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Frances Margaret Miles Joshi, CNA

Certified Registered Nurse Anesthetist (Crna) · Detroit

NPI 1508326075

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

1 location · Henry Ford Health System · 2,550 clinicians in this group

Looking this up.

Hospitals listed: Henry Ford Health Hospital. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Frances Margaret Miles Joshi’s office at (313) 916-2600 to ask if they take your plan before you enroll.

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Henry Ford Health HospitalDetroit, MIAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Henry Ford Health, which runs 6 hospitalsPatients rate it 3 of 5 · 72% would definitely recommend it
    Overall rating: 3 of 5 starsWorse than the national rate — Death rate among surgical inpatients with serious treatable complications: 218.65 (179.24 to 258.05) · 176 cases, Jul 2022 – Jun 2024Worse than the national rate — SSI - Abdominal Hysterectomy: 4.225, Oct 2024 – Sep 2025Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.178, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.344, Oct 2024 – Sep 2025
See every measure and the patient survey for Henry Ford Health Hospital

Behind the star rating — Deaths: 0 better, 7 the same, 1 worse of 8 measures. Safety: 3 better, 3 the same, 1 worse of 7 measures. Readmissions: 1 better, 4 the same, 5 worse of 10 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Henry Ford Health Hospital
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths218.65 (179.24 to 258.05) · 176 casesWorseJul 2022 – Jun 2024
SSI - Abdominal HysterectomyInfections4.225WorseOct 2024 – Sep 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.178BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.344BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.28 (0.46 to 2.11) · 2,388 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.02 (0.8 to 1.24)No differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.8 · 60 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7 · 179 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.7 · 122 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.3 · 330 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths17.4 · 203 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths12.6 · 537 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.3 · 5,596 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.18 (0 to 0.36) · 9,579 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.29 (0.1 to 0.47) · 10,357 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.24 (1.58 to 4.91) · 2,961 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.1 (0 to 2.33) · 1,296 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths3.11 (1.96 to 4.26) · 2,773 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths7.67 (3.52 to 11.83) · 1,298 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.57 (1.89 to 7.25) · 1,401 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.98 (0.6 to 3.35) · 699 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths1 (0.53 to 1.47) · 8,611 casesNo differentJul 2022 – Jun 2024
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.92No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.176No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.9 · 529 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.6 · 1,248 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits15.6 · 215 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits56.7 · 459 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits33.1 · 216 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits20.5 · 610 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.4 (4.2 to 6.9) · 791 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.4 (10.5 to 14.5) · 791 casesNo differentJan 2024 – Dec 2024
Rate of readmission for CABGUnplanned return visits8.3 · 138 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits21.2 · 676 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.4 (10 to 15.3) · 3,538 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.8 (0.6 to 1) · 910 casesNo differentJan 2024 – Dec 2024

What patients said (1,314 patients answered, 19% of those asked)

Patient survey stars by topic at Henry Ford Health Hospital
Cleanliness2
Nurse communication4
Doctor communication3
Communication about medicines2
Discharge information3
Overall hospital rating3
Quietness3
Recommend hospital4
Share of patients giving the best answer at Henry Ford Health Hospital
Room was "always" clean61%
Nurses "always" communicated well79%
Doctors "always" communicated well78%
Staff "always" explained58%
Yes, staff "did" give patients this information84%
Yes, staff "did" give patients information about help after discharge83%
Doctors "always" explained things so they could understand72%
Doctors "always" listened carefully76%
Doctors "always" treated them with courtesy and respect85%
Patients who gave a rating of "9" or "10" (high)69%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand76%
Nurses "always" listened carefully76%
Nurses "always" treated them with courtesy and respect85%
"Always" quiet at night51%
"YES", patients would definitely recommend the hospital72%
Staff "always" explained possible side effects40%
Yes, staff "did" give patients information about possible symptoms86%

Original Medicare doctor bills

$27,358

Medicare paid this office $27,358 for 267 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Anesthesia for lens surgery84$5,550$65
Anesthesia for other procedure on eye37$3,453$91
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope19$1,617$81
Anesthesia for procedure on eyelid11$1,036$94
Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope11$1,019$93
See all 6 services
Every Original Medicare service billed
Anesthesia for lens surgery84$5,550$65
Anesthesia for other procedure on eye37$3,453$91
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope19$1,617$81
Anesthesia for procedure on eyelid11$1,036$94
Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope11$1,019$93
Anesthesia for other procedure on large bowel using an endoscope11$750$68

Who their Medicare patients are

267 Original Medicare patients in 2024. Average age 74 · Under 65 8% · 85 and older 11% · Women 60% · Also on Medicaid 31% · Health risk score 1.48. Above the middle of the specialty; the typical certified registered nurse anesthetist (crna) clinician is at 1.45.

Conditions among them: High blood pressure 71% · Diabetes 33% · Coronary heart disease 28% · Cancer 25% · Chronic kidney disease 24% · Depression 19% · Atrial fibrillation 16% · Heart failure 14% · Stroke 13% · COPD 11% · Dementia 5%.

The office billed $414,732, Medicare allowed $34,456 and paid $27,358; for 270 services of 49 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024267270741.48$414,732$27,358
2023177183741.42$307,680$21,799
2022184185731.58$326,054$23,663
2021165166711.86$325,158$24,321
2020190190691.24$282,438$23,874
20199798721.33$120,590$13,570

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 3 services

Original Medicare services billed in 2023
Anesthesia for lens surgery38$2,666$68
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope21$1,890$90
Anesthesia for other procedure on eye16$1,591$94

2022: 3 services

Original Medicare services billed in 2022
Anesthesia for lens surgery42$2,867$68
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope23$1,955$85
Anesthesia for procedure on small and large bowel using an endoscope11$878$80

2021: 3 services

Original Medicare services billed in 2021
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope36$3,147$87
Anesthesia for other procedure on skin of arms, legs, and front body11$2,037$185
Anesthesia for lens surgery16$1,182$74

2020: 4 services

Original Medicare services billed in 2020
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope35$3,584$102
Anesthesia for other procedure on large bowel using an endoscope39$3,434$88
Anesthesia for procedure on small and large bowel using an endoscope21$2,432$116
Anesthesia for exam of colon using an endoscope23$2,125$92

2019: 2 services

Original Medicare services billed in 2019
Anesthesia for exam of colon using an endoscope17$1,641$97
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope12$1,315$110

Medicaid work

$770 in 2024

Medicaid paid $770 for 13 billed services this clinician did in 2024, up to 13 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Anesthesia for procedures on eye; lens surgery13$770
Medicaid work by year
202413113$770

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
76.5 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1508326075
Licence
CA 95001236
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 367500000X (367500000X)
Mailing address
1 Ford Pl Ste 3a, Detroit, MI, 48202
NPI first listed
2019-03-21
NPI last updated
2025-06-06
NPI record certified
2025-06-06

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 300 Pasteur Dr, Stanford, CA, 94305