Physician
Henry Ford Health Macomb-Oakland Hospital
Henry Ford Health Macomb-Oakland Hospital was paid $5.07M by Medicaid between Jan 2018 and Dec 2024, across 102 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoHENRY FORD HEALTH MACOMB-OAKLAND HOSPITAL
WARREN, MI 48093
WARREN, MI 48093
33aNPI1134176472assigned 05/30/2006
33bProvider typePediatrics Physician
28Total paid$5.07M
24GClaims363,865
24DCodes billed102
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#20 of 349
Median peer was paid$321K
This provider vs. median16×
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 CEBALT, KIMBERLY 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 | 24,158 | $348K | |
| 2019 | 29,018 | $347K | |
| 2020 | 25,449 | $394K | |
| 2021 | 50,657 | $890K | |
| 2022 | 79,057 | $1.13M | |
| 2023 | 95,181 | $1.11M | |
| 2024incomplete | 60,345 | $859K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 35,268 | 32,017 | $1.44M |
| 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 | 14% | 11,335 | 10,843 | $732K |
| 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 | 9.8% | 5,596 | 5,564 | $496K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.2% | 5,022 | 1,660 | $316K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.6% | 6,814 | 2,669 | $283K |
| 99223 | Prolong inpt eval add15 m | 5.0% | 2,381 | 2,230 | $255K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.1% | 3,821 | 3,807 | $206K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.6% | 2,887 | 2,811 | $182K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.0% | 2,057 | 1,978 | $153K |
| 99205 | Prolong outpt/office vis | 2.8% | 1,193 | 1,192 | $143K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.8% | 2,192 | 2,150 | $141K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.3% | 1,836 | 1,754 | $117K |
90 more codes
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 1.4% | 94 | $69K |
| 99385 | 1.1% | 743 | $56K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 1,924 | $53K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 449 | $38K |
| 95811 | <1% | 460 | $38K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 478 | $38K |
| 99442 | <1% | 948 | $36K | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 589 | $28K |
| 43775 | <1% | 41 | $25K | |
| 59426 | <1% | 26 | $24K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 1,412 | $20K |
| 98927 | <1% | 700 | $16K | |
| 99464 | <1% | 375 | $16K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 342 | $13K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 517 | $12K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 99 | $9K |
| 41899 | Unlisted procedure, dentoalveolar structures | <1% | 302 | $9K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 301 | $9K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,115 | $8K |
| 59430 | <1% | 40 | $7K | |
| 59025 | Fetal non-stress test | <1% | 310 | $6K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,048 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 149 | $6K |
| 20610 | <1% | 153 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 129 | $5K |
| 99221 | <1% | 96 | $5K | |
| 99460 | <1% | 95 | $5K | |
| 92015 | Determination of refractive state | <1% | 488 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 515 | $4K |
| 99386 | <1% | 40 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 329 | $4K |
| 93298 | <1% | 179 | $3K | |
| 90686 | <1% | 151 | $2K | |
| 99459 | <1% | 190 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 28 | $2K |
| 99443 | <1% | 48 | $2K | |
| 81025 | <1% | 251 | $2K | |
| 99283 | Emergency room visit (moderate) | <1% | 41 | $2K |
| 99406 | <1% | 237 | $1K | |
| 70355 | <1% | 200 | $1K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 19 | $1K |
| 92134 | <1% | 55 | $1K | |
| 92083 | <1% | 36 | $1K | |
| 92133 | <1% | 61 | $1K | |
| 99441 | <1% | 91 | $1K | |
| 81002 | <1% | 373 | $939.76 | |
| 99000 | <1% | 635 | $935.00 | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 26 | $924.44 |
| 43235 | <1% | 13 | $794.90 | |
| 90674 | <1% | 34 | $651.30 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 14 | $620.40 |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 12 | $537.73 |
| 90715 | <1% | 13 | $452.67 | |
| 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% | 1,013 | $383.45 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 205 | $343.27 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 99 | $263.34 |
| 98926 | <1% | 15 | $249.69 | |
| 73564 | <1% | 23 | $179.90 | |
| 98966 | <1% | 155 | $89.41 | |
| 73130 | <1% | 15 | $50.75 | |
| 1159F | <1% | 18,647 | $25.00 | |
| 1160F | <1% | 20,545 | $25.00 | |
| 99499 | <1% | 98 | $0.19 | |
| 1125F | 0% | 8,861 | $0.00 | |
| 1036F | 0% | 27,052 | $0.00 | |
| 1126F | 0% | 15,538 | $0.00 | |
| 1035F | 0% | 672 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 23,043 | $0.00 |
| 3079F | 0% | 9,795 | $0.00 | |
| 3075F | 0% | 5,112 | $0.00 | |
| 3074F | 0% | 20,258 | $0.00 | |
| 3008F | 0% | 33,502 | $0.00 | |
| 2000F | 0% | 4,708 | $0.00 | |
| 3044F | 0% | 1,134 | $0.00 | |
| 99024 | 0% | 1,383 | $0.00 | |
| 1034F | 0% | 7,827 | $0.00 | |
| 1000F | 0% | 7,122 | $0.00 | |
| 2023F | 0% | 212 | $0.00 | |
| 3080F | 0% | 2,706 | $0.00 | |
| 0500F | 0% | 15 | $0.00 | |
| D9222 | 0% | 13 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 3,228 | $0.00 |
| 3078F | 0% | 16,402 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 688 | $0.00 |
| 3077F | 0% | 3,583 | $0.00 | |
| 3725F | 0% | 28,867 | $0.00 | |
| 3016F | 0% | 1,352 | $0.00 | |
| 0502F | 0% | 504 | $0.00 | |
| 3288F | 0% | 44 | $0.00 | |
| 3051F | 0% | 13 | $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 officialCEBALT, KIMBERLY (MANAGER OF PROVIDER AFFAIRS)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.