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 1528113032)

Henry Ford Macomb Hospital Corporation is a advanced practice midwife provider located in Clinton Twp, Michigan. This profile covers 0 Medicare and 51 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	16151 19 Mile Rd
City	Clinton Twp
State	MI
ZIP	48038
Taxonomy	Advanced Practice Midwife
NPI Enumerated	January 24, 2007

Payer Source	Total Paid
Medicaid	$7.3M
Medicare	$0

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

51 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	2,240	$850	$1.9M
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	2,290	$760	$1.7M
59430	For this service, the provider or nonphysician healthcare professional provides care to the patient in the outpatient setting following the delivery. Routine postpartum care can involve one or more…	2,370	$200	$480.9K
59514	The provider admits the patient to the hospital for delivery, delivers the fetus and placenta via an abdominal incision, and provides care immediately after delivery on the same date of service. This…	560	$850	$480K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	4,770	$80	$391.2K
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…	6,080	$60	$370.8K
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…	7,260	$40	$319.5K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	8,010	$30	$200.2K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	2,080	$90	$189.3K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	2,550	$70	$168.6K

Showing 1–10 of 51

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 — 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

51 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	16	130	200	$750	$636K
59514	The provider admits the patient to the hospital for delivery, delivers the fetus and placenta via an abdominal incision, and provides care immediately after delivery on the same date of service. This…	19	50	230	$760	$523.3K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	8	160	260	$820	$506.6K
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…	690	4,380	1,000	$70	$289.9K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	24	30	140	$680	$283.7K
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…	774	4,770	1,060	$50	$247.8K
J7298	Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg	19	40	80	$680	$226.1K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	61	90	400	$90	$145.8K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	26	240	1,040	$50	$133.3K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	15	60	70	$410	$126K

Showing 1–10 of 51

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Henry Ford Macomb Hospital Corporation	MI	General Acute Care Hospital	$0	$40.9M
Henry Ford Macomb Hospital Corporation	MI	Family Medicine Physician	$0	$9.2M
Patrick Mclaughlin	MI	Radiation Oncology Physician	$737.5K	$0
Luay Sayed	MI	Interventional Cardiology Physician	$593.6K	$0
June Chan	MI	Radiation Oncology Physician	$420.6K	$0
Gunateet Goswami	MI	Cardiovascular Disease Physician	$409.1K	$0
Samer Kazziha	MI	Cardiovascular Disease Physician	$345.5K	$0
Subhi Sbahi	MI	Cardiovascular Disease Physician	$336K	$0
Fadi Al-qas Hanna	MI	Cardiovascular Disease Physician	$325.5K	$0
Majid Alzagoum	MI	Cardiovascular Disease Physician	$317.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Integrated Living, Inc.	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$28.5M
Henry Ford Cornerstone Medical Group	MI	Family Medicine Physician	$0	$14.2M
Morc Home Care Inc.	MI	Case Management Agency	$0	$7.6M
Professional Emergency Care, PC	MI	Emergency Medicine Physician	$0	$5.6M
Brian Loder	MI	Foot & Ankle Surgery Podiatrist	$2M	$0
Clinton Partners, LLC	MI	Ambulatory Surgical Clinic/Center	$886.1K	$0
Mohammadreza Kahnamouei	MI	Adult Medicine Physician	$545.6K	$0
Wei Su	MI	Dermatopathology Physician	$528.1K	$0
Kent Krach	MI	MOHS-Micrographic Surgery Physician	$494.1K	$0
Fasahat Hamzavi	MI	MOHS-Micrographic Surgery Physician	$402.1K	$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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