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 Rochester Hospital (NPI 1437176203)

Field	Value
Entity Type	Organization
Organization	Henry Ford Health Rochester Hospital
Address	1101 W University Dr
City	Rochester
State	MI
ZIP	48307
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 16, 2006

Payer Source	Total Paid
Medicaid	$12M
Medicare	$0

Medicaid: Complete Services Breakdown

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

231 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.	8,290	$390	$3.2M
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.	11,220	$180	$2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	20,890	$60	$1.2M
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.	9,150	$130	$1.2M
G0378	Hospital observation service, per hour	4,860	$190	$898.7K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	9,160	$80	$732.8K
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.	1,910	$120	$227.4K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	1,980	$100	$190.1K
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.	4,380	$40	$175.3K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	5,450	$20	$130.7K

Showing 1–10 of 231

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 Rochester Hospital — 0 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

231 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	50	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.	113	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.	132	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.	156	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.	64	150	7,610	$90	$1.2M
G0378	Hospital observation service, per hour	38	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…	116	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.	127	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…	159	160	2,030	$60	$407.6K
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.	85	140	5,720	$40	$381.8K

Showing 1–10 of 231

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Srinivas Koneru	MI	Cardiovascular Disease Physician	$984.1K	$0
Zakwan Mahjoub	MI	Interventional Cardiology Physician	$687K	$0
Nishit Choksi	MI	Cardiovascular Disease Physician	$472.5K	$0
Jay Pradhan	MI	Cardiovascular Disease Physician	$469.2K	$0
Samer Kazziha	MI	Cardiovascular Disease Physician	$345.5K	$0
Ayad Jazrawi	MI	Interventional Cardiology Physician	$316.9K	$0
Muhammad Kashlan	MI	Pulmonary Disease Physician	$316.4K	$0
Ahmad Ghabsha	MI	Internal Medicine Physician	$315K	$0
William Nazzaro	MI	Cardiovascular Disease Physician	$309.1K	$0
Anil Goel	MI	Cardiovascular Disease Physician	$301.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Consultants Of Troy, P.C.	MI	Pediatrics Physician	$0	$6.1M
Osi, LLC	MI	Ambulatory Surgical Clinic/Center	$1.8M	$0
Rochester Endoscopy & Surgery Center, L.L.C.	MI	Ambulatory Surgical Clinic/Center	$1.2M	$1.4K
Ayad Abrou	MI	MOHS-Micrographic Surgery Physician	$1.1M	$0
David Byrd	MI	MOHS-Micrographic Surgery Physician	$829.3K	$0
Delfin Santos	MI	Rheumatology Physician	$743K	$0
Mukesh Shah	MI	Hematology & Oncology Physician	$619.3K	$0
Farah Dawood-farah	MI	Endocrinology, Diabetes & Metabolism Physician	$533.3K	$0
Julie Byrd	MI	Dermatology Physician	$485.5K	$0
Bhavin Patel	MI	Allergy & Immunology Physician	$470.5K	$0

Henry Ford Health Rochester Hospital — Billing Profile & Reimbursement Data

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Henry Ford Health Rochester 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