Henry Ford Health System
Henry Ford Health System was paid $4.03M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 39% of everything it billed.
DETROIT, MI 48202
Next to other Pulmonary Disease 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 | 9,542 | $493K | |
| 2019 | 9,360 | $480K | |
| 2020 | 8,622 | $520K | |
| 2021 | 10,424 | $636K | |
| 2022 | 10,293 | $626K | |
| 2023 | 11,670 | $702K | |
| 2024incomplete | 9,834 | $569K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 39% | 26,567 | 7,088 | $1.56M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 19% | 6,293 | 2,757 | $756K |
| 99223 | Prolong inpt eval add15 m | 14% | 5,286 | 5,056 | $567K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.1% | 6,626 | 2,850 | $286K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.6% | 2,648 | 2,577 | $184K |
| 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 | 3.8% | 3,165 | 3,099 | $154K |
| 99205 | Prolong outpt/office vis | 3.7% | 1,603 | 1,594 | $150K |
| 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 | 2.9% | 1,617 | 1,607 | $117K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.7% | 1,607 | 1,570 | $70K |
| 99292 | <1% | 320 | 178 | $36K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 459 | 448 | $34K |
| 94010 | <1% | 5,351 | 5,292 | $25K |
21 more codes
| 94729 | <1% | 4,445 | $22K | |
| 94618 | <1% | 1,286 | $15K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 121 | $9K |
| 31624 | <1% | 204 | $7K | |
| 99255 | <1% | 64 | $7K | |
| 94726 | <1% | 1,019 | $7K | |
| 31622 | <1% | 73 | $5K | |
| 99418 | Prolong nursin fac eval 15m | <1% | 68 | $3K |
| 94060 | <1% | 469 | $3K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 24 | $1K |
| 31628 | <1% | 27 | $1K | |
| 99254 | <1% | 14 | $1K | |
| 95806 | <1% | 50 | $1K | |
| 31500 | <1% | 13 | $1K | |
| 36620 | <1% | 39 | $983.56 | |
| 99152 | <1% | 128 | $887.41 | |
| 95811 | <1% | 12 | $876.60 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 35 | $666.74 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 12 | $444.81 |
| 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% | 87 | $116.95 |
| G0296 | Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) | <1% | 13 | $104.00 |
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 | $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 |
| Henr Y Ford Health System | Detroit, MI | $2.03M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.