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 Macomb Hospital Corporation (NPI 1134265986)

Henry Ford Macomb Hospital Corporation is a family medicine physician provider located in Clinton Twp, Michigan. This profile covers 0 Medicare and 106 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Henry Ford Macomb Hospital Corporation
Address	15717 15 Mile Rd
City	Clinton Twp
State	MI
ZIP	48035
Taxonomy	Family Medicine Physician
NPI Enumerated	January 29, 2007

Payer Source	Total Paid
Medicaid	$9.2M
Medicare	$0

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

106 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	52,990	$80	$4.2M
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…	25,910	$60	$1.4M
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	5,220	$100	$495.5K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	4,790	$90	$411.8K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	2,690	$110	$295.9K
99204	The provider sees a new 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 provider…	2,040	$110	$215.9K
99203	The provider sees a new 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 provider…	2,910	$70	$195K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	32,760	$10	$163.8K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,690	$80	$142.3K
90651	This code represents a nonavalent human papillomavirus (HPV) vaccine product administered into the muscle to protect against HPV infection. The vaccine protects against nine HPV types (6, 11, 16, 18,…	1,390	$80	$115.7K

Showing 1–10 of 106

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 Macomb Hospital Corporation — 7 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

106 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	43	4,380	1,000	$70	$289.9K
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…	215	4,770	1,060	$50	$247.8K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	83	310	850	$90	$215.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	448	630	430	$60	$180.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	560	950	740	$40	$166.5K
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…	291	670	730	$60	$140K
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…	271	590	850	$50	$134.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	434	760	240	$100	$121.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	113	1,170	170	$90	$107.9K
99204	The provider sees a new 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 provider…	225	1,860	220	$90	$96.9K

Showing 1–10 of 106

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Henry Ford Health System	MI	General Acute Care Hospital	$0	$335M
Henry Ford Health St. John Hospital	IL	General Acute Care Hospital	$0	$159.7M
Henry Ford Health Providence Hospital	MI	General Acute Care Hospital	$0	$72.8M
Henry Ford Health Macomb Oakland Hospital	MI	General Acute Care Hospital	$0	$59.2M
Henry Ford Health St. John Hospital	MI	Internal Medicine Physician	$0	$41.8M
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 Macomb Oakland Hospital	MI	General Acute Care Hospital	$0	$24.8M
Henry Ford Health System	MI	Internal Medicine Physician	$0	$24.4M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Creative Employment Opportunities, Inc.	MI	Developmentally Disabled Services Day Training Agency	$0	$25.3M
George Dillon	MI	Vascular Neurology Physician	$218.5K	$0
Shabbir Khambati	MI	Ophthalmology Physician	$173.1K	$0
Mark Segel	MI	Diagnostic Radiology Physician	$149.4K	$0
Eddie El-yussif	MI	Adult Reconstructive Orthopaedic Surgery Physician	$148.7K	$0
David Rossow	MI	Diagnostic Radiology Physician	$126.6K	$0
Khurram Rashid	MI	In Vivo & In Vitro Nuclear Medicine Physician	$121.3K	$0
Michigan Neurology Associates, P.C.	MI	Ambulatory Surgical Clinic/Center	$106.4K	$0
Andrew Marcell	MI	Optometrist	$90.9K	$0
Albert Przybylski	MI	Family Medicine Physician	$85.9K	$0

Henry Ford Macomb Hospital Corporation — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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