Medicare Procedure and Patient Information
2015 Medicare Procedure Volume
Volume of procedures performed by Dr. Michael Gene Chez, MD for Medicare patients.
| doctor visit | 15 |
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Dr. Michael Gene Chez, MD is a pediatric neurologist in Sacramento, CA specializing in pediatric neurology. He graduated from Indiana University School of Medicine in 1985 and has 40 years of experience. Dr. Michael Gene Chez, MD is affiliated with Sutter Health and SUTTER VALLEY MEDICAL FOUNDATION.
Attention Deficit Disorder (ADD/ADHD)
Attention Deficit Hyperactivity Disorder, or ADHD, is one of the most common disorders diagnosed in children. Nine percent of children in the USA have been diagnosed with ADHD. Symptoms, which include hyperactivity and difficulty maintaining focus or paying attention, can last into adulthood for some patients. Boys are four times as likely to be diagnosed as girls, although experts don't know why this is.
There are three main types of ADHD:
When diagnosing ADHD, it is important to rule out other issues that may be causing the symptoms. Seizure disorders, hearing loss, anxiety, and domestic problems are some examples of problems that can cause behaviors similar to those seen with ADHD.
Treatment can include stimulant medications, behavioral therapy to teach patients ways to navigate their world and control symptoms better, and accommodations at school or work. A structured environment (with lots of organization and well-defined rules) seems to help most kids with ADHD function at their best.
ADHD is mainly thought of as a disorder that affects children, but symptoms can last into adulthood for a third to half of those diagnosed. In adults, ADHD has similar symptoms as when it is seen in children: impulsive behavior, difficulty maintaining focus, being easily distracted, or a tendency to fidget. These symptoms can cause problems in a patient's careers and relationships. Additionally, adults with ADHD are at increased risk for substance abuse. Medications can be an important part of treatment for adults, as well as stress reduction techniques and organization skills training. Specialized ADHD coaches can help adults with ADHD manage their symptoms and succeed in all areas of their life.
Facial Paralysis
Facial paralysis is an inability to move the muscles in the face. It often affects only one side, and it can happen quite suddenly. Facial paralysis may make one's face feel frozen or numb.
Facial paralysis can happen when there is inflammation or damage to either the part of the brain that controls the facial muscles or the nerve that carries signals from the brain to the face. Some common causes include:
Facial paralysis is a frustrating and frightening experience, but many cases are temporary and go away on their own. Even with more difficult cases, there are treatment options available, including rehabilitation, pain management, and surgery.
Stroke
A stroke is a medical emergency that occurs when a blood vessel supplying oxygen and nutrients to the brain is ruptured or blocked. The brain cannot function without a steady supply of oxygen and nutrients, so when the blood supply to the brain is interrupted, even for a brief moment, brain cells begin to die. When a sufficient number of brain cells die, the brain itself can no longer function, meaning that strokes are very dangerous. Strokes can result in impaired movement, speech, cognitive ability, the impairment of important physical functions, and even death.
Anyone can have a stroke, regardless of age and health. Strokes are known to happen at random. However, certain conditions and behaviors can increase one's risk of stroke over time.
Risk factors for stroke include:
There are two main types of stroke: ischemic stroke and hemorrhagic stroke. Ischemic stroke occurs more commonly and is when a blood vessel in the brain becomes blocked. Blockages are caused by blood clots and built-up plaque (deposits of fat and cholesterol), which leads to atherosclerosis, a condition where the blood vessels narrow and harden. The resultant restricted blood flow may lead to an ischemic stroke by blocking essential oxygen to the brain, causing the heart to exert more effort to pump blood.
Hemorrhagic stroke occurs when a blood vessel in or around the brain ruptures. The burst vessel leaks blood into surrounding brain tissue, causing irreparable brain damage.
Hemorrhagic strokes are less common and may occur from head injuries, brain aneurysms, brain tumors, and bleeding disorders, amongst other conditions.
Both ischemic and hemorrhagic strokes require immediate medical treatment. Medical intervention can prevent severe and life-threatening brain damage. Signs of stroke include:
-Disorientation or confusion
-Difficulty speaking
-Difficulty walking
-Impaired vision
-Weakness in the face, legs, or arms
-Severe headaches
When someone suspected of having a stroke reaches the hospital, the patient will usually receive a CT or other scan that provides an image of the brain. The scan results can reveal clotted or leaking blood in the brain. Physical exams, neurological exams, and blood tests may also be used to check for blood clotting and sugar. Treatment begins generally immediately if a stroke is detected.
Medical treatment for ischemic strokes includes a thrombolytic medicine which breaks up and disperses blood clots. This medicine can greatly improve stroke recovery and long-term health. However, the thrombolytic medicine must be administered as soon as possible to achieve these results. Other treatments for ischemic strokes are blood thinners and thrombectomy, a surgical procedure to remove a blood clot in the brain. Thrombectomy is performed by inserting a catheter (thin needle) into the artery to reach the blood clot and mechanically remove it. With the clot removed, normal blood flow to the brain resumes. Thrombectomy is typically performed at most six hours after a patient shows signs of a stroke.
Hemorrhagic strokes are treated with blood-saving medication and surgery. For a hemorrhagic stroke caused by the rupture of an aneurysm (blood vessel bulges), surgery to stem the bleeding aneurysm and vessel may be used. One surgical technique is stent-assisted coiling, which adds a stent (small wire-meshed tube) into the blood vessel to block the leaking opening of the aneurysm. A non-surgical procedure is endovascular coiling, where a catheter (thin, hollow needle) places a platinum wire coil at the spot of the aneurysm. The coil blocks bleeding and prevents the aneurysm from continuing to leak blood. These procedures are usually combined with blood-thickening medications. Blood transfusions may be administered if substantial blood loss has occurred.
Since stroke patients may have lost some essential functions while the blood flow to their brains was obstructed, both ischemic stroke and hemorrhage stroke patients may receive post-stroke rehabilitation to rebuild their physical and mental abilities. Some restorative treatments include occupational, physical, and speech therapy. Patients may also receive care from neurologists, who can assist patients in recovering certain brain functions and cognitive abilities, and rehabilitation psychologists, who may help patients with their emotional, behavioral, and cognitive recovery. Some stroke patients require lengthy rehabilitation and may never fully regain function, while others may recover more quickly. While the fastest recovery improvements are usually seen in the first three or four months, stroke rehabilitation can last for years.
If someone begins to show signs of stroke, contact emergency services and call 9-1-1 immediately since blood flow must be restored as soon as possible to help avoid significant brain damage. If an ambulance takes the person to the hospital, paramedics can initiate stroke treatment as soon as the patient enters the ambulance, allowing for more prompt medical intervention and care.
Volume of procedures performed by Dr. Michael Gene Chez, MD for Medicare patients.
| doctor visit | 15 |
|---|
Volume of procedures performed by Dr. Michael Gene Chez, MD for Medicare patients.
| doctor visit | 15 |
|---|
Dr. Michael Gene Chez, MD graduated from Indiana University School of Medicine in 1985. He completed residency at Johns Hopkins University Affiliated Hospitals. He is certified by the Board Certification: Epilepsy - Neurology - Child Neurology and has a state license in California.
Medical School: Indiana University School of Medicine (1985)
Residency: Johns Hopkins University Affiliated Hospitals
Board Certification: Board Certification: Epilepsy - Neurology - Child Neurology
Licensed In: California
Dr. Michael Gene Chez, MD is associated with these hospitals and organizations:
Dr. Michael Gene Chez, MD appears to accept the following insurance providers: WellCare, Blue Shield of California, Medicare Advantage, HealthSmart, MultiPlan, United Healthcare, TRICARE, Cigna, Alliance PPO, Anthem Blue Cross of California, AARP, Health Net Medicare Advantage HMO, Private Healthcare Systems (PHCS), Magellan Health Services, Accepted Provider Networks of America Plans: PPO, Accepted Sutter Health Plan Plans: Individual and Family Plan HMO: Large and Small Group HMO, Accepted SCAN Plans: Sutter Senior Advantage, a SCAN Medicare Plan (HMO) and Accepted Aetna Plans: Aetna Choice POS II: Aetna Select EPO: Aetna Select Open Access: Aetna Signature Administrators (ASA): Aetna Student Health Program: Health Fund HMO (aka HMO/HRA): Health Fund....
According to our sources, Dr. Michael Gene Chez, MD accepts the following insurance providers:
Dr. Michael Gene Chez, MD has an exceptional overall rating with an average of 5.0 out of 5 stars based on 39 ratings. We collect ratings and reviews of Dr. Michael Gene Chez, MD from all over the web to help you find the right in Sacramento, CA.
These charts describe general payments received by Dr. Michael Gene Chez, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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$140,325
Fintepla $46,312 |
Vimpat $40,577 |
Briviact $17,673 |
Nayzilam $5,411 |
$30,352 |
||
|
$127,383
Fycompa $77,350 |
Banzel $43,069 |
None $149 |
$6,816 |
|||
|
$53,394
ONFI $35,272 |
SABRIL $18,049 |
$73 |
||||
|
$35,990
VALTOCO $35,990 |
||||||
|
$29,405
APTIOM $29,338 |
KYNMOBI $19 |
LATUDA $9 |
$39 |
|||
|
$147,282
Epidiolex $30,299 |
Fycompa $22,125 |
Sympazan $18,503 |
ZTALMY $16,848 |
Fintepla $16,682 |
Other $42,825 |
| $241,444 | |
| $153,329 | |
| $61,604 | |
| $39,533 | |
| $37,628 | |
| $242 |
Dr. Michael Gene Chez, MD has received 17 research payments totaling $181,912.
Dr. Michael Chez specializes in pediatric neurology and practices in Sacramento, CA and Roseville, CA. Clinical interests for Dr. Chez include concussion, migraine, and neurofibromatosis type 1 (NF1). He most likely takes Magellan Health Services, AARP, and Anthem, as well as other insurance carriers. After completing medical school at Indiana University School of Medicine, Dr. Chez performed his residency at a hospital affiliated with Johns Hopkins University. Dr. Chez is affiliated with Sutter Health. He welcomes new patients at his office inSacramento, CA as reported by Sutter Health.