Medicaid Provider Spending

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

SPARROW EATON HOSPITAL

NPI: 1043419427 · CHARLOTTE, MI 48813 · Orthopaedic Surgery Physician · NPI assigned 07/16/2007

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

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

$457K
Total Medicaid Paid
24,632
Total Claims
22,657
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date07/16/2007

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 1,144 $43K
2019 3,205 $61K
2020 2,832 $60K
2021 3,909 $82K
2022 3,953 $83K
2023 4,467 $56K
2024 5,122 $73K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,473 2,203 $144K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,015 1,907 $83K
20610 2,352 1,781 $79K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,374 1,361 $79K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 683 681 $61K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 919 900 $11K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 13 13 $51.73
4004F 1,544 1,412 $0.00
G8484 Influenza immunization was not administered, reason not given 1,841 1,714 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,108 2,932 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 233 218 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 332 282 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 14 14 $0.00
3077F 337 323 $0.00
3078F 855 823 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 116 114 $0.00
G8482 Influenza immunization administered or previously received 41 39 $0.00
1036F 2,223 2,053 $0.00
3074F 954 915 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 498 467 $0.00
3080F 283 270 $0.00
G8756 No documentation of blood pressure measurement, reason not given 589 532 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 971 860 $0.00
3075F 230 229 $0.00
3079F 424 412 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 177 172 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 33 30 $0.00