We found 3 providers matching Mohs surgery and who accept United Healthcare Silver HMO near Kissimmee, FL.

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Antonio Ramirez
Specializes in General Practice, General Surgery
Average rating 1.0 stars out of 5 (1 rating)
320 West Bass Street
Kissimmee, FL

Dr. Antonio Ramirez's specialties are general practice and general surgery. He practices in Kissimmee, FL. His areas of expertise include tissue transfer, inguinal hernia, and thyroid cancer. Blue Cross Blue Shield EPO, Blue Cross Blue Shield Bronze, and Blue Cross Blue Shield HMO are among the insurance carriers that Dr. Ramirez accepts. Dr. Ramirez attended Spartan Health Sciences University, School of Medicine and Nova Southeastern University, College of Osteopathic Medicine and then went on to complete his residency at Peninsula Hospital Center. Dr. Ramirez speaks Spanish. He is affiliated with St. Cloud Regional Medical Center and Osceola Regional Medical Center.

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Relevant Interests: , Mohs Surgery

All Interests: Inguinal Hernia, Umbilical Hernia, Appendicitis, Breast Biopsy, Colectomy, Incisional Hernia, Laparo ... (Read more)

Napoleon Estrada
Specializes in General Practice, General Surgery
Average rating 3.0 stars out of 5 (4 ratings)
320 West Bass Street
Kissimmee, FL

Dr. Napoleon Estrada's areas of specialization are general practice and general surgery. In addition to English, Dr. Estrada speaks Filipino. His areas of expertise include inguinal hernia, thyroid cancer, and umbilical hernia. His hospital/clinic affiliations include St. Cloud Regional Medical Center and Osceola Regional Medical Center. He is a graduate of Far Eastern University, Nicanor Reyes Medical Foundation and a graduate of New York Downtown Hospital's residency program. Patients gave him an average rating of 3.0 stars out of 5. Dr. Estrada is an in-network provider for Blue Cross Blue Shield EPO, Blue Cross Blue Shield Bronze, and Blue Cross Blue Shield HMO, in addition to other insurance carriers.

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Relevant Interests: , Mohs Surgery

All Interests: Inguinal Hernia, Umbilical Hernia, Appendicitis, Breast Biopsy, Bowel Resection, Colectomy, Incision ... (Read more)

Neil Sandhu MD
Specializes in Dermatology
Average rating 4.33 stars out of 5 (6 ratings)
1157 Miranda Lane
Kissimmee, FL

Dr. Neil Sandhu, who practices in Kissimmee, FL, is a medical specialist in surgical dermatology. His average rating from his patients is 4.5 stars out of 5. His clinical interests include rosacea, dermabrasion, and acne. Dr. Sandhu's professional affiliations include Poinciana Medical Center and Osceola Regional Medical Center. Dr. Sandhu is in-network for Blue Cross Blue Shield EPO, Blue Cross Blue Shield Bronze, and Blue Cross Blue Shield HMO, in addition to other insurance carriers. He obtained his medical school training at the University of Wisconsin School of Medicine and Public Health and performed his residency at a hospital affiliated with UMDNJ-New Jersey Medical School and a hospital affiliated with UMDNJ-Robert Wood Johnson Medical School.

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Relevant Interests: , Mohs Surgery

All Interests: Dermabrasion, Sclerotherapy, Injectable Fillers, Juvederm, Chemical Peels, Skin Cancer, Rosacea, Rad ... (Read more)

2013 Procedure Details

Source: Medicare Provider Utilization and Payment Data

  • Volume: 278
  • Charge (avg.): $1,094 - $1,915
  • Negotiated Rate (avg.): $539 - $937
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What is Mohs Surgery?

Mohs micrographic surgery is a surgical treatment for skin cancer that was developed by Dr. Frederick Mohs in the 1930’s. It is the most effective technique for removing the most common types of skin cancer. For the two most common types of skin cancer, basal cell carcinoma and squamous cell carcinoma, Mohs has a 98-99% cure rate. The remarkable thing about Mohs is that it manages to be extremely good at removing all of the cancer cells while at the same time leaving behind most of the healthy tissue, so there is a smaller wound. This makes the procedure safer, speeds up the the recovery time, and minimizes scarring.

During Mohs surgery, skin around the cancer site is mapped out and removed in thin layers. Then each layer is examined under a microscope for cancer cells, while the surgery is in progress. If cancer cells are detected, the surgery continues and another layer is removed. If the skin is clear, the surgery can be stopped. This eliminates the guesswork for surgeons. There is no need to estimate the borders or roots of the cancer and no need to remove a margin of healthy tissue to ensure that all of the cancer is removed.

Even though Mohs has a high cure rate, is safer than other treatments, and takes less tissue, not every skin cancer is treated with Mohs. First, Mohs takes quite a bit longer than traditional surgery because each layer of skin must be carefully cut, prepped, and examined. It is also more expensive and may not always be covered by insurance. In addition, for smaller or less aggressive cancers that are easier to treat, the cure rate for non-Mohs treatments is close to that of Mohs; thus, the extra time and cost of Mohs might not be justified. Other kinds of skin cancer, such as melanoma, are hard to see under a microscope. Since melanoma is so dangerous, Mohs has traditionally not been used to treat it, as there is too much risk for missed cancer cells being left behind in the body. However, recent developments in stains (which make cancer cells more visible under a microscope) may change the role of Mohs in melanoma treatment.

Mohs microsurgery has changed the way doctors treat skin cancer in the past 80 years, and it continues to gain in popularity as it increases the effectiveness and safety of skin cancer treatment.
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