Physician
Sparrow Eaton Hospital
Sparrow Eaton Hospital was paid $3.12M by Medicaid between Jan 2018 and Dec 2024, across 80 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoSPARROW EATON HOSPITAL
CHARLOTTE, MI 48813
CHARLOTTE, MI 48813
33aNPI1225237613assigned 07/16/2007
33bProvider typeInternal Medicine Physician
28Total paid$3.12M
24GClaims148,496
24DCodes billed80
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Michigan
Rank by total paid#35 of 816
Median peer was paid$70K
This provider vs. median44×
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 | 17,731 | $414K | |
| 2019 | 18,696 | $403K | |
| 2020 | 14,630 | $364K | |
| 2021 | 18,828 | $484K | |
| 2022 | 19,696 | $458K | |
| 2023 | 30,509 | $520K | |
| 2024incomplete | 28,406 | $478K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 34% | 13,953 | 13,188 | $1.06M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 18,609 | 17,461 | $961K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 5.2% | 1,989 | 1,980 | $161K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.1% | 1,761 | 1,756 | $159K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.6% | 1,638 | 1,631 | $145K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.0% | 1,430 | 1,430 | $126K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.0% | 1,386 | 1,331 | $92K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.8% | 1,017 | 1,008 | $86K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.9% | 2,470 | 2,429 | $61K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 843 | 841 | $55K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.3% | 398 | 398 | $40K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,017 | 2,988 | $26K |
68 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,389 | $22K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 623 | $20K |
| 99490 | Ccm add 20min | <1% | 414 | $14K |
| 90686 | <1% | 1,482 | $13K | |
| 90682 | <1% | 234 | $12K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 914 | $12K |
| 99442 | <1% | 194 | $9K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 652 | $8K |
| 90677 | <1% | 162 | $8K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 40 | $5K |
| 90715 | <1% | 255 | $4K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 27 | $4K |
| 90651 | <1% | 211 | $3K | |
| 90632 | <1% | 43 | $2K | |
| 90670 | <1% | 487 | $2K | |
| 81002 | <1% | 863 | $2K | |
| 99441 | <1% | 70 | $2K | |
| 81025 | <1% | 259 | $2K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 28 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 29 | $1K |
| 96127 | <1% | 334 | $1K | |
| 90656 | <1% | 124 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 118 | $818.93 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 27 | $783.42 |
| Q3014 | Telehealth originating site facility fee | <1% | 37 | $506.31 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 58 | $477.20 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 29 | $375.84 |
| 90734 | <1% | 206 | $304.67 | |
| 90621 | <1% | 12 | $243.80 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 75 | $145.80 |
| 99406 | <1% | 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) | <1% | 114 | $58.50 |
| 36415 | Collection of venous blood by venipuncture | <1% | 15 | $56.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 12 | $23.07 |
| 90723 | 0% | 261 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 3,532 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 1,378 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 2,513 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,455 | $0.00 |
| 1036F | 0% | 10,506 | $0.00 | |
| 3080F | 0% | 678 | $0.00 | |
| 3074F | 0% | 11,522 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 292 | $0.00 |
| 3079F | 0% | 4,259 | $0.00 | |
| 3044F | 0% | 66 | $0.00 | |
| 90647 | 0% | 186 | $0.00 | |
| 3075F | 0% | 1,949 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 610 | $0.00 |
| 90680 | 0% | 92 | $0.00 | |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 78 | $0.00 |
| 90696 | 0% | 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 | 0% | 160 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 1,975 | $0.00 |
| 90461 | 0% | 964 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 612 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 2,191 | $0.00 |
| 4004F | 0% | 5,211 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 8,598 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 14,389 | $0.00 |
| 90633 | 0% | 125 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 3,371 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,183 | $0.00 |
| 3078F | 0% | 9,251 | $0.00 | |
| 3046F | 0% | 186 | $0.00 | |
| 3077F | 0% | 732 | $0.00 | |
| 3725F | 0% | 56 | $0.00 | |
| 2028F | 0% | 26 | $0.00 | |
| G9900 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified | 0% | 15 | $0.00 |
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
| 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 |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.