Medicaid Provider Spending

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

HENRY FORD HEALTH SYSTEM

NPI: 1982787487 · DETROIT, MI 48202 · Advanced Heart Failure and Transplant Cardiology Physician · NPI assigned 10/20/2006

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

Authorized official SMITH, MARK controls 20+ related entities in our dataset. Read more

$5.17M
Total Medicaid Paid
212,029
Total Claims
175,678
Beneficiaries
62
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, MARK (SR VP CMO)
NPI Enumeration Date10/20/2006

Related Entities

Other providers sharing the same authorized official: SMITH, MARK

ProviderCityStateTotal Paid
HUNTINGTON CARE, LLC ROSEVILLE CA $7.66M
WA FOOTE MEMORIAL HOSPITAL INC JACKSON MI $3.61M
HENRY FORD HEALTH SYSTEM DETROIT MI $3.37M
W. A. FOOTE MEMORIAL HOSPITAL, INC JACKSON MI $2.83M
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $2.38M
HAND IN HAND BETTENDORF IA $1.53M
DRS. MARK & STEVEN SMITH GREENEVILLE TN $1.17M
HENRY FORD WYANDOTTE HOSPITAL ALLEN PARK MI $803K
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $645K
WA FOOTE MEMORIAL HOSPITAL, INC JACKSON MI $600K
HENRY FORD WYANDOTTE HOSPITAL BROWNSTOWN TWP MI $322K
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $311K
HENRY FORD WYANDOTTE HOSPITAL TRENTON MI $294K
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $278K
T H SMITH OD AND THOMAS K SMITH OD PC MC KENZIE TN $263K
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $237K
MARK A. SMITH MD INC. AKRON OH $124K
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $112K
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $104K
HENRY FORD WYANDOTTE HOSPITAL WYANDOTTE MI $83K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26,242 $675K
2019 28,052 $688K
2020 27,207 $630K
2021 30,646 $727K
2022 31,814 $808K
2023 33,935 $813K
2024 34,133 $825K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 26,682 25,859 $1.06M
99233 Prolong inpt eval add15 m 10,053 3,064 $561K
99223 Prolong inpt eval add15 m 5,042 4,582 $523K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,219 7,106 $350K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,478 649 $298K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,152 4,127 $297K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 64,010 44,434 $295K
99215 Prolong outpt/office vis 4,055 3,974 $282K
99232 Subsequent hospital care, per day, moderate complexity 5,207 2,491 $208K
93458 1,072 1,060 $147K
99205 Prolong outpt/office vis 1,428 1,421 $127K
93312 1,442 1,421 $85K
93350 2,102 2,096 $82K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,674 1,673 $76K
99238 Hospital discharge day management, 30 minutes or less 1,743 1,717 $74K
99255 581 542 $63K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 1,589 1,470 $58K
93016 4,535 4,478 $54K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,678 1,660 $53K
93320 5,158 5,010 $52K
93451 738 680 $49K
93295 2,062 2,060 $43K
93308 2,905 2,553 $40K
93018 4,556 4,501 $36K
99222 Initial hospital care, per day, moderate complexity 436 426 $31K
93750 1,333 408 $29K
92978 535 510 $26K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 553 550 $25K
99152 3,669 3,250 $25K
92928 84 67 $21K
93298 1,397 1,392 $20K
99254 154 151 $14K
93325 7,265 6,737 $13K
93321 2,584 2,330 $10K
93460 40 40 $8K
76377 339 336 $7K
93356 715 713 $5K
93319 296 294 $4K
93227 251 251 $3K
93294 176 176 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 62 38 $1K
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) 564 560 $1K
93244 80 80 $1K
99418 Prolong nursin fac eval 15m 32 13 $1K
99153 Mod sedat endo service >5yrs 1,061 973 $666.95
93248 40 40 $583.46
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 24 23 $489.41
93280 13 13 $285.87
93282 12 12 $272.92
76376 39 38 $187.70
93272 12 12 $144.91
3074F 7,846 7,749 $0.18
3078F 7,581 7,489 $0.18
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 28 27 $0.02
3022F 4,097 3,851 $0.00
3080F 1,359 1,353 $0.00
3075F 1,870 1,865 $0.00
3079F 2,958 2,944 $0.00
3055F 134 125 $0.00
3351F 28 28 $0.00
3044F 12 12 $0.00
3077F 2,189 2,174 $0.00