Medicaid Provider Spending

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

EDWARD W SPARROW HOSPITAL ASSOCIATION

NPI: 1245737402 · LANSING, MI 48912 · Magnetic Resonance Imaging (MRI) Clinic/Center · NPI assigned 04/12/2018

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

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

$2.48M
Total Medicaid Paid
230,800
Total Claims
202,499
Beneficiaries
73
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date04/12/2018

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 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 10,426 $45K
2019 14,556 $103K
2020 31,233 $408K
2021 35,647 $470K
2022 40,873 $456K
2023 51,479 $523K
2024 46,586 $478K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,719 11,243 $573K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 97,535 74,724 $457K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 9,881 9,843 $371K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,350 3,333 $247K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,612 5,462 $189K
99223 Prolong inpt eval add15 m 993 936 $95K
99232 Subsequent hospital care, per day, moderate complexity 2,192 1,008 $88K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,985 1,977 $79K
99233 Prolong inpt eval add15 m 1,248 570 $68K
99222 Initial hospital care, per day, moderate complexity 960 918 $67K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 952 952 $41K
93016 3,499 3,458 $40K
93018 3,491 3,455 $26K
93308 1,588 1,462 $22K
93227 1,945 1,944 $22K
93298 1,472 1,472 $21K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 598 590 $13K
93272 852 852 $12K
93295 566 566 $11K
93312 135 134 $8K
93228 325 325 $5K
93922 596 596 $4K
93351 81 81 $4K
93454 26 26 $3K
99215 Prolong outpt/office vis 36 36 $3K
93325 1,230 1,180 $2K
93280 98 95 $2K
93294 97 97 $2K
93321 387 373 $2K
93042 142 28 $1K
93320 111 110 $1K
93925 56 56 $1K
93356 155 155 $979.50
75574 12 12 $794.04
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 27 27 $737.49
93283 25 25 $720.99
93971 54 49 $645.24
75561 12 12 $588.14
93880 25 25 $488.98
93282 12 12 $241.90
93291 24 24 $231.00
93970 12 12 $211.42
99442 35 33 $177.54
93793 88 50 $72.84
85610 13 12 $25.20
36416 13 12 $3.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 331 329 $0.02
G8420 Bmi is documented within normal parameters and no follow-up plan is required 639 609 $0.00
1123F 1,279 1,241 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 971 951 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 5,921 5,715 $0.00
1036F 10,305 9,924 $0.00
3079F 2,325 2,296 $0.00
3074F 5,496 5,328 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 2,189 2,096 $0.00
1101F 857 831 $0.00
3080F 969 954 $0.00
3075F 1,360 1,351 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 600 598 $0.00
G9231 Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period 56 56 $0.00
4004F 4,299 4,157 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 14,062 13,589 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 725 687 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 5,124 4,960 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 1,776 1,718 $0.00
G8484 Influenza immunization was not administered, reason not given 6,245 6,044 $0.00
3077F 1,419 1,391 $0.00
G9900 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified 1,811 1,736 $0.00
3046F 12 12 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 1,821 1,780 $0.00
G8482 Influenza immunization administered or previously received 740 715 $0.00
3078F 5,109 4,979 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 94 90 $0.00