Medicaid Provider Spending

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

EDWARD W. SPARROW HOSPITAL ASSOCIATION

NPI: 1174562649 · LANSING, MI 48912 · Gynecologic Oncology Physician · NPI assigned 06/06/2006

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

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

$513K
Total Medicaid Paid
23,974
Total Claims
23,014
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date06/06/2006

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 5,155 $72K
2019 4,367 $73K
2020 1,586 $67K
2021 1,932 $85K
2022 2,810 $88K
2023 4,291 $70K
2024 3,833 $58K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,990 4,801 $286K
99215 Prolong outpt/office vis 1,321 1,247 $104K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,403 2,326 $91K
99205 Prolong outpt/office vis 222 222 $24K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 83 83 $7K
99253 12 12 $708.18
G8752 Most recent systolic blood pressure < 140 mmhg 272 257 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,030 2,895 $0.00
3077F 553 547 $0.00
4004F 740 697 $0.00
G8482 Influenza immunization administered or previously received 110 107 $0.00
G8484 Influenza immunization was not administered, reason not given 1,368 1,300 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 440 424 $0.00
3078F 1,505 1,459 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 270 250 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 25 24 $0.00
3080F 296 292 $0.00
1036F 2,162 2,064 $0.00
3074F 1,491 1,444 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 408 380 $0.00
3079F 571 563 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 737 701 $0.00
3075F 368 365 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 502 461 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 18 18 $0.00
1123F 18 18 $0.00
3014F 41 39 $0.00
1101F 18 18 $0.00