Medicaid Provider Spending

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

EDWARD W. SPARROW HOSPITAL ASSOCIATION

NPI: 1083982748 · EAST LANSING, MI 48823 · Surgery Physician · NPI assigned 12/09/2011

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

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

$207K
Total Medicaid Paid
15,355
Total Claims
15,084
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date12/09/2011

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 1,054 $24K
2019 1,579 $36K
2020 1,549 $32K
2021 2,137 $45K
2022 1,817 $24K
2023 3,153 $22K
2024 4,066 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,453 1,425 $80K
99205 Prolong outpt/office vis 749 745 $76K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,024 1,013 $39K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 243 240 $5K
99215 Prolong outpt/office vis 51 51 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 38 38 $3K
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 894 879 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 26 25 $0.00
3078F 730 724 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,500 3,418 $0.00
G8484 Influenza immunization was not administered, reason not given 1,348 1,324 $0.00
3077F 12 12 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 284 282 $0.00
G8482 Influenza immunization administered or previously received 41 41 $0.00
4004F 72 71 $0.00
1036F 3,132 3,061 $0.00
G8756 No documentation of blood pressure measurement, reason not given 36 36 $0.00
3079F 302 302 $0.00
3074F 927 915 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 185 177 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 256 254 $0.00
3080F 26 26 $0.00
3075F 26 25 $0.00