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 Macomb Oakland Hospital (NPI 1215139233)

Field	Value
Entity Type	Organization
Organization	Henry Ford Health Macomb Oakland Hospital
Address	27351 Dequindre Rd
City	Madison Heights
State	MI
ZIP	48071
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 1, 2007

Payer Source	Total Paid
Medicaid	$24.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

214 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.	20,880	$310	$6.4M
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.	27,740	$160	$4.4M
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.	22,850	$130	$2.9M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	22,600	$80	$1.8M
G0378	Hospital observation service, per hour	7,460	$190	$1.4M
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	3,190	$380	$1.2M
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.	5,120	$120	$604.5K
43235	The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.	1,760	$340	$600.2K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	1,490	$380	$564K
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.	13,460	$40	$498.1K

Showing 1–10 of 214

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 Macomb Oakland Hospital — 2 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

214 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.	67	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.	72	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.	74	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.	31	150	7,610	$90	$1.2M
G0378	Hospital observation service, per hour	27	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…	95	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.	69	230	2,380	$90	$490K
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…	139	270	510	$140	$395.2K
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.	38	140	5,720	$40	$381.8K
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.	99	260	2,670	$70	$348.7K

Showing 1–10 of 214

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Henry Ford Health Macomb Oakland Hospital	MI	General Acute Care Hospital	$0	$59.2M
Henry Ford Macomb Hospital Corporation	MI	Family Medicine Physician	$0	$9.2M
Martin Belkin	MI	Neurology Physician	$4.7M	$0
Srinivas Koneru	MI	Cardiovascular Disease Physician	$984.1K	$0
Herman Kado	MI	Cardiovascular Disease Physician	$771.5K	$0
Luay Sayed	MI	Interventional Cardiology Physician	$593.6K	$0
George Dirani	MI	Cardiovascular Disease Physician	$514.1K	$0
Amir Kaki	MI	Interventional Cardiology Physician	$492.4K	$0
Mark Zainea	MI	Interventional Cardiology Physician	$478.2K	$0
Brett Malbin	MI	Ophthalmology Physician	$477.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwood Inc	MI	Durable Medical Equipment & Medical Supplies	$0	$39.5M
Sacred Heart Rehabilitation Center, Inc	MI	Community/Behavioral Health Agency	$206.2K	$11.1M
William Beaumont Hospital	MI	Home Health Agency	$0	$5.3M
Clinical Connect Laboratories, LLC	MI	Clinical Medical Laboratory	$1.4M	$3.8M
Db Labs LLC	MI	Clinical Medical Laboratory	$144.9K	$3.1M
Jeffrey Margolis	MI	Hematology & Oncology Physician	$3M	$0
Savitha Balaraman	MI	Medical Oncology Physician	$1.1M	$0
Gary Langnas	MI	Internal Medicine Physician	$493.6K	$0
James Kohlenberg	MI	Internal Medicine Physician	$323.5K	$0
Ryan Chartrand	MI	Urology Physician	$233.7K	$0

Henry Ford Health Macomb Oakland Hospital — Billing Profile & Reimbursement Data

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Henry Ford Health Macomb Oakland Hospital — 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