NP / PA
Henry Ford Health System
Henry Ford Health System was paid $10.45M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 99284, emergency room visit (serious) — 43% of everything it billed.
33Billing provider infoHENRY FORD HEALTH SYSTEM
DETROIT, MI 48202
DETROIT, MI 48202
33aNPI1811073901assigned 10/31/2006
33bProvider typePhysician Assistant
28Total paid$10.45M
24GClaims195,169
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physician Assistant providers in Michigan
Rank by total paid#3 of 80
Median peer was paid$36K
This provider vs. median292×
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.
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 | 25,064 | $1.19M | |
| 2019 | 32,884 | $1.42M | |
| 2020 | 21,865 | $1.12M | |
| 2021 | 24,830 | $1.39M | |
| 2022 | 27,778 | $1.61M | |
| 2023 | 31,083 | $1.79M | |
| 2024incomplete | 31,665 | $1.92M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 43% | 75,716 | 73,112 | $4.48M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 12% | 18,867 | 18,213 | $1.29M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 9.9% | 16,165 | 15,885 | $1.03M |
| 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 | 6.6% | 13,823 | 13,441 | $690K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 4.2% | 8,136 | 7,919 | $434K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.0% | 5,613 | 5,340 | $419K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 11,252 | 10,984 | $389K |
| 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% | 4,250 | 4,224 | $306K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.8% | 2,459 | 1,135 | $297K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 5,743 | 5,726 | $261K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.8% | 3,102 | 1,511 | $188K |
| 99223 | Prolong inpt eval add15 m | 1.2% | 1,244 | 1,176 | $123K |
43 more codes
| 10060 | <1% | 1,235 | $72K | |
| 99205 | Prolong outpt/office vis | <1% | 660 | $66K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 1,158 | $48K |
| 99292 | <1% | 442 | $47K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 7,655 | $36K |
| 69210 | <1% | 1,570 | $35K | |
| 12001 | <1% | 1,130 | $30K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 565 | $27K |
| 99418 | Prolong nursin fac eval 15m | <1% | 602 | $27K |
| 31575 | <1% | 620 | $24K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 809 | $16K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 235 | $13K |
| 31231 | <1% | 345 | $13K | |
| 49083 | <1% | 184 | $11K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 186 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 555 | $11K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 152 | $10K |
| 20610 | <1% | 213 | $6K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 95 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 86 | $6K |
| 17110 | <1% | 133 | $5K | |
| 99220 | <1% | 44 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 101 | $3K |
| 12002 | <1% | 69 | $2K | |
| 99255 | <1% | 19 | $2K | |
| 12011 | <1% | 57 | $2K | |
| 11721 | <1% | 172 | $2K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 46 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 24 | $2K |
| 99245 | <1% | 13 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | $948.25 |
| G0316 | Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) | <1% | 74 | $499.94 |
| 91200 | <1% | 65 | $483.18 | |
| G0168 | Wound closure utilizing tissue adhesive(s) only | <1% | 16 | $470.31 |
| 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% | 390 | $418.32 |
| 99406 | <1% | 51 | $321.09 | |
| 3074F | <1% | 2,902 | $32.84 | |
| 3079F | 0% | 982 | $0.00 | |
| 3075F | 0% | 415 | $0.00 | |
| 3351F | 0% | 1,974 | $0.00 | |
| 3080F | 0% | 12 | $0.00 | |
| 3078F | 0% | 2,662 | $0.00 | |
| 3077F | 0% | 68 | $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 officialPHILLIPS, SHANNON (PROVIDER ENROLLMENT SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Henry Ford Macomb Hospital Corporation | Clinton Twp, MI | $502K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.