Physician
Edward W Sparrow Hospital Association
Edward W Sparrow Hospital Association was paid $2.31M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 59426, — 29% of everything it billed.
33Billing provider infoEDWARD W SPARROW HOSPITAL ASSOCIATION
LANSING, MI 48912
LANSING, MI 48912
33aNPI1033513148assigned 10/17/2014
33bProvider typeObstetrics & Gynecology Physician
28Total paid$2.31M
24GClaims67,125
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Michigan
Rank by total paid#17 of 173
Median peer was paid$66K
This provider vs. median35×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official RUSSIAN, MISTY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 9,662 | $477K | |
| 2019 | 10,275 | $422K | |
| 2020 | 8,495 | $373K | |
| 2021 | 8,813 | $387K | |
| 2022 | 8,396 | $383K | |
| 2023 | 10,827 | $157K | |
| 2024incomplete | 10,657 | $114K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59426 | 29% | 838 | 835 | $672K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 18% | 558 | 554 | $418K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.9% | 6,152 | 5,721 | $228K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7.5% | 3,201 | 3,091 | $173K |
| 59430 | 6.5% | 934 | 931 | $151K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 4.3% | 2,435 | 2,169 | $100K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 3.7% | 2,446 | 2,289 | $87K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.5% | 1,263 | 1,256 | $81K |
| 59025 | Fetal non-stress test | 3.4% | 3,968 | 1,699 | $78K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 3.1% | 32 | 32 | $72K |
| 76830 | Ultrasound, transvaginal | 2.0% | 1,242 | 1,229 | $46K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.4% | 825 | 823 | $32K |
43 more codes
| 59514 | <1% | 28 | $23K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 865 | $22K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 265 | $21K |
| 54150 | <1% | 267 | $15K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 147 | $15K |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | <1% | 14 | $14K |
| 90715 | <1% | 420 | $13K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 158 | $8K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 740 | $7K |
| 81025 | <1% | 776 | $5K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 61 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 682 | $5K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 170 | $4K |
| 58300 | <1% | 124 | $4K | |
| 90686 | <1% | 206 | $4K | |
| 87210 | <1% | 742 | $3K | |
| 76801 | <1% | 88 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 117 | $3K |
| 99459 | <1% | 322 | $1K | |
| 76820 | <1% | 66 | $954.36 | |
| 83986 | <1% | 577 | $623.70 | |
| 81002 | <1% | 228 | $514.86 | |
| 96127 | <1% | 16 | $39.21 | |
| 0502F | <1% | 6,473 | $0.09 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 7,053 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 2,802 | $0.00 |
| 4004F | 0% | 1,168 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,216 | $0.00 |
| 3078F | 0% | 3,459 | $0.00 | |
| G8938 | Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible | 0% | 794 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 756 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 24 | $0.00 |
| 1036F | 0% | 6,091 | $0.00 | |
| 3074F | 0% | 4,144 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 13 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 796 | $0.00 |
| 3079F | 0% | 883 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 328 | $0.00 |
| 3075F | 0% | 56 | $0.00 | |
| 0501F | 0% | 53 | $0.00 | |
| 0503F | 0% | 14 | $0.00 | |
| 0500F | 0% | 16 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent organizationSPARROW HEALTH SYSTEM
| Provider | Location | 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 | $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 |
| Sparrow Carson Hospital | Ithaca, MI | $1.54M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.