Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SPARROW CARSON HOSPITAL

NPI: 1013987833 · CARSON CITY, MI 48811 · Rural Health Clinic/Center · NPI assigned 01/24/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official RUSSIAN, MISTY controls 20+ related entities in our dataset. Read more

$1.21M
Total Medicaid Paid
66,402
Total Claims
61,057
Beneficiaries
55
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date01/24/2006

Related Entities

Other providers sharing the same authorized official: RUSSIAN, MISTY

ProviderCityStateTotal Paid
EDWARD W SPARROW HOSPITAL ASSOCIATION LANSING MI $125.88M
METROPOLITAN HOSPITAL WYOMING MI $100.96M
SPARROW IONIA HOSPITAL IONIA MI $13.76M
SPARROW EATON HOSPITAL CHARLOTTE MI $13.22M
SPARROW CLINTON HOSPITAL SAINT JOHNS MI $8.68M
EDWARD W. SPARROW HOSPITAL ASSOCIATION LANSING MI $5.81M
SPARROW CARSON HOSPITAL CARSON CITY MI $5.48M
EDWARD W. SPARROW HOSPITAL ASSOCIATION EAST LANSING MI $5.43M
SPARROW IONIA HOSPITAL IONIA MI $3.49M
SPARROW EATON HOSPITAL CHARLOTTE MI $3.12M
EDWARD W. SPARROW HOSPITAL ASSOCIATION LANSING MI $2.77M
EDWARD W. SPARROW HOSPITAL ASSOCIATION LANSING MI $2.61M
EDWARD W SPARROW HOSPITAL ASSOCIATION LANSING MI $2.48M
EDWARD W. SPARROW HOSPITAL ASSOCIATION MASON MI $2.44M
SPARROW COMMUNITY CARE LANSING MI $2.31M
EDWARD W SPARROW HOSPITAL ASSOCIATION LANSING MI $2.31M
EDWARD W SPARROW HOSPITAL ASSOCIATION LANSING MI $1.85M
EDWARD W. SPARROW HOSPITAL ASSOCIATION LANSING MI $1.83M
EDWARD W. SPARROW HOSPITAL ASSOCIATION LANSING MI $1.65M
SPARROW IONIA HOSPITAL PORTLAND MI $1.61M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,850 $78K
2019 3,549 $90K
2020 3,736 $107K
2021 9,589 $246K
2022 12,184 $248K
2023 17,112 $232K
2024 15,382 $205K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 18,560 16,306 $832K
99214 5,829 5,495 $145K
99213 8,177 7,488 $141K
99392 550 547 $17K
99393 427 427 $16K
90460 1,506 1,485 $15K
99394 189 189 $6K
99391 312 301 $5K
90686 1,128 1,114 $4K
87880 801 784 $4K
90471 986 961 $4K
99203 207 207 $4K
99212 165 158 $3K
90670 214 213 $2K
90651 38 38 $1K
90716 87 86 $1K
99204 26 26 $648.57
90707 90 89 $617.20
81003 917 901 $615.94
90656 86 86 $483.00
90472 71 70 $357.33
96372 125 117 $329.79
99202 15 15 $254.34
87804 26 26 $234.79
90715 12 12 $104.12
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 810 760 $13.40
96127 14 13 $7.89
3075F 622 602 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 851 798 $0.00
1036F 2,349 2,137 $0.00
3079F 957 930 $0.00
3074F 4,434 4,087 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 80 68 $0.00
3080F 281 274 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 152 146 $0.00
90680 12 12 $0.00
90723 50 50 $0.00
90677 12 12 $0.00
90696 12 12 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 193 169 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 14 13 $0.00
90461 724 715 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 199 182 $0.00
G8482 Influenza immunization administered or previously received 617 559 $0.00
90648 202 201 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,519 3,190 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 653 615 $0.00
4004F 1,261 1,138 $0.00
3078F 4,308 3,990 $0.00
G8484 Influenza immunization was not administered, reason not given 2,557 2,317 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 121 114 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 256 232 $0.00
3077F 522 505 $0.00
90700 14 14 $0.00
90633 62 61 $0.00