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 Providence Hospital (NPI 1144210253)

Field	Value
Entity Type	Organization
Organization	Henry Ford Health Providence Hospital
Address	47601 Grand River Ave
City	Novi
State	MI
ZIP	48374
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 28, 2005

Payer Source	Total Paid
Medicaid	$72.8M
Medicare	$0

Key Findings

This provider effectively operates on a Medicaid-centric revenue base: there is no Medicare billing on file and lifetime Medicaid revenue is $72.8M, so Medicaid is the dominant (in practice, sole reported) public payer for this entity. The provider’s NPI was enumerated on 2005-10-28 (~21 years ago), indicating an established presence in the market.

Revenue is highly concentrated in emergency department evaluation-and-management services: the top three Medicaid revenue codes (99285, 99284, 99283) together account for 56.5% of the provider’s total Medicaid revenue. Individually those codes generate $15.2M (24.4%) for 99285, $12.1M (19.4%) for 99284, and $8M (12.8%) for 99283, making ED care the primary revenue driver.

The code mix points to a high-volume acute care and emergency operation with substantial observation and outpatient treatment capacity: in addition to the ED E/M codes, the provider reports G0463 (hospital outpatient clinic visits) with $5.5M (8.8%) and G0378 (hospital observation, per hour) with $4.3M (6.8%). Frequent IV medication and infusion activity is evident from 96374 ($4.2M, 6.7%), 96361 ($1.2M, 1.9%), and 96360 ($753.4K, 1.2%), which together suggest significant throughput for short infusions and ED/observation therapies.

On competitive standing for emergency care within Michigan, the provider shows above-typical state volume for several ED E/M levels: 99284 ranks #22 of 477 in-state (96th percentile; notably above typical state volume) and 99283 ranks #26 of 447 (94th percentile; notably above typical state volume), while 99285 ranks #39 of 404 (91th percentile; typical, unremarkable volume). These rankings indicate the hospital is a high-volume ED compared with most in-state peers, particularly at the moderate and low ED acuity levels.

There are multiple statistical outliers that signal specialized throughput areas: U0002 (COVID-19 test) is ranked #2 of 127 in-state (99th percentile; extreme outlier, far above typical state volume) and 96372 (therapeutic/subcutaneous injections) is in the 99th percentile (extreme outlier, far above typical state volume), both reflecting exceptionally high volumes relative to peers. Other codes with notably above-typical statewide volumes include 96374 (97th percentile) and 11042 (98th percentile), underscoring concentrated activity in medication administration and wound debridement.

Imaging and diagnostic services contribute meaningfully to the outpatient mix and support the acute-care profile: echocardiography 93306 generates $1.1M (1.8%) and CT head 70450 generates $767.6K (1.2%), while higher-revenue advanced imaging and cath imaging appear as 93458 ($470.8K, 0.8%) and 74177 ($710.6K, 1.1%). These code-level revenues and percent shares show the provider maintains substantial in-house diagnostic capacity that complements ED and observation workflows.

Although the top three ED codes dominate revenue, the Medicaid portfolio remains diversified across clinic visits, observation hours, infusion/med administration, laboratory testing, and procedural care: notable contributors include G0463 ($5.5M, 8.8%), G0378 ($4.3M, 6.8%), 96374 ($4.2M, 6.7%), and lab codes such as 80061 ($909.9K, 1.5%). This spread indicates the hospital captures revenue from multiple ambulatory and short-stay service lines beyond initial ED encounters.

For payers and network planners, the profile signals a well-established acute-care hospital with exceptional Medicaid ED throughput and high-volume testing/infusion services. The absence of Medicare filings paired with $72.8M in Medicaid revenue makes this provider effectively single-payer (Medicaid) in the available public data, which should factor into risk, network adequacy, and contracting discussions for Medicaid populations.

Medicaid: Complete Services Breakdown

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

437 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.	47,090	$320	$15.2M
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.	73,320	$170	$12.1M
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.	62,750	$130	$8M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	105,930	$50	$5.5M
G0378	Hospital observation service, per hour	16,280	$260	$4.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	51,770	$80	$4.2M
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.	30,970	$40	$1.2M
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…	6,590	$170	$1.1M
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.	11,300	$80	$949.4K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	2,790	$330	$909.9K

Showing 1–10 of 437

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 Providence Hospital — 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

437 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	21	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.	39	400	1,510	$190	$2.6M
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.	22	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.	26	450	1,540	$90	$1.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	5	150	7,610	$90	$1.2M
G0378	Hospital observation service, per hour	14	100	2,820	$180	$1.1M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	70	160	2,720	$60	$546.6K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	48	230	2,380	$90	$490K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	145	160	2,030	$60	$407.6K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	94	270	510	$140	$395.2K

Showing 1–10 of 437

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Henry Ford Health St. John Hospital	IL	General Acute Care Hospital	$0	$159.7M
Independent Emergency Physicians, P.C.	MI	Emergency Medical Services (Emergency Medicine) Physician	$0	$39M
Henry Ford Macomb Hospital Corporation	MI	Family Medicine Physician	$0	$9.2M
Henry Ford Health Providence Hospital	MI	Obstetrics & Gynecology Physician	$0	$9M
Covenant Medical Center, Inc.	MI	Family Medicine Physician	$0	$6M
Tareq Baghal	MI	Cardiovascular Disease Physician	$1M	$0
Herman Kado	MI	Cardiovascular Disease Physician	$771.5K	$0
Zakwan Mahjoub	MI	Interventional Cardiology Physician	$687K	$0
Ali Alsaadi	MI	Internal Medicine Physician	$591.4K	$0
George Dirani	MI	Cardiovascular Disease Physician	$514.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Ventures, LLC	MI	Ambulatory Surgical Clinic/Center	$989.1K	$0
Patrick Mclaughlin	MI	Radiation Oncology Physician	$737.5K	$0
Michigan Endoscopy Center At Providence Park	MI	Ambulatory Surgical Clinic/Center	$470.1K	$0
Ashley Batwo	MI	Occupational Therapist	$379.1K	$0
Naz Haque	MI	Internal Medicine Physician	$216.7K	$0
Michael Jacobs	MI	Surgery Physician	$137.4K	$0
David Wadowski	MI	Ophthalmology Physician	$132.3K	$0
Patrick Alexander	MI	Interventional Cardiology Physician	$113.5K	$0
Bradley Rowens	MI	Pulmonary Disease Physician	$110.4K	$0
Jeffrey Placzek	MI	Orthopaedic Hand Surgery Physician	$98.4K	$0

Henry Ford Health Providence Hospital — 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