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

⚖️ Compare🖨️ Print Report

HENRY FORD HEALTH SYSTEM

Internal Medicine·DETROIT, MI·NPI: 1891702833Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $24.4M is at the 50th percentile among 26 Internal Medicine providers.

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

Total Paid

$24.4M

$24,441,531

Total Claims

596K

Beneficiaries

488K

1.2 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$3.2M
+1%
2019
$3.2M
+4%
2020
$3.4M
+13%
2021
$3.8M
-10%
2022
$3.4M
+10%
2023
$3.8M
-4%
2024
$3.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 21% of total spending.

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$5.2M

100K claims · 21.4%

Your Cost: $52.32/claim|Median: $53.41
1.0× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$3.5M

61K claims · 14.4%

Your Cost: $57.70/claim|Median: $35.30
1.6× median
99223Top 25%

Initial hospital care, per day, high complexity

$2.4M

22K claims · 9.9%

Your Cost: $107.76/claim|Median: $67.32
1.6× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$2.0M

48K claims · 8.2%

Your Cost: $41.96/claim|Median: $23.99
1.7× median
99215Normal range

Office/outpatient visit, high complexity

$1.8M

25K claims · 7.3%

Your Cost: $72.79/claim|Median: $74.09
1.0× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$1.3M

31K claims · 5.2%

Your Cost: $41.16/claim|Median: $37.81
1.1× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$954K

13K claims · 3.9%

Your Cost: $75.08/claim|Median: $84.03
0.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$656K

6,808 claims · 2.7%

Your Cost: $96.41/claim|Median: $111.09
0.9× median
99220Top 25%

$622K

6,292 claims · 2.5%

Your Cost: $98.92/claim|Median: $73.56
1.3× median
90960Top 10%

End-stage renal disease services, per month, age 20+

$571K

3,791 claims · 2.3%

Your Cost: $150.51/claim|Median: $52.76
2.9× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$565K

13K claims · 2.3%

Your Cost: $42.53/claim|Median: $37.22
1.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$538K

7,179 claims · 2.2%

Your Cost: $75.00/claim|Median: $76.06
1.0× median
99222Normal range

Initial hospital care, per day, moderate complexity

$514K

6,956 claims · 2.1%

Your Cost: $73.84/claim|Median: $51.25
1.4× median
99291Normal range

Critical care, first 30-74 minutes

$503K

4,087 claims · 2.1%

Your Cost: $123.14/claim|Median: $101.24
1.2× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$401K

6,525 claims · 1.6%

Your Cost: $61.50/claim|Median: $43.85
1.4× median
99395Normal range

Preventive medicine, established patient, age 18-39

$375K

5,620 claims · 1.5%

Your Cost: $66.76/claim|Median: $72.71
0.9× median
99217Normal range

$218K

5,722 claims · 0.9%

Your Cost: $38.18/claim|Median: $31.89
1.2× median
90935Normal range

Hemodialysis, one evaluation

$205K

5,245 claims · 0.8%

Your Cost: $39.04/claim|Median: $23.72
1.6× median
99285Normal range

Emergency dept visit, high/urgent complexity

$188K

2,504 claims · 0.8%

Your Cost: $75.15/claim|Median: $85.65
0.9× median
99231Normal range

Subsequent hospital care, per day, low complexity

$184K

8,471 claims · 0.8%

Your Cost: $21.71/claim|Median: $16.77
1.3× median
99284Normal range

Emergency dept visit, high complexity

$153K

2,480 claims · 0.6%

Your Cost: $61.57/claim|Median: $69.51
0.9× median
99219Normal range

$151K

2,090 claims · 0.6%

Your Cost: $72.03/claim|Median: $63.35
1.1× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$150K

3,131 claims · 0.6%

Your Cost: $47.99/claim|Median: $57.85
0.8× median
99255Normal range

$141K

1,267 claims · 0.6%

Your Cost: $111.14/claim|Median: $90.45
1.2× median
99309Top 10%

Nursing facility care, subsequent, low complexity

$135K

3,086 claims · 0.6%

Your Cost: $43.90/claim|Median: $14.00
3.1× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$122K

1,646 claims · 0.5%

Your Cost: $74.31/claim|Median: $76.22
1.0× median
99236Normal range

Observation care same day admit and discharge

$115K

957 claims · 0.5%

Your Cost: $120.44/claim|Median: $128.23
0.9× median
99254Normal range

$93K

1,034 claims · 0.4%

Your Cost: $89.56/claim|Median: $81.43
1.1× median
90945Normal range

$82K

1,792 claims · 0.3%

Your Cost: $45.60/claim|Median: $46.59
1.0× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$67K

960 claims · 0.3%

Your Cost: $69.82/claim|Median: $233.73
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$52K

2,050 claims · 0.2%

Your Cost: $25.47/claim|Median: $25.06
1.0× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$49K

552 claims · 0.2%

Your Cost: $89.26/claim|Median: $87.82
1.0× median
99308Top 25%

Nursing facility care, subsequent, straightforward

$44K

1,678 claims · 0.2%

Your Cost: $26.29/claim|Median: $9.79
2.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$39K

676 claims · 0.2%

Your Cost: $57.15/claim|Median: $75.18
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$37K

791 claims · 0.2%

Your Cost: $47.05/claim|Median: $69.35
0.7× median
99221Normal range

Initial hospital care, straightforward/low

$31K

580 claims · 0.1%

Your Cost: $52.99/claim|Median: $39.96
1.3× median
99306Top 10%

$27K

332 claims · 0.1%

Your Cost: $81.25/claim|Median: $29.97
2.7× median
99418Normal range

$25K

539 claims · 0.1%

Your Cost: $46.57/claim|Median: $38.93
1.2× median
G0180Top 25%

$23K

1,633 claims · 0.1%

Your Cost: $13.94/claim|Median: $8.31
1.7× median
90947Normal range

$21K

307 claims · 0.1%

Your Cost: $67.61/claim|Median: $58.16
1.2× median
99235Normal range

$15K

166 claims · 0.1%

Your Cost: $89.91/claim|Median: $110.13
0.8× median
99406Normal range

$13K

2,136 claims · 0.1%

Your Cost: $6.06/claim|Median: $6.53
0.9× median
99225Normal range

$12K

1,743 claims · 0.1%

Your Cost: $7.12/claim|Median: $20.96
0.3× median
99443Normal range

Telephone E/M by physician, 21-30 min

$11K

303 claims · 0.0%

Your Cost: $37.82/claim|Median: $32.55
1.2× median
95806Normal range

$11K

451 claims · 0.0%

Your Cost: $25.30/claim|Median: $64.51
0.4× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$10K

140 claims · 0.0%

Your Cost: $71.61/claim|Median: $255.03
0.3× median
G2211Normal range

$10K

6,253 claims · 0.0%

Your Cost: $1.56/claim|Median: $2.40
0.7× median
99226Normal range

$9K

771 claims · 0.0%

Your Cost: $11.71/claim|Median: $34.09
0.3× median
90961Top 25%

$9K

81 claims · 0.0%

Your Cost: $110.92/claim|Median: $47.22
2.3× median
99283Top 25%

Emergency dept visit, moderate complexity

$9K

131 claims · 0.0%

Your Cost: $67.43/claim|Median: $42.48
1.6× 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 Internal Medicine

New York City Health and Hospitals Corporation

Bronx, NY

$217.7M

Community Physicians of Indiana INC

Indianapolis, IN

$185.3M

New York City Health and Hospitals Corporation

Brooklyn, NY

$178.8M

New York City Health and Hospitals Corporation

New York, NY

$176.3M

Prisma Health University Medical Group

Greenville, SC

$172.2M

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