Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HENRY FORD HEALTH MACOMB-OAKLAND HOSPITAL

NPI: 1134176472 · WARREN, MI 48093 · Pediatrics Physician · NPI assigned 05/30/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CEBALT, KIMBERLY controls 20+ related entities in our dataset. Read more

$5.07M
Total Medicaid Paid
363,865
Total Claims
321,687
Beneficiaries
102
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCEBALT, KIMBERLY (MANAGER OF PROVIDER AFFAIRS)
NPI Enumeration Date05/30/2006

Related Entities

Other providers sharing the same authorized official: CEBALT, KIMBERLY

ProviderCityStateTotal Paid
HENRY FORD EASTWOOD BEHAVIORAL HEALTH CLINTON TOWNSHIP MI $25.19M
HENRY FORD HEALTH ROCHESTER HOSPITAL ROCHESTER MI $4.28M
HENRY FORD HEALTH GENESYS HOSPITAL BURTON MI $3.81M
HENRY FORD HEALTH MACOMB-OAKLAND HOSPITAL DETROIT MI $2.23M
HENRY FORD HEALTH GENESYS HOSPITAL FLINT MI $906K
HENRY FORD HEALTH ST. JOHN HOSPITAL DETROIT MI $811K
HENRY FORD HEALTH MACOMB-OAKLAND HOSPITAL WARREN MI $722K
HENRY FORD HEALTH MACOMB OAKLAND HOSPITAL WARREN MI $582K
ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH SOUTHFIELD MI $505K
HENRY FORD HEALTH MACOMB-OAKLAND HOSPITAL MADISON HEIGHTS MI $330K
W.A. FOOTE MEMORIAL HOSPITAL, INC JACKSON MI $315K
HENRY FORD HEALTH GENESYS HOSPITAL GRAND BLANC MI $239K
HENRY FORD HEALTH GENESYS HOSPITAL BURTON MI $173K
HENRY FORD HEALTH GENESYS HOSPITAL FLINT MI $159K
HENRY FORD EASTWOOD BEHAVIORAL HEALTH LIVONIA MI $133K
HENRY FORD EASTWOOD BEHAVIORAL HEALTH SOUTHFIELD MI $63K
HENRY FORD HEALTH MACOMB-OAKLAND HOSPITAL WARREN MI $50K
HENRY FORD HEALTH ROCHESTER HOSPITAL ROCHESTER MI $50K
HENRY FORD EASTWOOD BEHAVIORAL HEALTH DETROIT MI $40K
HENRY FORD EASTWOOD BEHAVIORAL HEALTH ROCHESTER HILLS MI $38K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 60,345 $859K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35,268 32,017 $1.44M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,335 10,843 $732K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5,596 5,564 $496K
99233 Prolong inpt eval add15 m 5,022 1,660 $316K
99232 Subsequent hospital care, per day, moderate complexity 6,814 2,669 $283K
99223 Prolong inpt eval add15 m 2,381 2,230 $255K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,821 3,807 $206K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,887 2,811 $182K
99222 Initial hospital care, per day, moderate complexity 2,057 1,978 $153K
99205 Prolong outpt/office vis 1,193 1,192 $143K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,192 2,150 $141K
99239 Hospital discharge day management, more than 30 minutes 1,836 1,754 $117K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 94 93 $69K
99385 743 736 $56K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,924 1,812 $53K
95810 Polysomnography; sleep staging with 4 or more additional parameters 449 432 $38K
95811 460 446 $38K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 478 477 $38K
99442 948 905 $36K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 589 543 $28K
43775 41 41 $25K
59426 26 26 $24K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 1,412 1,386 $20K
98927 700 517 $16K
99464 375 370 $16K
99238 Hospital discharge day management, 30 minutes or less 342 333 $13K
99231 Subsequent hospital care, per day, straightforward or low complexity 517 335 $12K
99215 Prolong outpt/office vis 99 98 $9K
41899 Unlisted procedure, dentoalveolar structures 302 142 $9K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 301 297 $9K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,115 2,094 $8K
59430 40 40 $7K
59025 Fetal non-stress test 310 182 $6K
36415 Collection of venous blood by venipuncture 2,048 1,961 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 149 149 $6K
20610 153 133 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 129 129 $5K
99221 96 93 $5K
99460 95 93 $5K
92015 Determination of refractive state 488 486 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 515 503 $4K
99386 40 40 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 329 324 $4K
93298 179 176 $3K
90686 151 151 $2K
99459 190 188 $2K
90791 Psychiatric diagnostic evaluation 28 25 $2K
99443 48 47 $2K
81025 251 250 $2K
99283 Emergency department visit for the evaluation and management, moderate severity 41 40 $2K
99406 237 229 $1K
70355 200 191 $1K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 19 15 $1K
92134 55 55 $1K
92083 36 36 $1K
92133 61 61 $1K
99441 91 89 $1K
81002 373 362 $939.76
99000 635 610 $935.00
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 26 26 $924.44
43235 13 13 $794.90
90674 34 34 $651.30
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 14 13 $620.40
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 12 12 $537.73
90715 13 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) 1,013 954 $383.45
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 205 203 $343.27
J1050 Injection, medroxyprogesterone acetate, 1 mg 99 99 $263.34
98926 15 14 $249.69
73564 23 18 $179.90
98966 155 146 $89.41
73130 15 12 $50.75
1159F 18,647 16,174 $25.00
1160F 20,545 17,828 $25.00
99499 98 87 $0.19
1125F 8,861 8,005 $0.00
1036F 27,052 23,267 $0.00
1126F 15,538 14,425 $0.00
1035F 672 585 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 23,043 20,439 $0.00
3079F 9,795 9,158 $0.00
3075F 5,112 4,904 $0.00
3074F 20,258 18,315 $0.00
3008F 33,502 29,545 $0.00
2000F 4,708 4,044 $0.00
3044F 1,134 1,129 $0.00
99024 1,383 1,206 $0.00
1034F 7,827 6,794 $0.00
1000F 7,122 6,069 $0.00
2023F 212 212 $0.00
3080F 2,706 2,544 $0.00
0500F 15 15 $0.00
D9222 13 13 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 3,228 3,018 $0.00
3078F 16,402 15,012 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 688 644 $0.00
3077F 3,583 3,329 $0.00
3725F 28,867 25,325 $0.00
3016F 1,352 1,216 $0.00
0502F 504 356 $0.00
3288F 44 43 $0.00
3051F 13 13 $0.00