Edward W. Sparrow Hospital Association

Edward W. Sparrow Hospital Association was paid $1.32M by Medicaid between Jan 2018 and Aug 2020, across 14 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 31% of everything it billed.

33Billing provider infoEDWARD W. SPARROW HOSPITAL ASSOCIATION
LANSING, MI 48912

33aNPI1164478822assigned 05/25/2006

33bProvider typeHospitalist Physician

28Total paid$1.32M

24GClaims26,349

24DCodes billed14

24AFirst – last monthJan 2018 – Aug 2020

Compared with peers

Next to other Hospitalist Physician providers in Michigan

Rank by total paid#4 of 33

Median peer was paid$22K

This provider vs. median61×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

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

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	9,740	$480K
2019	9,986	$500K
2020	6,623	$337K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	31%	7,772	2,696	$405K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	27%	9,745	3,162	$350K
99223	Prolong inpt eval add15 m	17%	2,239	2,119	$225K
99239	Hospital discharge day management, more than 30 minutes	10%	2,526	2,362	$137K
99222	Initial hospital care, per day, moderate complexity	4.8%	917	879	$63K
99238	Hospital discharge day management, 30 minutes or less	2.8%	1,023	962	$36K
99220		2.1%	290	287	$28K
99217		2.0%	695	678	$26K
99219		1.1%	213	210	$15K
99221		1.1%	283	267	$14K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	242	132	$7K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	329	110	$7K

2 more codes

99214	Doctor's office visit, returning patient (more involved)	<1%	58	$3K
99225		<1%	17	$220.41

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialRUSSIAN, MISTY (SUPERVISOR PROVIDER ENROLLMENT)

Parent organizationSPARROW HEALTH SYSTEM

Same official

Other billing entities under RUSSIAN, MISTY

Full network →

Provider	Location	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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.