Medicare Procedure and Patient Information
2012 Medicare Procedure Volume
Volume of procedures performed by Dr. John Howarth Kirk III, MD for Medicare patients.
| doctor visit | 14 |
|---|
Dr. John Howarth Kirk III, MD is an obstetrician and gynecologist in Fresno, CA specializing in obstetrics & gynecology. He graduated from Yale School of Medicine in 1994 and has 32 years of experience. Dr. John Howarth Kirk III, MD is affiliated with Saint Agnes Medical Center and Sutter Health.
Sutter Health
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.
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.
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.
Volume of procedures performed by Dr. John Howarth Kirk III, MD for Medicare patients.
| doctor visit | 14 |
|---|
Volume of procedures performed by Dr. John Howarth Kirk III, MD for Medicare patients.
| doctor visit | 64 |
|---|
Information about Medicare patients treated by Dr. John Howarth Kirk III, MD.
| Male | 0 |
|---|---|
| Female | 58 |
| From 65 to 74 | 25 |
|---|---|
| From 75 to 84 | 20 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 64 |
|---|---|
| High Cholesterol | 53 |
| Stroke | 0 |
| Ischemic Heart Disease | 33 |
| Depression | 31 |
| Chronic Kidney Disease | 19 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 28 |
| Dementia | 0 |
| Cancer | 0 |
Information about Medicare patients treated by Dr. John Howarth Kirk III, MD.
| Male | 0 |
|---|---|
| Female | 27 |
| From 65 to 74 | 14 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 63 |
|---|---|
| High Cholesterol | 67 |
| Stroke | 0 |
| Ischemic Heart Disease | 41 |
| 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 | 0 |
Volume of procedures performed by Dr. John Howarth Kirk III, MD for Medicare patients.
| doctor visit | 58 |
|---|
Information about Medicare patients treated by Dr. John Howarth Kirk III, MD.
| Male | 0 |
|---|---|
| Female | 106 |
| From 65 to 74 | 54 |
|---|---|
| From 75 to 84 | 26 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 58 |
|---|---|
| High Cholesterol | 45 |
| Stroke | 0 |
| Ischemic Heart Disease | 28 |
| Depression | 26 |
| 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 |
Volume of procedures performed by Dr. John Howarth Kirk III, MD for Medicare patients.
| doctor visit | 12 |
|---|
Information about Medicare patients treated by Dr. John Howarth Kirk III, MD.
| Male | 0 |
|---|---|
| Female | 37 |
| From 65 to 74 | 21 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 59 |
|---|---|
| High Cholesterol | 35 |
| Stroke | 0 |
| Ischemic Heart Disease | 0 |
| Depression | 32 |
| 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 |
The top procedures that Dr. John Howarth Kirk III, MD treated as an obstetrician and gynecologist in Fresno, CA during 2017 were ultrasound (sonogram), pelvic imaging and women's imaging.
Volume of procedures performed by Dr. John Howarth Kirk III, MD for Medicare patients.
| doctor visit | 44 |
|---|---|
| pelvic imaging | 12 |
| ultrasound (sonogram) | 12 |
| women's imaging | 12 |
Information about Medicare patients treated by Dr. John Howarth Kirk III, MD.
| Male | 0 |
|---|---|
| Female | 54 |
| Non-Hispanic White | 41 |
|---|---|
| Black | 0 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 27 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 12 |
| Hypertension | 57 |
|---|---|
| High Cholesterol | 39 |
| Stroke | 0 |
| Ischemic Heart Disease | 22 |
| Depression | 35 |
| Chronic Kidney Disease | 24 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 22 |
| Dementia | 0 |
| Cancer | 0 |
The top procedures that Dr. John Howarth Kirk III, MD treated as an obstetrician and gynecologist in Fresno, CA during 2018 were ultrasound (sonogram), pelvic imaging and women's imaging.
Volume of procedures performed by Dr. John Howarth Kirk III, MD for Medicare patients.
| doctor visit | 89 |
|---|---|
| pelvic imaging | 22 |
| ultrasound (sonogram) | 22 |
| women's imaging | 22 |
Information about Medicare patients treated by Dr. John Howarth Kirk III, MD.
| Male | 0 |
|---|---|
| Female | 73 |
| Non-Hispanic White | 62 |
|---|---|
| Black | 0 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 32 |
|---|---|
| From 75 to 84 | 21 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 56 |
|---|---|
| High Cholesterol | 53 |
| Stroke | 0 |
| Ischemic Heart Disease | 18 |
| Depression | 26 |
| 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 |
The top procedures that Dr. John Howarth Kirk III, MD treated as an obstetrician and gynecologist in Fresno, CA during 2019 were ultrasound (sonogram), pelvic imaging, women's imaging and breast exam.
Volume of procedures performed by Dr. John Howarth Kirk III, MD for Medicare patients.
| breast exam | 16 |
|---|---|
| doctor visit | 82 |
| gynecologic procedures | 16 |
| pelvic imaging | 26 |
| ultrasound (sonogram) | 26 |
| women's imaging | 26 |
Information about Medicare patients treated by Dr. John Howarth Kirk III, MD.
| Male | 0 |
|---|---|
| Female | 88 |
| Non-Hispanic White | 72 |
|---|---|
| Black | 0 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 41 |
|---|---|
| From 75 to 84 | 26 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 51 |
|---|---|
| High Cholesterol | 47 |
| Stroke | 0 |
| Ischemic Heart Disease | 26 |
| Depression | 27 |
| Chronic Kidney Disease | 16 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 14 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 15 |
| Dementia | 0 |
| Cancer | 13 |
The top procedures that Dr. John Howarth Kirk III, MD treated as an obstetrician and gynecologist in Fresno, CA during 2020 were ultrasound (sonogram), pelvic imaging, women's imaging and breast exam.
Volume of procedures performed by Dr. John Howarth Kirk III, MD for Medicare patients.
| breast exam | 13 |
|---|---|
| doctor visit | 101 |
| gynecologic procedures | 13 |
| pelvic imaging | 47 |
| ultrasound (sonogram) | 47 |
| women's imaging | 47 |
Information about Medicare patients treated by Dr. John Howarth Kirk III, MD.
| Non-Hispanic White | 64 |
|---|---|
| Black | 0 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 35 |
|---|---|
| From 75 to 84 | 28 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 53 |
|---|---|
| High Cholesterol | 49 |
| Stroke | 0 |
| Ischemic Heart Disease | 26 |
| Depression | 29 |
| Chronic Kidney Disease | 20 |
| Asthma | 0 |
| Osteoperosis | 16 |
| Atrial Fibrilation | 0 |
| Heart Failure | 13 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 19 |
| Dementia | 0 |
| Cancer | 0 |
The top procedures that Dr. John Howarth Kirk III, MD treated as an obstetrician and gynecologist in Fresno, CA during 2021 were ultrasound (sonogram), pelvic imaging, women's imaging and breast exam.
Volume of procedures performed by Dr. John Howarth Kirk III, MD for Medicare patients.
| breast exam | 15 |
|---|---|
| doctor visit | 97 |
| gynecologic procedures | 15 |
| pelvic imaging | 26 |
| ultrasound (sonogram) | 26 |
| women's imaging | 26 |
Information about Medicare patients treated by Dr. John Howarth Kirk III, MD.
| Male | 0 |
|---|---|
| Female | 95 |
| Non-Hispanic White | 76 |
|---|---|
| Black | 0 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 51 |
|---|---|
| From 75 to 84 | 18 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 55 |
|---|---|
| High Cholesterol | 57 |
| Stroke | 0 |
| Ischemic Heart Disease | 24 |
| Depression | 27 |
| Chronic Kidney Disease | 18 |
| Asthma | 0 |
| Osteoperosis | 12 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 18 |
| Dementia | 0 |
| Cancer | 0 |
The top procedures that Dr. John Howarth Kirk III, MD treated as an obstetrician and gynecologist in Fresno, CA during 2022 were ultrasound (sonogram), pelvic imaging, women's imaging and breast exam.
Volume of procedures performed by Dr. John Howarth Kirk III, MD for Medicare patients.
| breast exam | 15 |
|---|---|
| doctor visit | 129 |
| gynecologic procedures | 15 |
| pelvic imaging | 29 |
| ultrasound (sonogram) | 29 |
| women's imaging | 29 |
Information about Medicare patients treated by Dr. John Howarth Kirk III, MD.
| Male | 0 |
|---|---|
| Female | 117 |
| Non-Hispanic White | 98 |
|---|---|
| Black | 0 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 49 |
|---|---|
| From 75 to 84 | 34 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 62 |
|---|---|
| High Cholesterol | 64 |
| Stroke | 0 |
| Ischemic Heart Disease | 11 |
| Depression | 31 |
| Chronic Kidney Disease | 13 |
| Asthma | 17 |
| Osteoperosis | 21 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 10 |
| Diabetes | 17 |
| Dementia | 0 |
| Cancer | 17 |
The top procedures that Dr. John Howarth Kirk III, MD treated as an obstetrician and gynecologist in Fresno, CA during 2023 were ultrasound (sonogram), pelvic imaging, women's imaging and breast exam.
Volume of procedures performed by Dr. John Howarth Kirk III, MD for Medicare patients.
| breast exam | 11 |
|---|---|
| doctor visit | 110 |
| gynecologic procedures | 11 |
| pelvic imaging | 12 |
| ultrasound (sonogram) | 12 |
| women's imaging | 12 |
Information about Medicare patients treated by Dr. John Howarth Kirk III, MD.
| Male | 0 |
|---|---|
| Female | 103 |
| Non-Hispanic White | 88 |
|---|---|
| Black | 0 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 50 |
|---|---|
| From 75 to 84 | 28 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 67 |
|---|---|
| High Cholesterol | 70 |
| Stroke | 0 |
| Ischemic Heart Disease | 11 |
| Depression | 22 |
| Chronic Kidney Disease | 18 |
| Asthma | 17 |
| Osteoperosis | 16 |
| Atrial Fibrilation | 11 |
| Heart Failure | 12 |
| Chronic Obstructive Pulmonary Disease | 18 |
| Diabetes | 23 |
| Dementia | 0 |
| Cancer | 13 |
Volume of procedures performed by Dr. John Howarth Kirk III, MD for Medicare patients.
The highest averages for the top procedures that Dr. John Howarth Kirk III, MD treated as an obstetrician and gynecologist in Fresno, CA were ultrasound (sonogram), pelvic imaging, women's imaging and breast exam.
| breast exam | 14 |
|---|---|
| doctor visit | 72 |
| gynecologic procedures | 14 |
| pelvic imaging | 24 |
| ultrasound (sonogram) | 24 |
| women's imaging | 24 |
Information about Medicare patients treated by Dr. John Howarth Kirk III, MD.
| Female | 63 |
|---|---|
| Male | 0 |
| Black / African American | 0 |
|---|---|
| Asian / Pacific Islander | 0 |
| Non-Hispanic White | 41 |
| Hispanic | 0 |
| Native American / Alaskan Native | 0 |
| Other | 0 |
| 85 and over | 0 |
|---|---|
| 75 to 84 | 16 |
| Less than 65 | 1 |
| 65 to 74 | 33 |
The highest averages of the most common conditions of Medicare patients that Dr. John Howarth Kirk III, MD treated were hypertension, high cholesterol, depression and ischemic heart disease.
| Hypertension | 53 |
|---|---|
| High Cholesterol | 48 |
| Stroke | 0 |
| Ischemic Heart Disease | 20 |
| Depression | 23 |
| Chronic Kidney Disease | 10 |
| Asthma | 2 |
| Osteoporosis | 5 |
| Heart Failure | 3 |
| Chronic Obstructive Pulmonary Disease | 2 |
| Diabetes | 11 |
| Atrial Fibrillation | 0 |
| Dementia | 0 |
| Cancer | 3 |
Dr. John Howarth Kirk III, MD graduated from Yale School of Medicine in 1994. He completed residency at Cedars-Sinai Medical Center. He is certified by the Board Certification: Obstetrics and Gynecology and has a state license in California.
Medical School: Yale School of Medicine (1994)
Residency: Cedars-Sinai Medical Center (1998)
Board Certification: Board Certification: Obstetrics and Gynecology
Licensed In: California
Dr. John Howarth Kirk III, MD is associated with these hospitals and organizations:
Dr. John Howarth Kirk III, MD has a high overall rating with an average of 4.0 out of 5 stars based on 4 ratings. We collect ratings and reviews of Dr. John Howarth Kirk III, MD from all over the web to help you find the right in Fresno, CA.
These charts describe general payments received by Dr. John Howarth Kirk III, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
| Intuitive Surgical, Inc. |
$29,423
Da Vinci Surgical System $29,423 |
|||||
|---|---|---|---|---|---|---|
| Olympus Corporation of the Americas |
$1,940
PlasmaSpatula $1,258 |
Surgical Energy Products $676 |
EVEREST $6 |
|||
| Axonics, Inc. |
$890
Axonics r-SNM System $467 |
Bulkamid $423 |
||||
| CONMED Corporation |
$666
AirSeal $666 |
|||||
| Olympus America Inc. |
$310
Surgical Energy Products $109 |
EVIS EXERA $85 |
Olympus Laparoscopic Insufflation $57 |
Olympus Laparoscopes $22 |
$36 |
|
| Other |
$2,732
Osphena $228 |
GYN $227 |
MINIARC PRO $188 |
Desara $166 |
NEXPLANON $138 |
Other $1,786 |
| Education | $19,637 |
|---|---|
| Travel and Lodging | $8,995 |
| Food and Beverage | $7,292 |
| Gift | $35 |
Dr. John Kirk's area of specialization is obstetrics & gynecology. He graduated from Yale School of Medicine and then he performed his residency at Cedars-Sinai Medical Center. Clinical interests for Dr. Kirk include menopause, gestational diabetes (diabetes during pregnancy), and infertility. Dr. Kirk has a 4.0 out of 5 star average patient rating. He is professionally affiliated with Sutter Coast Hospital. According to Sutter Health, new patients are welcome to contact Dr. Kirk's office in Crescent City, CA.