NP / PA
Henry Ford Macomb Hospital Corporation
Henry Ford Macomb Hospital Corporation was paid $502K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.
33Billing provider infoHENRY FORD MACOMB HOSPITAL CORPORATION
CLINTON TWP, MI 48038
CLINTON TWP, MI 48038
33aNPI1124421888assigned 10/08/2014
33bProvider typePhysician Assistant
28Total paid$502K
24GClaims16,719
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physician Assistant providers in Michigan
Rank by total paid#21 of 80
Median peer was paid$36K
This provider vs. median14×
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.
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 | 1,286 | $56K | |
| 2019 | 2,739 | $89K | |
| 2020 | 2,471 | $60K | |
| 2021 | 2,565 | $64K | |
| 2022 | 3,157 | $83K | |
| 2023 | 3,218 | $97K | |
| 2024incomplete | 1,283 | $54K |
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 | 65% | 4,379 | 4,132 | $328K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 2,424 | 2,334 | $119K |
| 20610 | 5.1% | 805 | 664 | $26K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 400 | 377 | $12K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 60 | 57 | $6K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 31 | 27 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,082 | 1,055 | $4K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 15 | 12 | $1K |
| 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 | <1% | 13 | 12 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 111 | 110 | $986.75 |
| 90688 | <1% | 30 | 30 | $401.58 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 12 | 12 | $309.70 |
8 more codes
| 90686 | <1% | 13 | $215.20 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 12 | $90.78 |
| 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% | 36 | $14.20 |
| 3074F | <1% | 2,921 | $2.23 | |
| 3078F | <1% | 2,703 | $2.23 | |
| 3075F | 0% | 265 | $0.00 | |
| 3079F | 0% | 753 | $0.00 | |
| 3351F | 0% | 654 | $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 officialPHILLIPS, SHANNON (ENROLLMENT)
| Provider | Location | Paid |
|---|---|---|
| Henry Ford Health System | Detroit, MI | $10.45M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.