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 1912962978)

Field	Value
Entity Type	Organization
Organization	Henry Ford Health Providence Hospital
Address	16001 W 9 Mile Rd
City	Southfield
State	MI
ZIP	48075
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	April 20, 2006

Payer Source	Total Paid
Medicaid	$9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

82 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	2,050	$740	$1.5M
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…	1,730	$820	$1.4M
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	12,980	$50	$662K
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…	5,060	$90	$445K
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…	530	$840	$439.2K
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…	6,170	$70	$401.2K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	4,820	$80	$385.6K
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…	1,820	$210	$382.2K
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…	7,660	$50	$352.3K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	7,610	$40	$334.8K

Showing 1–10 of 82

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 — 4 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

82 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	353	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.	295	450	1,540	$90	$1.3M
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…	19	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…	20	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…	13	160	260	$820	$506.6K
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.	242	260	2,670	$70	$348.7K
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…	677	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…	738	4,770	1,060	$50	$247.8K
J7298	Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg	14	40	80	$680	$226.1K
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…	631	950	740	$40	$166.5K

Showing 1–10 of 82

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
Henry Ford Health Providence Hospital	MI	General Acute Care Hospital	$0	$72.8M
Henry Ford Macomb Hospital Corporation	MI	Family Medicine Physician	$0	$9.2M
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
Amir Kaki	MI	Interventional Cardiology Physician	$492.4K	$0
Nishit Choksi	MI	Cardiovascular Disease Physician	$472.5K	$0
Jay Pradhan	MI	Cardiovascular Disease Physician	$469.2K	$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
New England Emergency Response Systems Inc	MI	Emergency Response System Companies	$0	$262.6M
Valued Relationships, Inc.	MI	Emergency Response System Companies	$0	$50.3M
Independent Emergency Physicians, P.C.	MI	Emergency Medical Services (Emergency Medicine) Physician	$0	$39M
Guardian Medical Monitoring, LLC	MI	Emergency Response System Companies	$0	$30M
Creative Images Inc	MI	Non-emergency Medical Transport (VAN)	$0	$29.1M
Educators Unlimited Inc	MI	Home Health Agency	$0	$20.4M
Metro Healthcare Services Inc.	MI	Case Management Agency	$0	$20.1M
Kevdaco Human Servicea LLC	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$13M
Total Home Health Aide Services	MI	Home Health Agency	$0	$12.6M
Allied Continuing Care, Inc	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$11.7M

Henry Ford Health Providence Hospital — Billing Profile & Reimbursement Data

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Henry Ford Health Providence 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