Henry Ford Health System
Henry Ford Health System was paid $1.54M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.
DETROIT, MI 48202
Next to other Otolaryngology Physician providers in Michigan
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,584 | $186K | |
| 2019 | 4,341 | $186K | |
| 2020 | 3,580 | $158K | |
| 2021 | 4,440 | $208K | |
| 2022 | 4,984 | $233K | |
| 2023 | 6,017 | $299K | |
| 2024incomplete | 5,129 | $274K |
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 | 20% | 9,298 | 9,030 | $315K |
| 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 | 17% | 3,676 | 3,661 | $265K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 16% | 5,474 | 5,466 | $254K |
| 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% | 4,316 | 4,249 | $218K |
| 31231 | 7.5% | 3,049 | 2,989 | $116K | |
| 31575 | 6.7% | 2,773 | 2,677 | $104K | |
| 31579 | 5.5% | 1,250 | 1,221 | $84K | |
| 99223 | Prolong inpt eval add15 m | 4.6% | 655 | 651 | $71K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 2.4% | 204 | 203 | $36K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.0% | 372 | 363 | $30K |
| 69210 | 1.9% | 1,381 | 1,363 | $30K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 44 | 43 | $5K |
12 more codes
| 30520 | <1% | 12 | $4K | |
| 30140 | <1% | 41 | $4K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 150 | $3K |
| 99254 | <1% | 13 | $1K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 19 | $745.74 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 31 | $653.16 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $407.92 |
| 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% | 59 | $63.67 |
| 92504 | <1% | 172 | $3.98 | |
| 3078F | 0% | 14 | $0.00 | |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | 0% | 44 | $0.00 |
| 3074F | 0% | 14 | $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.
Who's on the registration
| 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 | $5.18M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.