111 N Lakemont Ave Suite 2E
Winter Park FL 32792
Medical School: Other - 1976
Accepts Medicare: Yes
Participates In eRX: No
Participates In PQRS: No
Participates In EHR: No
License #: ME0032630
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Awards & Recognitions
Dr. Antonio Certo is associated with these group practices
|HCPCS Code||Description||Average Price||Average Price
Allowed By Medicare
|HCPCS Code:62311||Description:Inject spine l/s (cd)||Average Price:$377.60||Average Price Allowed
|HCPCS Code:20553||Description:Inject trigger points =/> 3||Average Price:$83.84||Average Price Allowed
|HCPCS Code:99144||Description:Mod cs by same phys 5 yrs +||Average Price:$91.31||Average Price Allowed
|HCPCS Code:99212||Description:Office/outpatient visit est||Average Price:$65.10||Average Price Allowed
|HCPCS Code:99213||Description:Office/outpatient visit est||Average Price:$90.92||Average Price Allowed
|HCPCS Code:99214||Description:Office/outpatient visit est||Average Price:$120.88||Average Price Allowed
|HCPCS Code:J7120||Description:Ringers lactate infusion||Average Price:$7.73||Average Price Allowed
|HCPCS Code:J3301||Description:Triamcinolone acet inj NOS||Average Price:$3.56||Average Price Allowed
|HCPCS Code:J2250||Description:Inj midazolam hydrochloride||Average Price:$1.72||Average Price Allowed
|HCPCS Code:J2270||Description:Morphine sulfate injection||Average Price:$3.96||Average Price Allowed
HCPCS Code Definitions
- Ringers lactate infusion, up to 1000 cc
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg
- Injection, morphine sulfate, up to 10 mg
- Injection, midazolam hydrochloride, per 1 mg
- Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 25 minutes are spent face-to-face with the patient and/or family.
- Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 15 minutes are spent face-to-face with the patient and/or family.
- Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.
- Injection(s), of diagnostic or therapeutic substance(s) (including anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, includes contrast for localization when performed, epidural or subarachnoid; lumbar or sacral (caudal)
- Injection(s); single or multiple trigger point(s), 3 or more muscle(s)
Medical Malpractice Cases
Medical Board Sanctions
Novel use of a T-tube access to perform an internal/external biliary drainage. - European radiology
We report a case of post-surgical temporary functional stenosis of the sphincter of Oddi and biliary leak in a patient with a previous Billroth II reconstruction who had undergone cholecystectomy, surgical choledochotomy and sphincterotomy for biliary calculi. The patient was treated by creation of an internal/external biliary drainage using the T-tube access with an unreported technique.
Nonoperative management of iatrogenic lesions of celiac branches by using transcatheter arterial embolization. - Surgical laparoscopy, endoscopy & percutaneous techniques
We present our experience in the nonoperative management of iatrogenic lesions of celiac branches by using transcatheter arterial embolization. We treated 6 pseudoaneurysms (5 intrahepatic and 1 of the gastroduodenal artery), 6 vessel lacerations (1 common hepatic artery, 1 right hepatic artery, 1 gastroduodenal artery, 2 pancreatoduodenal, 1 polar intrasplenic artery), 1 arterioportal fistula, and 1 arteriobiliary fistula; all the bleeding lesions were secondary to surgical, endoscopic, or interventional radiologic procedures.
Multiple hypervascular pancreatic metastases from renal cell carcinoma: dynamic MR and spiral CT in three cases. - Clinical imaging
Pancreatic metastases are rare. Melanoma, lung cancer and breast carcinoma are the most common origin of pancreatic metastases, whereas renal cell carcinoma is counted in only 1-2%. Renal cell carcinoma usually leads to a solitary pancreatic metastasis, whereas multiple pancreatic metastases are uncommon. We present three cases of multiple hypervascular pancreatic metastases from renal cell carcinoma, studied with spiral CT and dynamic MR.
Interventional radiology in the preoperative management of stromal tumors causing intestinal bleeding. - La Radiologia medica
Our experienee in the preoperative diagnostic and therapeutic management of small bowel gastrointestinal stromal tumors, cause of intestinal bleeding, by means of interventional radiological procedures is reported.From October 1999 to October 2001 6 patients admitted for melena due to bleeding of a gastrointestinal stromal tumor were treated. In all cases the lower and/or upper gastrointestinal endoscopy were the first diagnostic approaches. In two cases a Te 99m pertechnetate-labeled autologous red blood cells (TRBC) scintigraphic examination was also performed. All the patients underwent an abdominal angiography that was followed in two cases by preoperative trans-catheter arterial embolization. All the patients had the surgical resection of the bleeding neoplasm.In all patients, the endoscopic examinations weren't able to localize the exact site of bleeding. The TRBC scintigraphic examination performed in 2 patients was negative in one case, instead gave an incorrect localization of the bleeding site in the other one. The localization of the bleeding tumors was provided by the selective abdominal angiography that also suggested the presumable nature of the neoplasm on the basis of angiographic characteristics. The embolization of the two tumors was technically successful and was followed by surgical resection.On the basis of our data, we emphasize and confirm the predominant role of interventional radiological procedures in the detection and in the preoperative management of bleeding gastrointestinal stromal tumors of the small bowel.
Intrapleural fibrinolysis in the management of empyemas and haemothoraces. Our experience. - La Radiologia medica
We evaluate our experience in the management of empyemas and haemothoraces by means of intracavitary trans-catheter instillation of urokinase (UK).We reviewed 54 patients (44 men and 10 women) ranging in age from 12 to 86 years (average 56.3) admitted between May 1999 and April 2001 with loculated pleural effusions (45 empyemas and 9 haemothoraces) and treated by percutaneous drainage and intrapleural urokinase instillation. The criteria for withdrawal of the catheter were: ceased drainage or the drainage of <80-100 ml of clear liquid per day.The duration of the drainage ranged from 2 to 15 days (average: 5.9). Total remission of symptoms occurred in 40 patients (74.07%); 7 patients presented a slight reduction in lung function tests (12.96%); 4 patients required surgery (7.4%); 3 displayed persistent pleural loculated effusions (5.55%) and 1 developed a bronchopleural fistula (1.85%); 2 patients were lost to our review (3.7%).In our experience percutaneous drainage with intrapleural UK instillation is an effective approach to the management of loculated pleural effusions (empyemas and haemothoraces), able to obviate the need for other more invasive pulmonary interventions.
Epithelioid hemangioendothelioma of the stomach: clinical-pathological features, nosologic setting, and surgical therapy. Report of a case. - Surgery today
Vascular tumors of the stomach represent 0.9%-3.3% of all gastric neoplasms. A 41-year-old man was admitted to our department with a 3-month history of early postprandial epigastric pain, sluggish digestion, nausea, asthenia, and occasional alimentary emesis. Preoperative staging detected a submucosal neoformation in the prepyloric zone, which narrowed the lumen, without any infiltrative features; a wedge gastric resection was performed and the definitive diagnosis was an epithelioid hemangioendothelioma of stomach. An 8-month follow up did not show any relapse of the disease. The term hemangioendothelioma is controversial because of disagreements regarding the nosologic setting and treatment. As a result, the latest WHO classification calls such neoplasms "borderline." The correct diagnosis depends on the histological findings supported by immunohistochemistry. Surgery represents the treatment of choice; however, a conservative approach is preferred whenever possible. However, due to the borderline biological behavior of this neoplasm, it is important that detailed clinical evaluations be carried out for such patients along with a thorough follow-up.
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111 N Lakemont Ave Suite 2E Winter Park, FL 32792
133 Benmore Dr Suite 201
483 N Semoran Blvd Suite 102
2111 Glenwood Dr Suite 208