Medicaid Provider Spending

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

SPARROW CLINTON HOSPITAL

NPI: 1093809824 · SAINT JOHNS, MI 48879 · Critical Access Hospital · NPI assigned 10/03/2006

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

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

$8.68M
Total Medicaid Paid
185,334
Total Claims
165,522
Beneficiaries
132
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR. PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date10/03/2006

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
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
SPARROW CARSON HOSPITAL ITHACA MI $1.54M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,688 $722K
2019 20,981 $689K
2020 19,484 $917K
2021 29,054 $1.39M
2022 33,323 $1.68M
2023 37,867 $1.82M
2024 27,937 $1.46M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 6,903 6,325 $2.51M
99284 Emergency department visit for the evaluation and management, high severity 6,515 6,144 $1.50M
99283 Emergency department visit for the evaluation and management, moderate severity 7,917 7,575 $1.19M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 7,487 6,447 $644K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,613 4,152 $562K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,297 2,211 $412K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,894 1,612 $218K
96375 Therapeutic injection; each additional sequential IV push 3,935 3,354 $159K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,807 1,751 $150K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6,431 1,961 $146K
96361 Intravenous infusion, hydration; each additional hour 4,010 3,542 $145K
70450 Computed tomography, head or brain; without contrast material 1,177 1,146 $143K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,208 1,014 $134K
71046 Radiologic examination, chest; 2 views 2,360 2,278 $107K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 1,982 1,925 $79K
71045 Radiologic examination, chest; single view 1,305 1,260 $69K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3,557 1,304 $62K
74176 Computed tomography, abdomen and pelvis; without contrast material 383 374 $52K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 525 520 $50K
80061 Lipid panel 2,452 2,445 $32K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,274 1,242 $29K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 749 326 $20K
76830 Ultrasound, transvaginal 272 269 $19K
80053 Comprehensive metabolic panel 11,658 10,579 $16K
84443 Thyroid stimulating hormone (TSH) 4,118 4,042 $15K
90460 Immunization administration through 18 years of age via any route, first or only component 407 405 $14K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 4,058 3,673 $12K
97530 Therapeutic activities, direct patient contact, each 15 minutes 476 238 $12K
71260 Computed tomography, thorax, diagnostic; with contrast material 80 79 $11K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,373 1,369 $11K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 13,971 12,446 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,093 2,764 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 582 563 $8K
71275 Computed tomographic angiography, chest, with contrast material 68 68 $8K
83036 Hemoglobin; glycosylated (A1C) 2,404 2,383 $6K
Q3014 Telehealth originating site facility fee 302 278 $6K
97162 129 125 $6K
76700 Ultrasound, abdominal, real time with image documentation; complete 98 95 $6K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 81 81 $5K
94060 30 30 $5K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 686 686 $5K
77067 Screening mammography, bilateral, including computer-aided detection 75 75 $5K
93976 66 64 $4K
82607 939 937 $4K
86900 493 487 $4K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,184 1,155 $4K
93971 43 41 $3K
90686 300 298 $3K
86850 895 885 $3K
84439 1,182 1,166 $3K
86803 531 530 $3K
85027 2,000 1,873 $2K
82728 529 528 $2K
86780 413 413 $2K
84702 662 474 $2K
36415 Collection of venous blood by venipuncture 1,740 1,538 $2K
0124A 73 73 $2K
80048 Basic metabolic panel (calcium, ionized) 3,804 3,507 $2K
83550 646 642 $2K
G0378 Hospital observation service, per hour 42 39 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 144 142 $2K
82652 109 109 $2K
87631 395 393 $2K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 668 633 $1K
90677 15 15 $1K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 113 111 $1K
83735 2,917 2,627 $1K
83540 658 654 $1K
73630 161 158 $1K
87086 Culture, bacterial; quantitative colony count, urine 2,213 2,115 $1K
86140 4,713 4,414 $1K
82043 478 476 $983.87
97161 13 13 $910.29
87340 316 316 $893.76
82570 471 464 $880.95
72125 Computed tomography, cervical spine; without contrast material 109 109 $869.87
83880 746 704 $834.74
84703 4,266 4,019 $684.82
81001 4,688 4,430 $643.59
72110 36 36 $588.01
85610 2,768 2,569 $510.47
90472 Immunization administration, each additional vaccine (list separately) 35 35 $476.00
85652 1,508 1,454 $461.14
80076 1,571 1,501 $432.51
90656 28 28 $417.75
77063 Screening digital breast tomosynthesis, bilateral 25 25 $407.17
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 758 748 $404.30
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,482 3,320 $394.80
83690 3,179 2,932 $376.74
86901 481 476 $250.93
85730 2,466 2,362 $248.40
81003 2,032 1,950 $243.55
73130 24 24 $196.19
83605 3,986 3,665 $188.75
84484 2,610 2,353 $188.73
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,431 1,370 $187.83
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 188 163 $186.88
82746 41 41 $178.66
73564 14 14 $161.18
87077 247 237 $88.77
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 706 605 $74.21
85379 482 469 $68.69
73610 12 12 $65.51
87420 292 284 $35.34
81002 38 38 $34.45
87040 171 166 $32.09
87186 99 97 $31.55
J1885 Injection, ketorolac tromethamine, per 15 mg 1,496 1,385 $29.07
87486 13 13 $25.89
87581 13 13 $25.89
85007 65 62 $16.62
91312 69 69 $1.00
90670 14 14 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 261 195 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 162 146 $0.00
90461 96 96 $0.00
82948 27 24 $0.00
90715 42 42 $0.00
90734 12 12 $0.00
A9578 Injection, gadobenate dimeglumine (multihance multipack), per ml 12 12 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 26 25 $0.00
94729 24 24 $0.00
87210 12 12 $0.00
94726 27 27 $0.00
90648 14 14 $0.00
96376 328 236 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 66 61 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 307 301 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 15 13 $0.00
96127 13 13 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 14 12 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 19 19 $0.00