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, $386 per patient in 2014.
They performed about 3 services per patient. Here’s how this provider compares.

Number of
Patients
570
Rank: 44th
out of 683 providers in this state & specialty
Services
Performed
1,242
Rank: 81st
out of 683 providers in this state & specialty
Avg Services
Per Patient
2.2 This Provider
Avg 2.7
Total Paid
by Medicare
$164K
Rank: 62nd
out of 683 providers in this state & specialty
Avg Paid
Per Patient
$288 This Provider
Avg $386

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.

Who Patients See Before and After This Provider

Providers often refer their patients to a small network of other providers and organizations. Here’s who patients saw the most within 30 days before or after this provider in 2014.

Patients saw before

MICHAEL PAULSELL M.D.

Patients saw after

This Provider's Services

This provider performed 130 different services in 2014

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
216
times performed,
17% of his services

1st 1st

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

98
patients got this service, 17% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.1)
$17,496an average of $81 per time performed $6,510
an average of $30 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
80
times performed,
6% of his services

2nd 9th

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

71
patients got this service, 12% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$5,680an average of $71 per time performed $2,340
an average of $29 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
75
times performed,
6% of his services

3rd 8th

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

74
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$17,550an average of $234 per time performed $7,802
an average of $104 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
73
times performed,
6% of his services

4th 2nd

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

72
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$7,373an average of $101 per time performed $3,850
an average of $53 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
53
times performed,
4% of his services

5th 21st

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

53
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$44,255an average of $835 per time performed $8,140
an average of $154 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
52
times performed,
4% of his services

6th 17th

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

52
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,980an average of $115 per time performed $2,636
an average of $51 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
51
times performed,
4% of his services

7th 39th

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

51
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$42,585an average of $835 per time performed $10,824
an average of $212 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
47
times performed,
4% of his services

8th 45th

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

46
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$28,905an average of $615 per time performed $3,920
an average of $83 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
45
times performed,
4% of his services

9th 13th

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

43
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,055an average of $179 per time performed $3,341
an average of $74 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
42
times performed,
3% of his services

10th 14th

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

40
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$30,271an average of $721 per time performed $4,144
an average of $99 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
38
times performed,
3% of his services

11th 26th

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

38
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$38,209an average of $1,006 per time performed $7,627
an average of $201 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
37
times performed,
3% of his services

12th 36th

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

37
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$30,560an average of $826 per time performed $7,596
an average of $205 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
22
times performed,
2% of his services

13th 7th

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

22
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,696an average of $168 per time performed $1,586
an average of $72 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
20
times performed,
2% of his services

14th 72nd

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

17
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1)
$1,400an average of $70 per time performed $298
an average of $15 per time performed
medical
DIGESTIVE SYSTEM

Biopsy of large bowel using an endoscope

Service Code: 45380
Performed in a facility
20
times performed,
2% of his services

15th 23rd

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

20
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$16,134an average of $807 per time performed $3,161
an average of $158 per time performed
medical
DIGESTIVE SYSTEM

Repair of groin hernia patient age 5 years or older

Service Code: 49505
Performed in a facility
16
times performed,
1% of his services

16th 49th

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

16
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$22,800an average of $1,425 per time performed $7,014
an average of $438 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: 45383
Performed in a facility
14
times performed,
1% of his services

17th 86th

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)
$11,956an average of $854 per time performed $3,319
an average of $237 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
13
times performed,
1% of his services

18th 56th

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)
$23,868an average of $1,836 per time performed $3,674
an average of $283 per time performed
medical
DIGESTIVE SYSTEM

Removal of gallbladder using an endoscope

Service Code: 47562
Performed in a facility
11
times performed,
0.89% of his services

19th 30th

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

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$24,101an average of $2,191 per time performed $5,635
an average of $512 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 checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org. 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 2013 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.