Medicaid Provider Spending

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

HENRY FORD HEALTH SYSTEM

NPI: 1811073901 · DETROIT, MI 48202 · Physician Assistant · NPI assigned 10/31/2006

$10.45M
Total Medicaid Paid
195,169
Total Claims
185,566
Beneficiaries
55
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPHILLIPS, SHANNON (PROVIDER ENROLLMENT SPECIALIST)
NPI Enumeration Date10/31/2006

Related Entities

Other providers sharing the same authorized official: PHILLIPS, SHANNON

ProviderCityStateTotal Paid
HENRY FORD MACOMB HOSPITAL CORPORATION CLINTON TWP MI $502K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 31,665 $1.92M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 75,716 73,112 $4.48M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 18,867 18,213 $1.29M
99283 Emergency department visit for the evaluation and management, moderate severity 16,165 15,885 $1.03M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,823 13,441 $690K
99282 Emergency department visit for the evaluation and management, low to moderate severity 8,136 7,919 $434K
99215 Prolong outpt/office vis 5,613 5,340 $419K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,252 10,984 $389K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,250 4,224 $306K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,459 1,135 $297K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5,743 5,726 $261K
99233 Prolong inpt eval add15 m 3,102 1,511 $188K
99223 Prolong inpt eval add15 m 1,244 1,176 $123K
10060 1,235 1,219 $72K
99205 Prolong outpt/office vis 660 658 $66K
99232 Subsequent hospital care, per day, moderate complexity 1,158 676 $48K
99292 442 266 $47K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 7,655 7,414 $36K
69210 1,570 1,537 $35K
12001 1,130 1,128 $30K
99281 Emergency department visit for the evaluation and management, self-limited or minor 565 563 $27K
99418 Prolong nursin fac eval 15m 602 334 $27K
31575 620 618 $24K
99231 Subsequent hospital care, per day, straightforward or low complexity 809 453 $16K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 235 235 $13K
31231 345 344 $13K
49083 184 112 $11K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 186 186 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 555 546 $11K
99222 Initial hospital care, per day, moderate complexity 152 146 $10K
20610 213 190 $6K
99239 Hospital discharge day management, more than 30 minutes 95 95 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 86 86 $6K
17110 133 125 $5K
99220 44 44 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 101 101 $3K
12002 69 69 $2K
99255 19 19 $2K
12011 57 57 $2K
11721 172 172 $2K
99308 Subsequent nursing facility care, per day, straightforward 46 42 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 24 24 $2K
99245 13 13 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 13 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) 74 58 $499.94
91200 65 64 $483.18
G0168 Wound closure utilizing tissue adhesive(s) only 16 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) 390 370 $418.32
99406 51 50 $321.09
3074F 2,902 2,836 $32.84
3079F 982 966 $0.00
3075F 415 409 $0.00
3351F 1,974 1,965 $0.00
3080F 12 12 $0.00
3078F 2,662 2,601 $0.00
3077F 68 68 $0.00