Physician
Henry Ford Health Rochester Hospital
Henry Ford Health Rochester Hospital was paid $4.28M by Medicaid between Jan 2018 and Dec 2024, across 93 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoHENRY FORD HEALTH ROCHESTER HOSPITAL
ROCHESTER, MI 48307
ROCHESTER, MI 48307
33aNPI1457704850assigned 07/20/2016
33bProvider typeObstetrics & Gynecology Physician
28Total paid$4.28M
24GClaims286,197
24DCodes billed93
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Michigan
Rank by total paid#9 of 173
Median peer was paid$66K
This provider vs. median65×
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 | 17,714 | $313K | |
| 2019 | 23,781 | $437K | |
| 2020 | 19,653 | $465K | |
| 2021 | 38,835 | $716K | |
| 2022 | 56,151 | $722K | |
| 2023 | 76,359 | $857K | |
| 2024incomplete | 53,704 | $773K |
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 | 34% | 20,356 | 19,089 | $1.44M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 24,476 | 22,381 | $1.16M |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 9.3% | 4,611 | 4,564 | $399K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 7.0% | 3,873 | 3,832 | $298K |
| 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 | 4.6% | 2,201 | 2,167 | $198K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.8% | 2,889 | 2,838 | $162K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 3,071 | 2,941 | $96K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 713 | 685 | $62K |
| 99385 | 1.1% | 556 | 549 | $48K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 942 | 439 | $41K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 869 | 845 | $36K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 552 | 527 | $36K |
81 more codes
| 99442 | <1% | 865 | $35K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 405 | $30K |
| 73564 | <1% | 1,341 | $21K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,056 | $20K |
| 20610 | <1% | 660 | $18K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 907 | $17K |
| 93000 | <1% | 1,719 | $14K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,341 | $13K |
| 90686 | <1% | 713 | $13K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 188 | $12K |
| 73610 | <1% | 671 | $9K | |
| 73630 | <1% | 693 | $8K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 384 | $8K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 321 | $7K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,970 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 710 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 529 | $6K |
| 99441 | <1% | 262 | $6K | |
| 99223 | Prolong inpt eval add15 m | <1% | 54 | $5K |
| 99460 | <1% | 78 | $5K | |
| 90674 | <1% | 148 | $5K | |
| 99402 | <1% | 118 | $4K | |
| 20611 | <1% | 97 | $4K | |
| 81003 | <1% | 2,235 | $3K | |
| 99443 | <1% | 69 | $3K | |
| 99406 | <1% | 554 | $3K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 2,349 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 667 | $3K |
| 81002 | <1% | 972 | $2K | |
| 90656 | <1% | 123 | $2K | |
| 99221 | <1% | 57 | $2K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 505 | $2K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 46 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 12 | $1K |
| 99386 | <1% | 13 | $1K | |
| 73503 | <1% | 41 | $1K | |
| 90661 | <1% | 34 | $964.35 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 107 | $761.68 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | $663.41 |
| 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% | 322 | $597.59 |
| 73030 | <1% | 42 | $562.54 | |
| 77073 | <1% | 24 | $517.15 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 87 | $500.03 |
| 0012A | <1% | 13 | $464.13 | |
| 81025 | <1% | 65 | $387.94 | |
| 99000 | <1% | 1,184 | $362.35 | |
| 99403 | <1% | 21 | $282.46 | |
| 0011A | <1% | 13 | $208.92 | |
| 96127 | <1% | 78 | $194.88 | |
| 3078F | <1% | 23,915 | $160.06 | |
| 3074F | <1% | 25,302 | $160.06 | |
| 90662 | <1% | 36 | $148.94 | |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | <1% | 13 | $145.92 |
| 99459 | <1% | 15 | $104.40 | |
| G0008 | Administration of influenza virus vaccine | <1% | 56 | $81.94 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 25 | $26.74 |
| 96160 | <1% | 14 | $20.54 | |
| 3008F | <1% | 21,483 | $6.00 | |
| 99024 | <1% | 1,389 | $4.95 | |
| 99499 | <1% | 164 | $0.23 | |
| 3077F | 0% | 4,244 | $0.00 | |
| 1159F | 0% | 15,280 | $0.00 | |
| 1160F | 0% | 16,606 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 211 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 1,260 | $0.00 |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 742 | $0.00 |
| 3725F | 0% | 18,229 | $0.00 | |
| 2028F | 0% | 12 | $0.00 | |
| 99173 | 0% | 17 | $0.00 | |
| 3288F | 0% | 19 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 21,053 | $0.00 |
| 3079F | 0% | 8,788 | $0.00 | |
| 1125F | 0% | 580 | $0.00 | |
| 3044F | 0% | 824 | $0.00 | |
| 1036F | 0% | 20,784 | $0.00 | |
| 3080F | 0% | 2,515 | $0.00 | |
| 1034F | 0% | 3,381 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 26 | $0.00 |
| 3075F | 0% | 5,665 | $0.00 | |
| 1126F | 0% | 564 | $0.00 | |
| 1035F | 0% | 1,001 | $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.