Medicaid Provider Spending

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

HENRY FORD HEALTH MACOMB-OAKLAND HOSPITAL

NPI: 1720390453 · MADISON HEIGHTS, MI 48071 · Multi-Specialty Clinic/Center · NPI assigned 07/10/2010

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

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

$330K
Total Medicaid Paid
24,511
Total Claims
23,126
Beneficiaries
39
Codes Billed
2018-01
First Month
2022-09
Last Month

Provider Details

Authorized OfficialCEBALT, KIMBERLY (MANAGER OF PROVIDER AFFAIRS)
NPI Enumeration Date07/10/2010

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 ROCHESTER HOSPITAL ROCHESTER MI $4.28M
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
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 3,351 $103K
2019 2,113 $35K
2020 1,291 $39K
2021 9,227 $79K
2022 8,529 $74K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,071 2,927 $172K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,770 1,678 $61K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 301 299 $25K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 373 363 $24K
99232 Subsequent hospital care, per day, moderate complexity 306 96 $11K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 186 177 $10K
99222 Initial hospital care, per day, moderate complexity 104 100 $8K
99215 Prolong outpt/office vis 103 101 $7K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 115 113 $7K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 639 632 $3K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 19 14 $2K
99406 42 32 $342.09
99000 760 730 $135.00
94010 14 14 $67.74
96127 44 41 $45.33
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 43 43 $28.48
36415 Collection of venous blood by venipuncture 29 28 $16.18
1036F 1,786 1,664 $0.00
1034F 327 308 $0.00
3044F 345 343 $0.00
3074F 2,217 2,106 $0.00
3080F 26 25 $0.00
1126F 1,120 1,072 $0.00
3008F 2,089 1,957 $0.00
3075F 111 107 $0.00
1125F 852 813 $0.00
3079F 717 689 $0.00
94760 45 42 $0.00
3052F 218 217 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 13 13 $0.00
1035F 16 15 $0.00
3077F 31 26 $0.00
3078F 1,611 1,546 $0.00
1160F 1,804 1,676 $0.00
3725F 1,484 1,420 $0.00
3046F 225 223 $0.00
3051F 233 232 $0.00
1159F 1,306 1,231 $0.00
3288F 16 13 $0.00