Medicaid Provider Spending

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

EDWARD W. SPARROW HOSPITAL ASSOCIATION

NPI: 1205285335 · WILLIAMSTON, MI 48895 · Family Medicine Physician · NPI assigned 06/09/2016

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

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

$201K
Total Medicaid Paid
12,073
Total Claims
10,991
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date06/09/2016

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 1,744 $31K
2019 1,559 $29K
2020 1,199 $28K
2021 1,256 $26K
2022 1,213 $23K
2023 2,486 $32K
2024 2,616 $32K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,484 2,290 $163K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 782 734 $34K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 33 33 $3K
90686 40 40 $570.90
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 83 80 $567.00
90460 Immunization administration through 18 years of age via any route, first or only component 15 15 $280.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 152 132 $106.16
1036F 1,982 1,773 $0.00
3079F 158 156 $0.00
3074F 904 850 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 104 97 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 82 68 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,517 2,239 $0.00
3078F 779 733 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 27 25 $0.00
G8484 Influenza immunization was not administered, reason not given 838 752 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 596 533 $0.00
G8482 Influenza immunization administered or previously received 434 389 $0.00
4004F 63 52 $0.00