NP / PA
Henry Ford Health System
Henry Ford Health System was paid $9.59M by Medicaid between Jan 2018 and Dec 2024, across 92 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 17% of everything it billed.
33Billing provider infoHENRY FORD HEALTH SYSTEM
DETROIT, MI 48202
DETROIT, MI 48202
33aNPI1104900455assigned 10/24/2006
33bProvider typeAdult Health Nurse Practitioner
28Total paid$9.59M
24GClaims191,466
24DCodes billed92
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Adult Health Nurse Practitioner providers in Michigan
Rank by total paid#1 of 11
Median peer was paid$11K
This provider vs. median894×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official RATOWSKI, KELLY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 13,730 | $607K | |
| 2019 | 23,113 | $927K | |
| 2020 | 22,959 | $960K | |
| 2021 | 25,863 | $1.19M | |
| 2022 | 32,087 | $1.66M | |
| 2023 | 35,857 | $2.05M | |
| 2024incomplete | 37,857 | $2.20M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 17% | 32,074 | 31,228 | $1.68M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 13% | 20,682 | 20,409 | $1.25M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 11% | 13,754 | 12,997 | $1.03M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.4% | 16,530 | 16,039 | $610K |
| 99223 | Prolong inpt eval add15 m | 5.7% | 5,400 | 5,071 | $544K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.7% | 7,523 | 3,731 | $453K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 4.3% | 6,441 | 6,383 | $408K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.2% | 5,475 | 5,447 | $404K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.9% | 8,844 | 4,595 | $374K |
| 99464 | 3.2% | 7,127 | 7,112 | $308K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 3.1% | 2,422 | 1,388 | $293K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.0% | 3,406 | 3,027 | $190K |
80 more codes
| 99205 | Prolong outpt/office vis | 1.9% | 1,927 | $187K |
| 99203 | Doctor's office visit, new patient (routine) | 1.9% | 3,916 | $182K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.9% | 4,533 | $182K |
| 99285 | Emergency room visit (most serious) | 1.5% | 2,145 | $143K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.4% | 1,294 | $135K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.2% | 4,839 | $112K |
| 99220 | 1.2% | 1,135 | $112K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.1% | 1,679 | $109K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.1% | 1,461 | $105K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 1,485 | $85K |
| 99418 | Prolong nursin fac eval 15m | <1% | 1,870 | $75K |
| 99292 | <1% | 597 | $73K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,337 | $72K |
| 99217 | <1% | 1,125 | $44K | |
| 99465 | <1% | 508 | $43K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 897 | $41K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 701 | $38K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,382 | $28K |
| 99460 | <1% | 456 | $26K | |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 213 | $26K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 377 | $25K |
| 95251 | <1% | 1,068 | $20K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 398 | $19K |
| 99406 | <1% | 2,479 | $16K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,764 | $13K |
| 99443 | <1% | 266 | $12K | |
| 99219 | <1% | 159 | $11K | |
| 99442 | <1% | 250 | $11K | |
| 99254 | <1% | 121 | $11K | |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | <1% | 26 | $10K |
| 99255 | <1% | 74 | $8K | |
| 49083 | <1% | 116 | $7K | |
| 99384 | <1% | 76 | $7K | |
| 54150 | <1% | 108 | $6K | |
| 99221 | <1% | 102 | $5K | |
| 99245 | <1% | 34 | $4K | |
| 36568 | <1% | 75 | $4K | |
| 58340 | <1% | 123 | $4K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 102 | $3K |
| 99383 | <1% | 37 | $3K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 103 | $3K |
| 99497 | <1% | 75 | $3K | |
| 31720 | <1% | 101 | $3K | |
| 99349 | <1% | 41 | $3K | |
| 92552 | <1% | 123 | $2K | |
| G0316 | Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) | <1% | 284 | $2K |
| 99417 | Prolong home eval add 15m | <1% | 91 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 61 | $2K |
| 99236 | Prolong inpt eval add15 m | <1% | 12 | $1K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 979 | $1K |
| 99235 | <1% | 12 | $1K | |
| 36620 | <1% | 42 | $999.07 | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 34 | $775.26 |
| 99225 | <1% | 127 | $758.87 | |
| 46600 | <1% | 26 | $598.39 | |
| 69210 | <1% | 28 | $551.29 | |
| 96127 | <1% | 198 | $550.04 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 23 | $531.63 |
| 36415 | Collection of venous blood by venipuncture | <1% | 68 | $474.57 |
| 99462 | <1% | 16 | $415.41 | |
| 82465 | <1% | 58 | $142.30 | |
| 99226 | <1% | 28 | $140.80 | |
| G9488 | Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: a detailed history; a detailed examination; medical decision making of moderate complexity, furnished in real time using interactive audio and video technology. 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 needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 25 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology | <1% | 13 | $117.09 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 30 | $103.18 |
| G0296 | Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) | <1% | 194 | $100.00 |
| 85018 | <1% | 59 | $83.11 | |
| 3075F | 0% | 867 | $0.00 | |
| 3352F | 0% | 926 | $0.00 | |
| 3079F | 0% | 1,516 | $0.00 | |
| 3353F | 0% | 1,189 | $0.00 | |
| 3351F | 0% | 1,774 | $0.00 | |
| 3074F | 0% | 4,446 | $0.00 | |
| 3080F | 0% | 560 | $0.00 | |
| 3354F | 0% | 47 | $0.00 | |
| 90651 | 0% | 38 | $0.00 | |
| 99000 | 0% | 16 | $0.00 | |
| 3078F | 0% | 4,238 | $0.00 | |
| 99173 | 0% | 71 | $0.00 | |
| 3077F | 0% | 982 | $0.00 | |
| 90715 | 0% | 37 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialRATOWSKI, KELLY (DIRECTOR-PROVIDER AFFAIRS)
| Provider | Location | Paid |
|---|---|---|
| Henry Ford Health System | Detroit, MI | $30.31M |
| Henry Ford Health System | Detroit, MI | $25.76M |
| Henry Ford Health System | Detroit, MI | $24.44M |
| Henry Ford Health System | Detroit, MI | $23.03M |
| Henry Ford Health System | Detroit, MI | $17.00M |
| Henry Ford Macomb Hospital Corporation | Clinton Twp, MI | $9.19M |
| Henry Ford Macomb Hospital Corporation | Clinton Twp, MI | $7.26M |
| Henr Y Ford Health System | Detroit, MI | $6.26M |
| Henry Ford Health System | Detroit, MI | $5.93M |
| Henry Ford Health System | Detroit, MI | $5.60M |
| Henry Ford Health System | Detroit, MI | $5.55M |
| Henry Ford Health System | Detroit, MI | $5.18M |
| Henry Ford Health System | Detroit, MI | $4.76M |
| Henry Ford Health System | Detroit, MI | $4.03M |
| Henry Ford Health System | Detroit, MI | $3.96M |
| Henry Ford Health System | Detroit, MI | $3.43M |
| Henry Ford Health System | Detroit, MI | $3.34M |
| Henry Ford Health System | Detroit, MI | $2.52M |
| Henry Ford Health System | Detroit, MI | $2.22M |
| Henr Y Ford Health System | Detroit, MI | $2.03M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.