Medicaid Provider Spending

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

SPARROW EATON HOSPITAL

NPI: 1225237613 · CHARLOTTE, MI 48813 · Internal Medicine Physician · NPI assigned 07/16/2007

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

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

$3.12M
Total Medicaid Paid
148,496
Total Claims
139,677
Beneficiaries
80
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date07/16/2007

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
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
SPARROW CARSON HOSPITAL ITHACA MI $1.54M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,731 $414K
2019 18,696 $403K
2020 14,630 $364K
2021 18,828 $484K
2022 19,696 $458K
2023 30,509 $520K
2024 28,406 $478K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,953 13,188 $1.06M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,609 17,461 $961K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,989 1,980 $161K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,761 1,756 $159K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,638 1,631 $145K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,430 1,430 $126K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,386 1,331 $92K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,017 1,008 $86K
90460 Immunization administration through 18 years of age via any route, first or only component 2,470 2,429 $61K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 843 841 $55K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 398 398 $40K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,017 2,988 $26K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,389 1,894 $22K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 623 599 $20K
99490 Ccm add 20min 414 413 $14K
90686 1,482 1,472 $13K
90682 234 232 $12K
90472 Immunization administration, each additional vaccine (list separately) 914 906 $12K
99442 194 191 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 652 627 $8K
90677 162 162 $8K
99215 Prolong outpt/office vis 40 39 $5K
90715 255 249 $4K
90791 Psychiatric diagnostic evaluation 27 27 $4K
90651 211 209 $3K
90632 43 43 $2K
90670 487 484 $2K
81002 863 821 $2K
99441 70 68 $2K
81025 259 256 $2K
90832 Psychotherapy, 30 minutes with patient 28 24 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 29 29 $1K
96127 334 328 $1K
90656 124 124 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 118 75 $818.93
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 27 27 $783.42
Q3014 Telehealth originating site facility fee 37 34 $506.31
J1030 Injection, methylprednisolone acetate, 40 mg 58 58 $477.20
J1040 Injection, methylprednisolone acetate, 80 mg 29 29 $375.84
90734 206 204 $304.67
90621 12 12 $243.80
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 75 37 $145.80
99406 13 13 $105.56
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) 114 113 $58.50
36415 Collection of venous blood by venipuncture 15 15 $56.00
J0696 Injection, ceftriaxone sodium, per 250 mg 12 12 $23.07
90723 261 260 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 3,532 3,304 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 1,378 1,347 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 2,513 2,331 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,455 1,336 $0.00
1036F 10,506 9,639 $0.00
3080F 678 647 $0.00
3074F 11,522 10,769 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 292 278 $0.00
3079F 4,259 4,103 $0.00
3044F 66 64 $0.00
90647 186 183 $0.00
3075F 1,949 1,888 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 610 604 $0.00
90680 92 92 $0.00
G8756 No documentation of blood pressure measurement, reason not given 78 76 $0.00
90696 13 13 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 160 149 $0.00
G8482 Influenza immunization administered or previously received 1,975 1,805 $0.00
90461 964 954 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 612 588 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 2,191 2,003 $0.00
4004F 5,211 4,790 $0.00
G8484 Influenza immunization was not administered, reason not given 8,598 7,960 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 14,389 13,256 $0.00
90633 125 124 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 3,371 3,156 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 2,183 1,980 $0.00
3078F 9,251 8,736 $0.00
3046F 186 181 $0.00
3077F 732 698 $0.00
3725F 56 56 $0.00
2028F 26 26 $0.00
G9900 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified 15 14 $0.00