tiny tools and scopes to perform the operation, rather than one large opening. While it is not appropriate in every case, minimally invasive surgery can lead to less scarring, less blood loss, faster recovery, and a lower chance for infection. Minimally invasive gynecologic surgery may be performed with a laparoscope, a thin tube with a camera on the end that allows the surgeon to see inside the body. It may also be performed robotically, using even smaller tools and cameras that a surgeon controls from a computer. Robotic surgery allows even better vision, precision, and control than laparoscopic surgery.

Over the course of a lifetime, many women need pelvic surgery to stay healthy. Qualified gynecologic surgeons will have the right tools at their disposal to provide care with a minimum of discomfort.

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:

Heavy bleeding or pain, such as that due to fibroids, endometriosis, or adenomyosis
Cancer
Prolapsed uterus, where the pelvic muscles can no longer completely hold the uterus in place

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.

In The News

“"Dr. Randy Fiorentino, an OB-GYN with Providence St. Joseph Hospital in Orange County, California, adds that the sooner you can get back to exercise, the better. "”—"Postpartum Fitness Tips", Washington Top News, January 2022

doctor visit	40

**Age**
From 65 to 74	41
From 75 to 84	0
85 and over	0
Less than 65	0

Hypertension	65
High Cholesterol	64
Stroke	0
Ischemic Heart Disease	27
Depression	18
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

breast exam	42
cytology	19
doctor visit	45
gynecologic pathology	19
gynecologic procedures	42
preventive care	19

**Age**
From 65 to 74	51
From 75 to 84	28
85 and over	0
Less than 65	0

Hypertension	52
High Cholesterol	53
Stroke	0
Ischemic Heart Disease	20
Depression	0
Chronic Kidney Disease	13
Asthma	0
Osteoperosis	20
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	12
Dementia	0
Cancer	12

breast exam	101
cytology	52
doctor visit	55
gynecologic pathology	52
gynecologic procedures	101
preventive care	52

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

**Age**
From 65 to 74	190
From 75 to 84	64
85 and over	0
Less than 65	0

Hypertension	48
High Cholesterol	44
Stroke	0
Ischemic Heart Disease	19
Depression	12
Chronic Kidney Disease	9
Asthma	0
Osteoperosis	14
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	14
Dementia	0
Cancer	14

breast exam	62
cytology	23
doctor visit	38
gynecologic pathology	23
gynecologic procedures	62
preventive care	23

**Ethnicity**
Non-Hispanic White	94
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	65
From 75 to 84	27
85 and over	0
Less than 65	0

Hypertension	54
High Cholesterol	44
Stroke	0
Ischemic Heart Disease	15
Depression	13
Chronic Kidney Disease	13
Asthma	11
Osteoperosis	15
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	16
Dementia	0
Cancer	11

breast exam	55
doctor visit	28
gynecologic procedures	55

**Ethnicity**
Non-Hispanic White	78
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	51
From 75 to 84	0
85 and over	0
Less than 65	0

Hypertension	55
High Cholesterol	48
Stroke	0
Ischemic Heart Disease	13
Depression	17
Chronic Kidney Disease	13
Asthma	0
Osteoperosis	13
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	16
Dementia	0
Cancer	13

breast exam	48
doctor visit	11
gynecologic procedures	48

**Ethnicity**
Non-Hispanic White	70
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	47
From 75 to 84	26
85 and over	0
Less than 65	0

Hypertension	52
High Cholesterol	54
Stroke	0
Ischemic Heart Disease	19
Depression	18
Chronic Kidney Disease	25
Asthma	0
Osteoperosis	12
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	22
Dementia	0
Cancer	0

breast exam	45
cytology	22
doctor visit	23
gynecologic pathology	22
gynecologic procedures	45
preventive care	22

**Ethnicity**
Non-Hispanic White	76
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	52
From 75 to 84	23
85 and over	0
Less than 65	0

Hypertension	48
High Cholesterol	53
Stroke	0
Ischemic Heart Disease	20
Depression	14
Chronic Kidney Disease	19
Asthma	0
Osteoperosis	12
Atrial Fibrilation	0
Heart Failure	12
Chronic Obstructive Pulmonary Disease	0
Diabetes	20
Dementia	0
Cancer	0

breast exam	30
cytology	10
gynecologic pathology	10
gynecologic procedures	30
preventive care	10

**Age**
From 65 to 74	41
From 75 to 84	0
85 and over	0
Less than 65	0

Hypertension	48
High Cholesterol	61
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	21
Asthma	0
Osteoperosis	21
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

breast exam	47
doctor visit	60
gynecologic procedures	47

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Randy Paul Fiorentino, MD for Medicare patients.

The highest averages for the top procedures that Dr. Randy Paul Fiorentino, MD treated as a gynecologist in Orange, CA were breast exam, gynecologic procedures, preventive care and cytology.

breast exam	53
cytology	25
doctor visit	38
gynecologic pathology	25
gynecologic procedures	53
preventive care	25

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Randy Paul Fiorentino, MD.

**Gender**
Male	0
Female	88

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	56
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	16
85 and over	0
Less than 65	0
65 to 74	53

Average of Total of Conditions of Medicare patients treated by Dr. Randy Paul Fiorentino, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Randy Paul Fiorentino, MD treated were high cholesterol, hypertension, ischemic heart disease and chronic kidney disease.

Hypertension	42
High Cholesterol	42
Stroke	0
Ischemic Heart Disease	13
Depression	9
Chronic Kidney Disease	11
Asthma	1
Osteoporosis	10
Heart Failure	1
Chronic Obstructive Pulmonary Disease	0
Diabetes	10
Atrial Fibrillation	0
Cancer	5
Dementia	0

Education & Training

Dr. Randy Paul Fiorentino, MD graduated from St. Louis University School of Medicine. He completed residency at SSM St. Mary's Health Center, St. Louis. He is certified by the American Board of Obstetrics and Gynecology, Obstetrics and Gynecology and has a state license in California.

Medical School: St. Louis University School of Medicine

Residency: SSM St. Mary's Health Center, St. Louis

Board Certification: American Board of Obstetrics and Gynecology, Obstetrics and Gynecology

Licensed In: California

Affiliations & Hospitals

Dr. Randy Paul Fiorentino, MD is associated with these hospitals and organizations:

St. Joseph Heritage Medical Group

Children's Hospital of Orange County

Providence Medical Foundation

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.

Dr. Randy Paul Fiorentino, MD appears to accept the following insurance providers: Aetna PPO, Aetna HMO, CIGNA PPO, CIGNA HMO, Blue Shield of California, MultiPlan PPO, Medicare Advantage, HealthSmart, Aetna, United Healthcare, TRICARE, Anthem Blue Cross HMO, Humana, Anthem Blue Cross PPO, Health Net PPO, Health Net HMO, Anthem, Coventry PPO, United Healthcare PPO, Providence, United Healthcare HMO, US Family Health Plan, First Health PPO, Aetna Medicare PPO and Insurance Plan.

Insurance Accepted by Provider includes:

According to our sources, Dr. Randy Paul Fiorentino, MD accepts the following insurance providers:

Aetna PPO

Aetna HMO

CIGNA PPO

CIGNA HMO

Blue Shield of California

MultiPlan PPO

Medicare Advantage

HealthSmart

Aetna

United Healthcare

TRICARE

Anthem Blue Cross HMO

Humana

Anthem Blue Cross PPO

Health Net PPO

Health Net HMO

Anthem

Coventry PPO

United Healthcare PPO

Providence

United Healthcare HMO

US Family Health Plan

First Health PPO

Aetna Medicare PPO

Insurance Plan

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Ratings & Reviews

Dr. Randy Paul Fiorentino, MD has an exceptional overall rating with an average of 4.86 out of 5 stars based on 89 ratings. We collect ratings and reviews of Dr. Randy Paul Fiorentino, MD from all over the web to help you find the right in Orange, CA.

4.86

Overall Rating

(89 Ratings)

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Reviews Left On DocSpot

Overall Rating: 1.0 2017-03-04

They have the nurses seeing the patients but billed insurance at doctor rates. I suffered for two years now, not resolved yet because he let his nurse did the procedures on me. And when I saw him, he had no clue and offered no help.

General Payments

These charts describe general payments received by Dr. Randy Paul Fiorentino, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Smith & Nephew, Inc.	$577 GYN $577
AbbVie Inc.	$400 ORIAHNN $205	Orilissa $111	LO LOESTRIN FE $84
Intuitive Surgical, Inc.	$330 Da Vinci Surgical System $330
AbbVie, Inc.	$298 Orilissa $189	Lupaneta $50	Lupron $16	$43
Merck Sharp & Dohme Corporation	$297 NEXPLANON $190	GARDASIL9 $70	GARDASIL 9 $20	NUVARING $17
Other	$1,708 Surgical Technologies $207	LO LOESTRIN FE $165	Skyla $150	Makena $105	SYMPHION $82	Other $999

**Types of Payments**
Food and Beverage	$3,516
Education	$94

Biography

Dr. Randy Fiorentino sees patients in Orange, CA. His medical specialty is gynecology. After completing medical school at St. Louis University School of Medicine, he performed his residency at SSM St. Mary's Health Center, St. Louis and a hospital affiliated with St. Louis University (SLU). Dr. Fiorentino's areas of expertise include the following: high risk pregnancy, endometrial ablation, and hysterectomy (uterus removal). On average, patients gave him a rating of 5.0 stars (out of 5). He is in-network for several insurance carriers, including Anthem, Blue California, and HealthSmart. Dr. Fiorentino is conversant in Spanish. His hospital/clinic affiliations include St. Joseph Heritage Medical Group and Children's Hospital of Orange County. He has an open panel in Orange, CA according to Providence Medical Foundation.