Medicaid Provider Spending

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

EDWARD W SPARROW HOSPITAL ASSOCIATION

NPI: 1043562465 · LANSING, MI 48912 · Nurse Practitioner · NPI assigned 10/09/2012

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

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

$428K
Total Medicaid Paid
33,675
Total Claims
31,451
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date10/09/2012

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 2,412 $38K
2019 2,879 $50K
2020 1,353 $39K
2021 3,130 $60K
2022 6,480 $84K
2023 10,405 $100K
2024 7,016 $56K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,630 5,256 $336K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,399 1,356 $58K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 191 191 $17K
99215 Prolong outpt/office vis 158 151 $13K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $860.54
90686 47 47 $856.35
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $744.74
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 93 92 $644.00
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) 302 280 $467.27
96127 99 93 $347.40
3078F 1,610 1,518 $0.00
4004F 1,390 1,274 $0.00
G8484 Influenza immunization was not administered, reason not given 1,837 1,702 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 4,752 4,402 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 1,165 1,070 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 898 826 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,581 1,474 $0.00
G8482 Influenza immunization administered or previously received 871 810 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 282 279 $0.00
3077F 253 245 $0.00
3051F 15 13 $0.00
3046F 13 13 $0.00
1036F 4,152 3,801 $0.00
3075F 420 415 $0.00
1101F 38 35 $0.00
3079F 783 762 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 1,027 993 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,925 1,790 $0.00
3074F 1,828 1,712 $0.00
3080F 175 167 $0.00
1123F 277 252 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 259 238 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 88 82 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 79 74 $0.00
1000F 13 13 $0.00