Medicare Procedure and Patient Information
2012 Medicare Procedure Volume
Volume of procedures performed by Dr. Nicholas J. Paulk, MD for Medicare patients.
| doctor visit | 51 |
|---|
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Dr. Nicholas J. Paulk, MD is a bariatric surgeon in Salt Lake City, UT specializing in bariatric surgery and general surgery. He graduated from Oregon Health & Science University School of Medicine. Dr. Nicholas J. Paulk, MD is affiliated with St. Mark's Hospital and MountainStar Healthcare.
Weight Loss Surgery (Bariatric Surgery)
Bariatric or weight-loss surgery is a surgical procedure performed to help significantly obese patients lose weight when more traditional methods, such as dieting and exercise, have not helped. Depending on the type, these surgeries change the gastrointestinal tract to limit how much food can be eaten and also change how food is absorbed by the body. Of the various bariatric surgeries available, the most common is gastric bypass.
By far the most common of the gastric bypass surgeries is called Roux-en-Y. During this surgery, part of the stomach and small intestine are detached from the gastrointestinal tract, in order to make the tract smaller. The surgeon divides the stomach into two parts. The working stomach, at the end of the esophagus, is now tiny - only the size of a walnut. This makes patients feel full after eating a small amount of food. Then the small intestine is also divided, and after bypassing a section of the small intestine to reduce food absorption, the intestine is attached to the small stomach pouch. The patient now has a working stomach and intestine like before, only much smaller.
Because gastric bypass is used to treat extreme obesity, it can reduce the risk of some of the problems associated with obesity. Gastric bypass can help treat or reduce the risk for such conditions as heart disease, high blood pressure, sleep apnea, and type 2 diabetes. However, it is a major surgery and also carries risks itself. Any surgery can lead to infection, bleeding, or blood clots, and weight loss surgery in particular carries risks of leaks in the gastrointestinal system, malnutrition, bowel obstructions, and vomiting.
Typically patients are considered candidates for gastric bypass surgery if they have a BMI greater than 40, or sometimes if they have a BMI between 35 and 40 but are suffering from obesity-related illnesses such as diabetes. The outlook is generally good, with most patients losing between 50-75% of their excess weight in 1-2 years. However, patients must follow strict diet guidelines so that the stomach can heal, starting with no food at all, then followed by a liquid diet for some time. For many severely obese patients who have tried strict diets before without success, gastric bypass surgery is the tool that allows them to finally achieve their weight loss and health goals.
Volume of procedures performed by Dr. Nicholas J. Paulk, MD for Medicare patients.
| doctor visit | 51 |
|---|
The top procedures that Dr. Nicholas J. Paulk, MD treated as a bariatric surgeon in Salt Lake City, UT during 2013 were minimally invasive procedures, abdominal surgery and gastrointestinal procedures.
Volume of procedures performed by Dr. Nicholas J. Paulk, MD for Medicare patients.
| abdominal surgery | 12 |
|---|---|
| doctor visit | 122 |
| gastrointestinal procedures | 12 |
| minimally invasive procedures | 12 |
Information about Medicare patients treated by Dr. Nicholas J. Paulk, MD.
| Male | 57 |
|---|---|
| Female | 75 |
| Non-Hispanic White | 121 |
|---|---|
| Black | 0 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 48 |
|---|---|
| From 75 to 84 | 45 |
| 85 and over | 18 |
| Less than 65 | 21 |
| Hypertension | 65 |
|---|---|
| High Cholesterol | 37 |
| Stroke | 0 |
| Ischemic Heart Disease | 20 |
| Depression | 32 |
| Chronic Kidney Disease | 20 |
| Asthma | 0 |
| Osteoperosis | 11 |
| Atrial Fibrilation | 0 |
| Heart Failure | 10 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 26 |
| Dementia | 0 |
| Cancer | 11 |
The top procedures that Dr. Nicholas J. Paulk, MD treated as a bariatric surgeon in Salt Lake City, UT during 2014 were emergency care.
Volume of procedures performed by Dr. Nicholas J. Paulk, MD for Medicare patients.
| doctor visit | 53 |
|---|---|
| emergency care | 17 |
Information about Medicare patients treated by Dr. Nicholas J. Paulk, MD.
| Male | 55 |
|---|---|
| Female | 53 |
| Non-Hispanic White | 97 |
|---|---|
| Black | 0 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 45 |
|---|---|
| From 75 to 84 | 23 |
| 85 and over | 16 |
| Less than 65 | 24 |
| Hypertension | 61 |
|---|---|
| High Cholesterol | 41 |
| Stroke | 0 |
| Ischemic Heart Disease | 31 |
| Depression | 31 |
| Chronic Kidney Disease | 27 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 12 |
| Heart Failure | 19 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 25 |
| Dementia | 12 |
| Cancer | 12 |
The top procedures that Dr. Nicholas J. Paulk, MD treated as a bariatric surgeon in Salt Lake City, UT during 2015 were emergency care.
Volume of procedures performed by Dr. Nicholas J. Paulk, MD for Medicare patients.
| doctor visit | 60 |
|---|---|
| emergency care | 14 |
Information about Medicare patients treated by Dr. Nicholas J. Paulk, MD.
| Male | 84 |
|---|---|
| Female | 108 |
| From 65 to 74 | 94 |
|---|---|
| From 75 to 84 | 44 |
| 85 and over | 30 |
| Less than 65 | 24 |
| Hypertension | 65 |
|---|---|
| High Cholesterol | 36 |
| Stroke | 0 |
| Ischemic Heart Disease | 30 |
| Depression | 32 |
| Chronic Kidney Disease | 28 |
| Asthma | 20 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 17 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 29 |
| Dementia | 0 |
| Cancer | 16 |
Information about Medicare patients treated by Dr. Nicholas J. Paulk, MD.
| Male | 18 |
|---|---|
| Female | 44 |
| From 65 to 74 | 31 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 15 |
| Hypertension | 60 |
|---|---|
| High Cholesterol | 40 |
| Stroke | 0 |
| Ischemic Heart Disease | 29 |
| Depression | 45 |
| Chronic Kidney Disease | 32 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 19 |
| Heart Failure | 18 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 27 |
| Dementia | 0 |
| Cancer | 0 |
The top procedures that Dr. Nicholas J. Paulk, MD treated as a bariatric surgeon in Salt Lake City, UT during 2017 were bypass surgery, minimally invasive procedures, weight management and gastrointestinal procedures.
Volume of procedures performed by Dr. Nicholas J. Paulk, MD for Medicare patients.
| bypass surgery | 14 |
|---|---|
| doctor visit | 20 |
| gastrointestinal procedures | 14 |
| minimally invasive procedures | 14 |
| weight management | 14 |
Information about Medicare patients treated by Dr. Nicholas J. Paulk, MD.
| Male | 20 |
|---|---|
| Female | 48 |
| From 65 to 74 | 47 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 72 |
|---|---|
| High Cholesterol | 34 |
| Stroke | 0 |
| Ischemic Heart Disease | 18 |
| Depression | 41 |
| Chronic Kidney Disease | 47 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 18 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 57 |
| Dementia | 0 |
| Cancer | 0 |
The top procedures that Dr. Nicholas J. Paulk, MD treated as a bariatric surgeon in Salt Lake City, UT during 2018 were bypass surgery, minimally invasive procedures, weight management and gastrointestinal procedures.
Volume of procedures performed by Dr. Nicholas J. Paulk, MD for Medicare patients.
| bypass surgery | 11 |
|---|---|
| doctor visit | 35 |
| gastrointestinal procedures | 11 |
| minimally invasive procedures | 11 |
| weight management | 11 |
Information about Medicare patients treated by Dr. Nicholas J. Paulk, MD.
| Male | 20 |
|---|---|
| Female | 52 |
| From 65 to 74 | 40 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 68 |
|---|---|
| High Cholesterol | 44 |
| Stroke | 0 |
| Ischemic Heart Disease | 22 |
| Depression | 53 |
| Chronic Kidney Disease | 35 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 19 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 44 |
| Dementia | 0 |
| Cancer | 0 |
The top procedures that Dr. Nicholas J. Paulk, MD treated as a bariatric surgeon in Salt Lake City, UT during 2019 were bypass surgery, minimally invasive procedures, weight management and gastrointestinal procedures.
Volume of procedures performed by Dr. Nicholas J. Paulk, MD for Medicare patients.
| bypass surgery | 14 |
|---|---|
| doctor visit | 40 |
| gastrointestinal procedures | 14 |
| minimally invasive procedures | 14 |
| weight management | 14 |
Information about Medicare patients treated by Dr. Nicholas J. Paulk, MD.
| Male | 19 |
|---|---|
| Female | 42 |
| From 65 to 74 | 36 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 67 |
|---|---|
| High Cholesterol | 52 |
| Stroke | 0 |
| Ischemic Heart Disease | 20 |
| Depression | 59 |
| Chronic Kidney Disease | 52 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 39 |
| Dementia | 0 |
| Cancer | 0 |
The top procedures that Dr. Nicholas J. Paulk, MD treated as a bariatric surgeon in Salt Lake City, UT during 2020 were minimally invasive procedures, gastrointestinal procedures, bypass surgery and weight management.
Volume of procedures performed by Dr. Nicholas J. Paulk, MD for Medicare patients.
| bypass surgery | 13 |
|---|---|
| doctor visit | 44 |
| gastrointestinal procedures | 24 |
| minimally invasive procedures | 24 |
| weight management | 13 |
Information about Medicare patients treated by Dr. Nicholas J. Paulk, MD.
| Male | 18 |
|---|---|
| Female | 48 |
| From 65 to 74 | 41 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 75 |
|---|---|
| High Cholesterol | 52 |
| Stroke | 0 |
| Ischemic Heart Disease | 20 |
| Depression | 58 |
| Chronic Kidney Disease | 39 |
| Asthma | 20 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 18 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 42 |
| Dementia | 0 |
| Cancer | 0 |
Volume of procedures performed by Dr. Nicholas J. Paulk, MD for Medicare patients.
| doctor visit | 42 |
|---|
Information about Medicare patients treated by Dr. Nicholas J. Paulk, MD.
| Male | 12 |
|---|---|
| Female | 35 |
| From 65 to 74 | 30 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 68 |
|---|---|
| High Cholesterol | 47 |
| Stroke | 0 |
| Ischemic Heart Disease | 36 |
| Depression | 57 |
| Chronic Kidney Disease | 40 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 28 |
| Dementia | 0 |
| Cancer | 0 |
Volume of procedures performed by Dr. Nicholas J. Paulk, MD for Medicare patients.
| doctor visit | 30 |
|---|
Information about Medicare patients treated by Dr. Nicholas J. Paulk, MD.
| From 65 to 74 | 14 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 73 |
|---|---|
| High Cholesterol | 58 |
| Stroke | 0 |
| Ischemic Heart Disease | 0 |
| Depression | 39 |
| Chronic Kidney Disease | 0 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 39 |
| Dementia | 0 |
| Cancer | 0 |
Volume of procedures performed by Dr. Nicholas J. Paulk, MD for Medicare patients.
| doctor visit | 19 |
|---|
Information about Medicare patients treated by Dr. Nicholas J. Paulk, MD.
| Male | 14 |
|---|---|
| Female | 29 |
| From 65 to 74 | 25 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 72 |
|---|---|
| High Cholesterol | 60 |
| Stroke | 0 |
| Ischemic Heart Disease | 26 |
| Depression | 44 |
| Chronic Kidney Disease | 28 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 37 |
| Dementia | 0 |
| Cancer | 0 |
Volume of procedures performed by Dr. Nicholas J. Paulk, MD for Medicare patients.
| doctor visit | 28 |
|---|
Information about Medicare patients treated by Dr. Nicholas J. Paulk, MD.
| Male | 11 |
|---|---|
| Female | 24 |
| From 65 to 74 | 17 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 57 |
|---|---|
| High Cholesterol | 57 |
| Stroke | 0 |
| Ischemic Heart Disease | 0 |
| Depression | 54 |
| 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. Nicholas J. Paulk, MD for Medicare patients.
The highest averages for the top procedures that Dr. Nicholas J. Paulk, MD treated as a bariatric surgeon in Salt Lake City, UT were emergency care, minimally invasive procedures, gastrointestinal procedures and bypass surgery.
| abdominal surgery | 12 |
|---|---|
| bypass surgery | 13 |
| doctor visit | 45 |
| emergency care | 15 |
| gastrointestinal procedures | 15 |
| minimally invasive procedures | 15 |
| weight management | 13 |
Information about Medicare patients treated by Dr. Nicholas J. Paulk, MD.
| Female | 42 |
|---|---|
| Male | 25 |
| Black / African American | 0 |
|---|---|
| Asian / Pacific Islander | 0 |
| Non-Hispanic White | 16 |
| Hispanic | 0 |
| Native American / Alaskan Native | 0 |
| Other | 0 |
| 85 and over | 4 |
|---|---|
| 75 to 84 | 8 |
| Less than 65 | 6 |
| 65 to 74 | 36 |
The highest averages of the most common conditions of Medicare patients that Dr. Nicholas J. Paulk, MD treated were hypertension, high cholesterol, depression and diabetes.
| Hypertension | 61 |
|---|---|
| High Cholesterol | 42 |
| Stroke | 0 |
| Ischemic Heart Disease | 19 |
| Depression | 41 |
| Chronic Kidney Disease | 26 |
| Asthma | 3 |
| Osteoporosis | 0 |
| Heart Failure | 9 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 30 |
| Atrial Fibrillation | 2 |
| Dementia | 0 |
| Cancer | 3 |
Dr. Nicholas J. Paulk, MD graduated from Oregon Health & Science University School of Medicine. He completed residency at Exempla Saint Joseph Hospital, Denver. He is certified by the both general surgery and obesity medicine, making him the only physician in Utah with dual board certification and has a state license in Utah.
Medical School: Oregon Health & Science University School of Medicine
Residency: Exempla Saint Joseph Hospital, Denver
Board Certification: both general surgery and obesity medicine, making him the only physician in Utah with dual board certification
Licensed In: Utah
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These charts describe general payments received by Dr. Nicholas J. Paulk, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
| Intuitive Surgical, Inc. |
$5,617
Da Vinci Surgical System $4,617 |
DA VINCI SP $1,000 |
||||
|---|---|---|---|---|---|---|
| Medical Device Business Services, Inc. |
$1,672
Echelon Flex $140 |
STRATAFIX $105 |
Harmonic $73 |
ECHELON FLEX Stapler $32 |
$1,322 |
|
| Ethicon US, LLC |
$1,598
Harmonic $348 |
ECHELON FLEX Stapler $297 |
Echelon Flex $236 |
ECHELON ENDOPATH Stapler $206 |
Echelon; Endopath $126 |
Other $385 |
| Ethicon Inc. |
$1,189
STRATAFIX $1,189 |
|||||
| Medtronic, Inc. |
$534
Sonicision $421 |
Signia $100 |
LigaSure $13 |
|||
| Other |
$876
ARISTA AH $136 |
Biologic Mesh $116 |
OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex) $113 |
TITAN SGS BAILOUT CHUCK $105 |
ProGrip $51 |
Other $355 |
| Food and Beverage | $4,848 |
|---|---|
| Education | $3,000 |
| Travel and Lodging | $2,138 |
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $1,500 |
Dr. Nicholas Paulk sees patients in Salt Lake City, UT. His medical specialties are general surgery and bariatric surgery. Areas of expertise for Dr. Paulk include weight loss surgery (bariatric surgery). He attended Oregon Health & Science University School of Medicine and then went on to complete his residency at Exempla Saint Joseph Hospital, Denver. In addition to English, he speaks Italian. Dr. Paulk is affiliated with St. Mark's Hospital.