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 1134144801)

Field	Value
Entity Type	Organization
Organization	Henry Ford Health System
Address	2799 W Grand Blvd
City	Detroit
State	MI
ZIP	48202
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 13, 2006

Payer Source	Total Paid
Medicaid	$335M
Medicare	$0

Key Findings

This provider is effectively single-payer in the available data: there is no Medicare billing on file while total Medicaid revenue is $335M, so all reported fee-for-service activity in the dataset is Medicaid-based. The absence of Medicare claims prevents benchmarking against national Medicare volumes and constrains comparisons to Medicaid-only dynamics in Michigan.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 54.5% of the provider's total Medicaid revenue. Those top three are 99285 with $62.1M revenue (203.1K claims, $306 avg paid/claim, 26.7% of Medicaid revenue), G0463 with $42.4M revenue (986.9K claims, $43 avg paid/claim, 18.2% of Medicaid revenue), and 99284 with $22.3M revenue (129.7K claims, $172 avg paid/claim, 9.6% of Medicaid revenue).

The code mix points to a large emergency department and ambulatory hospital clinic operation: high-volume, high-acuity ED codes such as 99285 (203.1K claims) and 99284 (129.7K claims) drive a large share of revenue, and outpatient clinic visits billed to G0463 (986.9K claims) add substantial ambulatory throughput. Observation and short-stay services are also material, with G0378 generating $5.5M in revenue and ranking notably above typical state volume, suggesting integrated ED-to-observation workflows.

Infusion, chemotherapy, and biologic administration are significant service lines. High-volume infusion/IV administration codes—96374 (121.6K claims, $12.3M revenue, rank #1 of 148, 100th percentile), 96361 (129.2K claims, $6.5M revenue, rank #1 of 141, 100th percentile), 96365 (46.2K claims, $4.6M revenue, rank #1 of 165, 100th percentile), and 96360 (33.4K claims, $3.5M revenue, rank #1 of 127, 100th percentile)—along with chemotherapy code 96413 and high-cost biologics J9271 (1.3K claims, $6.9M revenue) and Q5103 (4.8K claims, $4.3M revenue) indicate a substantial infusion/oncology service footprint within the Medicaid population.

Competitive standing in-state is dominant for multiple high-revenue codes: 99285 ranks #3 of 404 providers in-state at the 100th percentile and is described as an extreme outlier, G0463 ranks #2 of 153 providers at the 99th percentile as an extreme outlier, and 99284 ranks #12 of 477 providers at the 98th percentile as an extreme outlier. Those rank/percentile positions, along with numerous #1 rankings across infusion and diagnostic services, position the provider as a major Medicaid market participant in Michigan for ED, outpatient clinic, and infusion services.

Service breadth extends beyond ED and infusion to diagnostics, preventive care, and high-volume procedural imaging and testing. Examples include multiplex respiratory testing 87636 (76.3K claims, $5.8M revenue, rank #1 of 139, 100th percentile), CT abdomen/pelvis 74177 (30.6K claims, $4M revenue, rank #6 of 229, 98th percentile), CT head 70450 (24.9K claims, $2.4M revenue, rank #9 of 225, 96th percentile), preventive medicine 99392 (44.2K claims, $3M revenue, rank #2 of 666, 100th percentile), and vaccine administration 90460 (105K claims, $2.4M revenue, rank #1 of 542, 100th percentile).

Multiple codes are labeled as statistical outliers relative to in-state peers, which is operationally important for downstream analysis rather than an inference of wrongdoing. In addition to the extreme outlier status of core ED and clinic codes, several infusion and ancillary-service codes are also extreme outliers or notably above typical state volume (for example, 96375 rank #1 of 155 at the 100th percentile, 71046 rank #4 of 519 at the 99th percentile). These concentrated, outlier-level volumes warrant deeper case-mix, capacity, and referral-pattern review to explain the deviation from typical peer behavior.

The NPI tenure and sustained high claim counts underscore institutional scale: the provider was enumerated on 2006-07-13 (~20 years ago) and reports very large claim volumes such as G0463 at 986.9K claims and 99285 at 203.1K claims. Those tenure and volume signals together suggest a long-standing, high-capacity hospital system with sustained Medicaid-facing operations in Michigan.

Medicaid: Complete Services Breakdown

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

1030 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	203,080	$310	$62.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	986,870	$40	$42.4M
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.	129,710	$170	$22.3M
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.	173,750	$120	$20.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	121,610	$100	$12.3M
J9271	Injection, pembrolizumab, 1 mg	1,280	$5,380	$6.9M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	129,220	$50	$6.5M
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	76,350	$80	$5.8M
G0378	Hospital observation service, per hour	20,590	$270	$5.5M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	46,210	$100	$4.6M

Showing 1–10 of 1030

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 — 21 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

1030 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	5	10	90	$6,340	$5.2M
J9299	Injection, nivolumab, 1 mg	5	10	370	$4,840	$3.6M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	2	150	5,330	$50	$2.8M
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.	3	400	1,510	$190	$2.6M
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	2	10	460	$1,360	$2.6M
J0178	Injection, aflibercept, 1 mg	12	20	1,170	$1,140	$2.1M
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.	12	480	1,350	$110	$1.7M
J3380	Injection, vedolizumab, intravenous, 1 mg	5	10	360	$2,850	$1.6M
Q5103	Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg	2	10	440	$970	$1.4M
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.	3	450	1,540	$90	$1.3M

Showing 1–10 of 1030

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 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	Pediatrics Physician	$0	$25.7M
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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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References