Medicaid Provider Spending

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

EDWARD W. SPARROW HOSPITAL ASSOCIATION

NPI: 1164478822 · LANSING, MI 48912 · Hospitalist Physician · NPI assigned 05/25/2006

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

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

$1.32M
Total Medicaid Paid
26,349
Total Claims
13,923
Beneficiaries
14
Codes Billed
2018-01
First Month
2020-08
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date05/25/2006

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
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 9,740 $480K
2019 9,986 $500K
2020 6,623 $337K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 7,772 2,696 $405K
99232 Subsequent hospital care, per day, moderate complexity 9,745 3,162 $350K
99223 Prolong inpt eval add15 m 2,239 2,119 $225K
99239 Hospital discharge day management, more than 30 minutes 2,526 2,362 $137K
99222 Initial hospital care, per day, moderate complexity 917 879 $63K
99238 Hospital discharge day management, 30 minutes or less 1,023 962 $36K
99220 290 287 $28K
99217 695 678 $26K
99219 213 210 $15K
99221 283 267 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 242 132 $7K
99231 Subsequent hospital care, per day, straightforward or low complexity 329 110 $7K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 58 47 $3K
99225 17 12 $220.41