Medicaid Provider Spending

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

EDWARD W SPARROW HOSPITAL ASSOCIATION

NPI: 1124502851 · LANSING, MI 48912 · Urology Physician · NPI assigned 09/19/2018

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

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

$303K
Total Medicaid Paid
26,687
Total Claims
25,780
Beneficiaries
31
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date09/19/2018

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
2019 993 $10K
2020 1,338 $22K
2021 4,152 $61K
2022 4,907 $66K
2023 7,265 $71K
2024 8,032 $74K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,375 2,311 $120K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,570 1,566 $114K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,534 1,512 $53K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 179 173 $8K
52000 61 60 $3K
99442 61 61 $2K
74420 85 76 $1K
99215 Prolong outpt/office vis 13 12 $643.02
81003 279 267 $503.61
51798 61 51 $317.74
1036F 3,405 3,270 $0.00
3079F 749 723 $0.00
3074F 1,528 1,476 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 991 961 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 218 210 $0.00
3075F 531 518 $0.00
3080F 393 379 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 209 195 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 160 160 $0.00
1123F 32 31 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 181 176 $0.00
4004F 1,400 1,329 $0.00
G8484 Influenza immunization was not administered, reason not given 2,005 1,923 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 4,624 4,449 $0.00
3077F 679 653 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 683 664 $0.00
3078F 1,584 1,531 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 598 566 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 235 226 $0.00
G8482 Influenza immunization administered or previously received 250 237 $0.00
G9900 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified 14 14 $0.00