Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Michigan for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Michigan only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Michigan (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Henry Ford Health System (NPI 1003990318)

Field	Value
Entity Type	Organization
Organization	Henry Ford Health System
Address	2799 W Grand Blvd
City	Detroit
State	MI
ZIP	48202
Taxonomy	Pediatrics Physician
NPI Enumerated	October 24, 2006

Payer Source	Total Paid
Medicaid	$25.7M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

72 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	72,850	$40	$3M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	48,520	$60	$2.9M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	7,750	$350	$2.7M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	45,390	$60	$2.6M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	53,150	$50	$2.6M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	19,020	$110	$2M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	27,890	$60	$1.6M
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	15,110	$70	$997.4K
99468	The provider evaluates and manages the initial care of a newborn or infant less than 28 days of age in a neonatal critical care setting.	1,080	$800	$859.4K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	18,160	$40	$780.7K

Showing 1–10 of 72

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.

Claims Volume vs. Michigan Distribution

Henry Ford Health System — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. Michigan median

72 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	186	400	1,510	$190	$2.6M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	13	20	1,000	$340	$2.5M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	5	20	2,940	$340	$1.8M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	119	480	1,350	$110	$1.7M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	198	450	1,540	$90	$1.3M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	5	20	3,450	$100	$916.9K
99468	The provider evaluates and manages the initial care of a newborn or infant less than 28 days of age in a neonatal critical care setting.	6	20	540	$770	$650.1K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	10	20	1,120	$100	$636.6K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	91	260	2,670	$70	$348.7K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	26	30	960	$100	$329.1K

Showing 1–10 of 72

Related Providers

Other providers that share a Tax Identification Number (TIN) with Henry Ford Health System, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Henry Ford Health System	MI	General Acute Care Hospital	$0	$335M
Henry Ford Macomb Hospital Corporation	MI	General Acute Care Hospital	$0	$40.9M
Henry Ford Health System	MI	Emergency Medicine Physician	$0	$30.4M
Henry Ford Health System	MI	Internal Medicine Physician	$0	$24.4M
Henry Ford Health System	MI	Diagnostic Radiology Physician	$0	$23M
Henry Ford Health System	MI	General Acute Care Hospital	$0	$19.3M
Henry Ford Health System	MI	Obstetrics & Gynecology Physician	$0	$17M
Henr Y Ford Health System	MI	Family Medicine Physician	$0	$11.8M
Henry Ford Health System	MI	Physician Assistant	$0	$10.4M
Henry Ford Health System	MI	Nurse Practitioner	$0	$9.6M

Nearby Providers

Other providers in the same ZIP code as Henry Ford Health System, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Addus Healthcare, Inc.	MI	In Home Supportive Care Agency	$0	$18.5M
The Wellness Plan Medical Centers	MI	Clinic/Center	$0	$17.5M
Detroit Wayne Mental Health Authority	MI	Community/Behavioral Health Agency	$0	$13.1M
Packard Group Inc	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$7.8M
Henry Ford Pathology	MI	Anatomic Pathology & Clinical Pathology Physician	$0	$6.9M
Henr Y Ford Health System	MI	Advanced Practice Midwife	$0	$6.3M
Henry Ford Health System	MI	Neurology Physician	$0	$5.9M
Henry Ford Health System	MI	Psychiatry Physician	$0	$5.6M
Black Family Development, Inc.	MI	Community/Behavioral Health Agency	$0	$5.6M
Henry Ford Health System	MI	Anesthesiology Physician	$0	$5.5M

Henry Ford Health System — Billing Profile & Reimbursement Data

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Henry Ford Health System — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References