Treatment Tracker

The Doctors and Services in Medicare Part B

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $365 per patient in 2015.
They performed about 3 services per patient. Here’s how this provider compares.

Number of
Patients
661
Rank: 28th
out of 701 providers in this state & specialty
Services
Performed
1,287
Rank: 66th
out of 701 providers in this state & specialty
Avg Services
Per Patient
1.9 This Provider
Avg 2.7
Total Paid
by Medicare
$185K
Rank: 44th
out of 701 providers in this state & specialty
Avg Paid
Per Patient
$280 This Provider
Avg $365

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

This Provider's Services

This provider performed 123 different services in 2015
(103 were redacted as they were performed on less than 11 patients)

All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 15 minutes ... +

Subsequent hospital inpatient care, typically 15 minutes per day ×

Service Code: 99231
Performed in a facility
213
times performed,
17% of his services

1st 2nd

most performed service for this provider most performed service in this state & specialty

102
patients got this service, 15% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2)
$17,253.00an average of $81.00 per time performed $6,336.75
an average of $29.75 per time performed
medical
DIGESTIVE SYSTEM

Biopsy of the esophagus, stomach, and/or upper small bowe... +

Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope ×

Service Code: 43239
Performed in a facility
88
times performed,
7% of his services

2nd 14th

most performed service for this provider most performed service in this state & specialty

87
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$64,328.00an average of $731.00 per time performed $8,257.04
an average of $93.83 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
75
times performed,
6% of his services

3rd 1st

most performed service for this provider most performed service in this state & specialty

73
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$7,575.00an average of $101.00 per time performed $4,010.25
an average of $53.47 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 50 minutes per... +

Initial hospital inpatient care, typically 50 minutes per day ×

Service Code: 99222
Performed in a facility
68
times performed,
5% of his services

4th 8th

most performed service for this provider most performed service in this state & specialty

66
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$15,912.00an average of $234.00 per time performed $7,074.72
an average of $104.04 per time performed
medical
DIGESTIVE SYSTEM

Removal of polyps or growths of large bowel using an endo... +

Removal of polyps or growths of large bowel using an endoscope ×

Service Code: 45385
Performed in a facility
67
times performed,
5% of his services

5th 23rd

most performed service for this provider most performed service in this state & specialty

67
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$67,115.24an average of $1,001.72 per time performed $15,447.52
an average of $230.56 per time performed
medical
PROCEDURES

Colorectal cancer screening; colonoscopy on individual no... +

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ×

Service Code: G0121
Performed in a facility
67
times performed,
5% of his services

6th 35th

most performed service for this provider most performed service in this state & specialty

67
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$55,510.17an average of $828.51 per time performed $13,461.64
an average of $200.92 per time performed
medical
PROCEDURES

Colorectal cancer screening; colonoscopy on individual at... +

Colorectal cancer screening; colonoscopy on individual at high risk ×

Service Code: G0105
Performed in a facility
62
times performed,
5% of his services

7th 39th

most performed service for this provider most performed service in this state & specialty

62
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$51,770.00an average of $835.00 per time performed $12,428.52
an average of $200.46 per time performed
medical
DIGESTIVE SYSTEM

Diagnostic examination of large bowel using an endoscope +

Diagnostic examination of large bowel using an endoscope ×

Service Code: 45378
Performed in a facility
57
times performed,
4% of his services

8th 21st

most performed service for this provider most performed service in this state & specialty

55
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$47,025.00an average of $825.00 per time performed $8,618.97
an average of $151.21 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 10 minutes ×

Service Code: 99212
Performed in an office
57
times performed,
4% of his services

9th 9th

most performed service for this provider most performed service in this state & specialty

51
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$4,047.00an average of $71.00 per time performed $1,791.51
an average of $31.43 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 30 minutes per... +

Initial hospital inpatient care, typically 30 minutes per day ×

Service Code: 99221
Performed in a facility
54
times performed,
4% of his services

10th 13th

most performed service for this provider most performed service in this state & specialty

52
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$9,666.00an average of $179.00 per time performed $4,147.74
an average of $76.81 per time performed
medical
DIGESTIVE SYSTEM

Diagnostic examination of esophagus, stomach, and/or uppe... +

Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope ×

Service Code: 43235
Performed in a facility
50
times performed,
4% of his services

11th 47th

most performed service for this provider most performed service in this state & specialty

49
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$30,750.00an average of $615.00 per time performed $3,645.50
an average of $72.91 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 2... +

New patient office or other outpatient visit, typically 20 minutes ×

Service Code: 99202
Performed in an office
34
times performed,
3% of his services

12th 19th

most performed service for this provider most performed service in this state & specialty

34
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,910.00an average of $115.00 per time performed $1,794.18
an average of $52.77 per time performed
medical
RADIOLOGY

Fluoroscopic guidance for insertion, replacement or remov... +

Fluoroscopic guidance for insertion, replacement or removal of central venous access device ×

Service Code: 77001
Performed in a facility
24
times performed,
2% of his services

13th 68th

most performed service for this provider most performed service in this state & specialty

24
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,680.00an average of $70.00 per time performed $346.08
an average of $14.42 per time performed
medical
CARDIOVASCULAR SYSTEM

Insertion of central venous catheter and implanted device... +

Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older ×

Service Code: 36561
Performed in a facility
23
times performed,
2% of his services

14th 63rd

most performed service for this provider most performed service in this state & specialty

23
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$42,228.00an average of $1,836.00 per time performed $6,265.43
an average of $272.41 per time performed
medical
DIGESTIVE SYSTEM

Biopsy of large bowel using an endoscope

Service Code: 45380
Performed in a facility
21
times performed,
2% of his services

15th 20th

most performed service for this provider most performed service in this state & specialty

21
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$18,276.93an average of $870.33 per time performed $3,347.40
an average of $159.40 per time performed
medical
DIGESTIVE SYSTEM

Removal of polyps or growths in large bowel using an endo... +

Removal of polyps or growths in large bowel using an endoscope ×

Service Code: 45384
Performed in a facility
20
times performed,
2% of his services

16th 44th

most performed service for this provider most performed service in this state & specialty

20
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$15,692.00an average of $784.60 per time performed $2,191.20
an average of $109.56 per time performed
medical
DIGESTIVE SYSTEM

Removal of gallbladder using an endoscope

Service Code: 47562
Performed in a facility
17
times performed,
1% of his services

17th 28th

most performed service for this provider most performed service in this state & specialty

17
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$37,247.00an average of $2,191.00 per time performed $8,549.64
an average of $502.92 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 3... +

New patient office or other outpatient visit, typically 30 minutes ×

Service Code: 99203
Performed in an office
17
times performed,
1% of his services

18th 7th

most performed service for this provider most performed service in this state & specialty

17
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,856.00an average of $168.00 per time performed $1,365.61
an average of $80.33 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 70 minutes per... +

Initial hospital inpatient care, typically 70 minutes per day ×

Service Code: 99223
Performed in a facility
14
times performed,
1% of his services

19th 6th

most performed service for this provider most performed service in this state & specialty

14
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$4,382.00an average of $313.00 per time performed $2,178.26
an average of $155.59 per time performed
medical
DIGESTIVE SYSTEM

Insertion of stomach tube using an endoscope

Service Code: 43246
Performed in a facility
13
times performed,
1% of his services

20th 58th

most performed service for this provider most performed service in this state & specialty

13
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$11,204.05an average of $861.85 per time performed $2,146.56
an average of $165.12 per time performed

Office Visits

Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

Michael Dean Paulsell
Average for Surgery Providers in Michigan

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected]. Here's a link to Medicare's data on this provider.

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2015 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

Read our methodology.