Clinic
Henry Ford Health Macomb-Oakland Hospital
Henry Ford Health Macomb-Oakland Hospital was paid $330K by Medicaid between Jan 2018 and Sep 2022, across 39 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoHENRY FORD HEALTH MACOMB-OAKLAND HOSPITAL
MADISON HEIGHTS, MI 48071
MADISON HEIGHTS, MI 48071
33aNPI1720390453assigned 07/10/2010
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$330K
24GClaims24,511
24DCodes billed39
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Michigan
Rank by total paid#24 of 44
Median peer was paid$362K
This provider vs. median0.9×
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 | 3,351 | $103K | |
| 2019 | 2,113 | $35K | |
| 2020 | 1,291 | $39K | |
| 2021 | 9,227 | $79K | |
| 2022 | 8,529 | $74K |
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 | 52% | 3,071 | 2,927 | $172K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 1,770 | 1,678 | $61K |
| 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 | 7.7% | 301 | 299 | $25K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 7.2% | 373 | 363 | $24K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.4% | 306 | 96 | $11K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 2.9% | 186 | 177 | $10K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.3% | 104 | 100 | $8K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.2% | 103 | 101 | $7K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.0% | 115 | 113 | $7K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 639 | 632 | $3K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 19 | 14 | $2K |
| 99406 | <1% | 42 | 32 | $342.09 |
27 more codes
| 99000 | <1% | 760 | $135.00 | |
| 94010 | <1% | 14 | $67.74 | |
| 96127 | <1% | 44 | $45.33 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 43 | $28.48 |
| 36415 | Collection of venous blood by venipuncture | <1% | 29 | $16.18 |
| 1036F | 0% | 1,786 | $0.00 | |
| 1034F | 0% | 327 | $0.00 | |
| 3044F | 0% | 345 | $0.00 | |
| 3074F | 0% | 2,217 | $0.00 | |
| 3080F | 0% | 26 | $0.00 | |
| 1126F | 0% | 1,120 | $0.00 | |
| 3008F | 0% | 2,089 | $0.00 | |
| 3075F | 0% | 111 | $0.00 | |
| 1125F | 0% | 852 | $0.00 | |
| 3079F | 0% | 717 | $0.00 | |
| 94760 | 0% | 45 | $0.00 | |
| 3052F | 0% | 218 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 13 | $0.00 |
| 1035F | 0% | 16 | $0.00 | |
| 3077F | 0% | 31 | $0.00 | |
| 3078F | 0% | 1,611 | $0.00 | |
| 1160F | 0% | 1,804 | $0.00 | |
| 3725F | 0% | 1,484 | $0.00 | |
| 3046F | 0% | 225 | $0.00 | |
| 3051F | 0% | 233 | $0.00 | |
| 1159F | 0% | 1,306 | $0.00 | |
| 3288F | 0% | 16 | $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.