Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Vhs Childrens Hospital of Michigan INC

Clinic/Center, Ambulatory Surgical·Detroit, MI·NPI: 1538471800Share

Compared to Clinic/Center, Ambulatory Surgical Peers

Total spending distribution among 9 providers in this specialty

P25MedianP75P90

This provider's total spending of $180.2M is at the 99th percentile among 9 Clinic/Center, Ambulatory Surgical providers.

Above 99th percentile for this specialty — higher spending than 8 of 9 peers

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$180.2M

$180,238,665

Total Claims

3.9M

Beneficiaries

3.5M

1.1 claims/patient

Avg Cost/Claim

$46

#527 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Vhs Childrens Hospital of Michigan INC is a Clinic/Center, Ambulatory Surgical provider based in Detroit, MI. From the 2018–2024 period, this provider received $180.2M in Medicaid payments across 3.9M claims.

Why This Matters

This provider received $180.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 22,529 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 9% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$26.1M
-4%
2019
$25.0M
-29%
2020
$17.7M
+45%
2021
$25.6M
+10%
2022
$28.3M
+3%
2023
$29.1M
-2%
2024
$28.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 15% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$27.8M

219K claims · 15.4%

Your Cost: $126.86/claim|Median: $42.48
3.0× median
G0463Normal range

Hospital outpatient clinic visit

$25.8M

456K claims · 14.3%

Your Cost: $56.65/claim|Median: $26.41
2.1× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$17.0M

40K claims · 9.4%

Your Cost: $426.88/claim|Median: $85.65
5.0× median
42820Top 10%

Tonsillectomy and adenoidectomy, under age 12

$11.6M

4K claims · 6.4%

Your Cost: $2,653.60/claim|Median: $331.68
8.0× median
99284Top 10%

Emergency dept visit, high complexity

$11.5M

52K claims · 6.4%

Your Cost: $220.03/claim|Median: $69.51
3.2× median
G0378Top 25%

Hospital observation service, per hour

$10.1M

21K claims · 5.6%

Your Cost: $485.18/claim|Median: $99.39
4.9× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$4.0M

4K claims · 2.2%

Your Cost: $1,103.66/claim|Median: $763.43
1.4× median
Q5103Normal range

$2.8M

3K claims · 1.6%

Your Cost: $1,100.62/claim|Median: $1,075.28
1.0× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$2.8M

11K claims · 1.5%

Your Cost: $261.56/claim|Median: $54.68
4.8× median
93303Top 25%

Echocardiography, transthoracic, limited

$2.2M

9K claims · 1.2%

Your Cost: $250.60/claim|Median: $112.83
2.2× median
97530Normal range

Therapeutic activities, each 15 min

$1.9M

43K claims · 1.1%

Your Cost: $44.48/claim|Median: $33.11
1.3× median
99282Normal range

Emergency dept visit, low complexity

$1.9M

22K claims · 1.1%

Your Cost: $86.17/claim|Median: $37.72
2.3× median
99281Normal range

Emergency dept visit, minimal complexity

$1.8M

32K claims · 1.0%

Your Cost: $57.66/claim|Median: $52.03
1.1× median
69436Normal range

Tympanostomy, general anesthesia

$1.7M

4K claims · 1.0%

Your Cost: $464.90/claim|Median: $205.50
2.3× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$1.7M

3K claims · 1.0%

Your Cost: $506.39/claim|Median: $233.73
2.2× median
70553Top 25%

MRI brain without contrast, then with contrast

$1.7M

4K claims · 0.9%

Your Cost: $394.33/claim|Median: $133.68
3.0× median
92507Normal range

Speech/hearing/language treatment

$1.6M

40K claims · 0.9%

Your Cost: $40.42/claim|Median: $49.45
0.8× median
43239Top 25%

Upper GI endoscopy with biopsy

$1.6M

4K claims · 0.9%

Your Cost: $385.78/claim|Median: $151.68
2.5× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$1.6M

25K claims · 0.9%

Your Cost: $61.14/claim|Median: $100.62
0.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.5M

24K claims · 0.8%

Your Cost: $61.77/claim|Median: $69.35
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.4M

22K claims · 0.8%

Your Cost: $61.91/claim|Median: $75.18
0.8× median
70551Normal range

MRI brain without contrast

$1.3M

8K claims · 0.7%

Your Cost: $165.10/claim|Median: $85.39
1.9× median
42830Top 25%

$1.2M

877 claims · 0.7%

Your Cost: $1,419.19/claim|Median: $341.04
4.2× median
92587Top 5%

$1.2M

9K claims · 0.7%

Your Cost: $141.63/claim|Median: $19.24
7.4× median
54161Normal range

$1.2M

2K claims · 0.6%

Your Cost: $662.75/claim|Median: $252.63
2.6× median
95782Normal range

$1.1M

2K claims · 0.6%

Your Cost: $491.57/claim|Median: $216.35
2.3× median
P9016Normal range

$1.1M

7K claims · 0.6%

Your Cost: $163.26/claim|Median: $122.26
1.3× median
J0585Top 25%

Injection, onabotulinumtoxinA, 1 unit

$1.1M

1K claims · 0.6%

Your Cost: $867.64/claim|Median: $470.36
1.8× median
G0379Top 10%

Direct admission to hospital observation

$1.1M

2K claims · 0.6%

Your Cost: $586.46/claim|Median: $48.25
12.2× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$914K

15K claims · 0.5%

Your Cost: $62.77/claim|Median: $21.76
2.9× median

Other Top Providers in Michigan

View all →

Guardiantrac. LLC

Community/Behavioral Health

$2.68B

Centria Healthcare LLC

Home Health

$590.6M

Integra Partners LLC

Orthotic Fitter

$422.3M

Community Mental Health Authority of Clinton Eaton Ingham Counties

Clinic/Center Mental Health (Including Community

$368.4M

Macomb Oakland Regional Center Inc.

Community/Behavioral Health

$342.6M

Similar Providers

Other top providers in Clinic/Center, Ambulatory Surgical

Henry Ford Health St. John Hospital

Chicago, IL

$159.4M

Dallas County Hospital District

Dallas, TX

$152.6M

University of Texas Medical Branch at Galveston

Galveston, TX

$150.3M

← All providersAll providers in Michigan →How we detect fraud →