Henry Ford Health System
General Acute Care Hospital
Detroit, Michigan
NPI: 1134144801
Risk Tier
High
Total Paid
$334.9M
$334,910,515
Total Claims
9.6M
Beneficiaries
8.7M
Avg Cost/Claim
$34.80
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (2)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $305.56 per claim for 99285 (Emergency dept visit, high/urgent complexity), which is 3.6× the national median of $85.65.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 55 procedure codes: 99285 at 3.6× median, 99284 at 2.5× median.
Advanced Detection Signals
Billing Velocity
5208.0 claims per working day — may exceed physically possible volume for a single provider.
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024