Henry Ford Health System
Henry Ford Health System was paid $3.43M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 17% of everything it billed.
DETROIT, MI 48202
Next to other Ophthalmology 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 | 14,342 | $466K | |
| 2019 | 14,854 | $471K | |
| 2020 | 11,891 | $383K | |
| 2021 | 15,211 | $516K | |
| 2022 | 15,135 | $506K | |
| 2023 | 15,638 | $543K | |
| 2024incomplete | 14,528 | $548K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 17% | 14,623 | 14,162 | $581K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13% | 8,678 | 8,661 | $445K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 11% | 1,425 | 1,354 | $391K |
| 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 | 9.7% | 6,676 | 6,444 | $333K |
| 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 | 7.5% | 3,629 | 3,620 | $259K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.2% | 6,431 | 6,216 | $212K |
| 67028 | Intravitreal injection of a pharmacologic agent | 5.1% | 3,276 | 3,098 | $176K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.8% | 6,054 | 5,553 | $166K |
| 67228 | 4.8% | 1,013 | 875 | $164K | |
| 92134 | 4.0% | 10,483 | 10,027 | $139K | |
| 92250 | 2.9% | 8,418 | 8,158 | $98K | |
| 92083 | 2.5% | 5,716 | 5,680 | $85K |
24 more codes
| 92133 | 2.2% | 6,484 | $74K | |
| 99215 | Doctor's office visit, returning patient (complex) | 1.9% | 840 | $66K |
| 92015 | Determination of refractive state | 1.9% | 6,313 | $66K |
| 92136 | <1% | 1,864 | $29K | |
| 92235 | <1% | 1,145 | $27K | |
| 66982 | <1% | 63 | $22K | |
| 92060 | <1% | 898 | $19K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 382 | $17K |
| 92020 | <1% | 1,219 | $14K | |
| 76514 | <1% | 2,584 | $12K | |
| 92025 | <1% | 903 | $9K | |
| 92226 | <1% | 354 | $5K | |
| 99205 | Prolong outpt/office vis | <1% | 47 | $5K |
| 92202 | <1% | 597 | $5K | |
| 67210 | <1% | 16 | $4K | |
| 92225 | <1% | 187 | $3K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 37 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 84 | $2K |
| 76512 | <1% | 100 | $2K | |
| 92285 | <1% | 940 | $2K | |
| 92002 | <1% | 40 | $1K | |
| 92228 | <1% | 32 | $270.93 | |
| 76519 | <1% | 12 | $215.01 | |
| 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% | 36 | $191.40 |
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 | $4.03M |
| Henry Ford Health System | Detroit, MI | $3.96M |
| 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.