Medicaid Provider Spending

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

EDWARD W SPARROW HOSPITAL ASSOCIATION

NPI: 1033513148 · LANSING, MI 48912 · Obstetrics & Gynecology Physician · NPI assigned 10/17/2014

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

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

$2.31M
Total Medicaid Paid
67,125
Total Claims
57,912
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 Date10/17/2014

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 $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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 10,657 $114K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
59426 838 835 $672K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 558 554 $418K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,152 5,721 $228K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,201 3,091 $173K
59430 934 931 $151K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,435 2,169 $100K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,446 2,289 $87K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,263 1,256 $81K
59025 Fetal non-stress test 3,968 1,699 $78K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 32 32 $72K
76830 Ultrasound, transvaginal 1,242 1,229 $46K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 825 823 $32K
59514 28 26 $23K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 865 595 $22K
J1050 Injection, medroxyprogesterone acetate, 1 mg 265 259 $21K
54150 267 265 $15K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 147 147 $15K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 14 14 $14K
90715 420 411 $13K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 158 153 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 740 544 $7K
81025 776 752 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 61 61 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 682 670 $5K
76819 Fetal biophysical profile; without non-stress testing 170 95 $4K
58300 124 120 $4K
90686 206 205 $4K
87210 742 687 $3K
76801 88 84 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 117 114 $3K
99459 322 318 $1K
76820 66 35 $954.36
83986 577 551 $623.70
81002 228 218 $514.86
96127 16 13 $39.21
0502F 6,473 3,794 $0.09
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 7,053 6,574 $0.00
G8484 Influenza immunization was not administered, reason not given 2,802 2,604 $0.00
4004F 1,168 1,072 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,216 1,122 $0.00
3078F 3,459 3,051 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 794 716 $0.00
G8482 Influenza immunization administered or previously received 756 698 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 24 24 $0.00
1036F 6,091 5,670 $0.00
3074F 4,144 3,619 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 13 13 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 796 727 $0.00
3079F 883 817 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 328 302 $0.00
3075F 56 49 $0.00
0501F 53 53 $0.00
0503F 14 12 $0.00
0500F 16 16 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 13 13 $0.00