Physician
Henry Ford Health System
Henry Ford Health System was paid $5.18M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 14% of everything it billed.
33Billing provider infoHENRY FORD HEALTH SYSTEM
DETROIT, MI 48202
DETROIT, MI 48202
33aNPI1205909892assigned 11/15/2006
33bProvider typeGastroenterology Physician
28Total paid$5.18M
24GClaims76,412
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in Michigan
Rank by total paid#1 of 67
Median peer was paid$89K
This provider vs. median58×
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 | 11,101 | $705K | |
| 2019 | 11,908 | $751K | |
| 2020 | 9,663 | $635K | |
| 2021 | 10,638 | $716K | |
| 2022 | 10,741 | $728K | |
| 2023 | 11,323 | $817K | |
| 2024incomplete | 11,038 | $824K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 14% | 9,685 | 9,634 | $710K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 11% | 9,517 | 9,359 | $560K |
| 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 | 11% | 10,909 | 10,715 | $546K |
| 99223 | Prolong inpt eval add15 m | 10% | 4,804 | 4,530 | $518K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 8.9% | 3,287 | 3,271 | $462K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.9% | 5,737 | 5,469 | $410K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 7.6% | 4,310 | 4,248 | $396K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 6.6% | 3,428 | 3,366 | $340K |
| 99205 | Prolong outpt/office vis | 5.5% | 3,021 | 3,002 | $282K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.0% | 3,726 | 2,026 | $153K |
| 43235 | 2.9% | 2,475 | 2,397 | $152K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.3% | 2,581 | 2,579 | $121K |
23 more codes
| 99213 | Doctor's office visit, returning patient (routine) | 1.9% | 2,876 | $98K |
| 99254 | 1.7% | 1,011 | $90K | |
| 99255 | 1.4% | 682 | $74K | |
| 43264 | 1.3% | 804 | $66K | |
| 43244 | <1% | 369 | $50K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,720 | $36K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 550 | $33K |
| 43274 | <1% | 100 | $20K | |
| 43259 | <1% | 160 | $15K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 213 | $13K |
| 91200 | <1% | 1,337 | $9K | |
| 74328 | <1% | 520 | $8K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 71 | $6K |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 1,426 | $5K |
| 91010 | <1% | 94 | $4K | |
| 43247 | <1% | 14 | $1K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 149 | $724.73 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 23 | $495.48 |
| 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% | 442 | $300.43 |
| 99153 | Mod sedat endo service >5yrs | <1% | 284 | $54.65 |
| 3044F | 0% | 25 | $0.00 | |
| 3074F | 0% | 31 | $0.00 | |
| 3078F | 0% | 31 | $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 Health System | Detroit, MI | $9.59M |
| 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 | $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.