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.

Henr Y Ford Health System (NPI 1952485351)

Henr Y Ford Health System is a family medicine physician provider located in Detroit, Michigan. This profile covers 0 Medicare and 75 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	Henr Y Ford Health System
Address	2799 W Grand Blvd
City	Detroit
State	MI
ZIP	48202
Taxonomy	Family Medicine Physician
NPI Enumerated	October 24, 2006

Payer Source	Total Paid
Medicaid	$11.8M
Medicare	$0

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

75 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	91,560	$50	$4.9M
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…	62,280	$40	$2.6M
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	6,990	$80	$524.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	6,210	$80	$497K
99204	The provider sees a new 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 provider…	5,890	$80	$453.5K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	6,670	$70	$447.2K
99203	The provider sees a new 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 provider…	8,860	$50	$443.1K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	3,970	$60	$230K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	2,050	$110	$227.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,100	$60	$179.5K

Showing 1–10 of 75

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

Henr Y Ford Health System — 8 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

75 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.	431	480	1,350	$110	$1.7M
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.	253	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…	16	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…	53	4,770	1,060	$50	$247.8K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	102	630	430	$60	$180.4K
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…	257	950	740	$40	$166.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	142	670	730	$60	$140K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	171	590	850	$50	$134.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	105	760	240	$100	$121.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	39	1,170	170	$90	$107.9K

Showing 1–10 of 75

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Henry Ford Health System	MI	General Acute Care Hospital	$0	$335M
Henry Ford Macomb Hospital Corporation	MI	General Acute Care Hospital	$0	$40.9M
Henry Ford Health System	MI	Emergency Medicine Physician	$0	$30.4M
Henry Ford Health System	MI	Pediatrics Physician	$0	$25.7M
Henry Ford Health System	MI	Internal Medicine Physician	$0	$24.4M
Henry Ford Health System	MI	Diagnostic Radiology Physician	$0	$23M
Henry Ford Health System	MI	General Acute Care Hospital	$0	$19.3M
Henry Ford Health System	MI	Obstetrics & Gynecology Physician	$0	$17M
Henry Ford Health System	MI	Physician Assistant	$0	$10.4M
Henry Ford Health System	MI	Nurse Practitioner	$0	$9.6M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Addus Healthcare, Inc.	MI	In Home Supportive Care Agency	$0	$18.5M
The Wellness Plan Medical Centers	MI	Clinic/Center	$0	$17.5M
Detroit Wayne Mental Health Authority	MI	Community/Behavioral Health Agency	$0	$13.1M
Packard Group Inc	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$7.8M
Henry Ford Pathology	MI	Anatomic Pathology & Clinical Pathology Physician	$0	$6.9M
Henr Y Ford Health System	MI	Advanced Practice Midwife	$0	$6.3M
Henry Ford Health System	MI	Neurology Physician	$0	$5.9M
Henry Ford Health System	MI	Psychiatry Physician	$0	$5.6M
Black Family Development, Inc.	MI	Community/Behavioral Health Agency	$0	$5.6M
Henry Ford Health System	MI	Anesthesiology Physician	$0	$5.5M

Henr Y Ford Health System — 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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