Medicaid Provider Spending

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

HENRY FORD HEALTH ROCHESTER HOSPITAL

NPI: 1457704850 · ROCHESTER, MI 48307 · Obstetrics & Gynecology Physician · NPI assigned 07/20/2016

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

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

$4.28M
Total Medicaid Paid
286,197
Total Claims
263,267
Beneficiaries
93
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCEBALT, KIMBERLY (MANAGER OF PROVIDER AFFAIRS)
NPI Enumeration Date07/20/2016

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 MACOMB-OAKLAND HOSPITAL WARREN MI $5.07M
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 17,714 $313K
2019 23,781 $437K
2020 19,653 $465K
2021 38,835 $716K
2022 56,151 $722K
2023 76,359 $857K
2024 53,704 $773K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20,356 19,089 $1.44M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24,476 22,381 $1.16M
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 4,611 4,564 $399K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3,873 3,832 $298K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,201 2,167 $198K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,889 2,838 $162K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,071 2,941 $96K
99215 Prolong outpt/office vis 713 685 $62K
99385 556 549 $48K
99232 Subsequent hospital care, per day, moderate complexity 942 439 $41K
99238 Hospital discharge day management, 30 minutes or less 869 845 $36K
99222 Initial hospital care, per day, moderate complexity 552 527 $36K
99442 865 828 $35K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 405 405 $30K
73564 1,341 1,145 $21K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,056 2,910 $20K
20610 660 605 $18K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 907 900 $17K
93000 1,719 1,698 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,341 1,318 $13K
90686 713 707 $13K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 188 188 $12K
73610 671 627 $9K
73630 693 636 $8K
99231 Subsequent hospital care, per day, straightforward or low complexity 384 178 $8K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 321 317 $7K
36415 Collection of venous blood by venipuncture 1,970 1,896 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 710 690 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 529 377 $6K
99441 262 258 $6K
99223 Prolong inpt eval add15 m 54 49 $5K
99460 78 78 $5K
90674 148 148 $5K
99402 118 112 $4K
20611 97 82 $4K
81003 2,235 2,197 $3K
99443 69 69 $3K
99406 554 539 $3K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 2,349 2,282 $3K
83036 Hemoglobin; glycosylated (A1C) 667 659 $3K
81002 972 932 $2K
90656 123 118 $2K
99221 57 57 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 505 489 $2K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 46 40 $2K
99205 Prolong outpt/office vis 12 12 $1K
99386 13 13 $1K
73503 41 40 $1K
90661 34 34 $964.35
J1030 Injection, methylprednisolone acetate, 40 mg 107 99 $761.68
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12 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) 322 314 $597.59
73030 42 39 $562.54
77073 24 24 $517.15
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 87 85 $500.03
0012A 13 13 $464.13
81025 65 65 $387.94
99000 1,184 1,140 $362.35
99403 21 21 $282.46
0011A 13 13 $208.92
96127 78 78 $194.88
3078F 23,915 22,214 $160.06
3074F 25,302 23,412 $160.06
90662 36 36 $148.94
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) 13 12 $145.92
99459 15 14 $104.40
G0008 Administration of influenza virus vaccine 56 56 $81.94
J1885 Injection, ketorolac tromethamine, per 15 mg 25 24 $26.74
96160 14 14 $20.54
3008F 21,483 19,503 $6.00
99024 1,389 1,269 $4.95
99499 164 160 $0.23
3077F 4,244 3,989 $0.00
1159F 15,280 13,572 $0.00
1160F 16,606 14,772 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 211 210 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 1,260 1,180 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 742 695 $0.00
3725F 18,229 16,806 $0.00
2028F 12 12 $0.00
99173 17 14 $0.00
3288F 19 15 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 21,053 18,992 $0.00
3079F 8,788 8,392 $0.00
1125F 580 550 $0.00
3044F 824 811 $0.00
1036F 20,784 17,987 $0.00
3080F 2,515 2,391 $0.00
1034F 3,381 2,888 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 26 26 $0.00
3075F 5,665 5,449 $0.00
1126F 564 548 $0.00
1035F 1,001 861 $0.00