Clinic
Edward W Sparrow Hospital Association
Edward W Sparrow Hospital Association was paid $2.48M by Medicaid between Jan 2018 and Dec 2024, across 73 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.
33Billing provider infoEDWARD W SPARROW HOSPITAL ASSOCIATION
LANSING, MI 48912
LANSING, MI 48912
33aNPI1245737402assigned 04/12/2018
33bProvider typeMagnetic Resonance Imaging (MRI) Clinic/Center
28Total paid$2.48M
24GClaims230,800
24DCodes billed73
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Magnetic Resonance Imaging (MRI) Clinic/Center providers in Michigan
Rank by total paid#2 of 7
Median peer was paid$22K
This provider vs. median113×
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 | 10,426 | $45K | |
| 2019 | 14,556 | $103K | |
| 2020 | 31,233 | $408K | |
| 2021 | 35,647 | $470K | |
| 2022 | 40,873 | $456K | |
| 2023 | 51,479 | $523K | |
| 2024incomplete | 46,586 | $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 | 23% | 11,719 | 11,243 | $573K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 18% | 97,535 | 74,724 | $457K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 15% | 9,881 | 9,843 | $371K |
| 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 | 9.9% | 3,350 | 3,333 | $247K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.6% | 5,612 | 5,462 | $189K |
| 99223 | Prolong inpt eval add15 m | 3.8% | 993 | 936 | $95K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.5% | 2,192 | 1,008 | $88K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 3.2% | 1,985 | 1,977 | $79K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.7% | 1,248 | 570 | $68K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.7% | 960 | 918 | $67K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 952 | 952 | $41K |
| 93016 | 1.6% | 3,499 | 3,458 | $40K |
61 more codes
| 93018 | 1.1% | 3,491 | $26K | |
| 93308 | <1% | 1,588 | $22K | |
| 93227 | <1% | 1,945 | $22K | |
| 93298 | <1% | 1,472 | $21K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 598 | $13K |
| 93272 | <1% | 852 | $12K | |
| 93295 | <1% | 566 | $11K | |
| 93312 | <1% | 135 | $8K | |
| 93228 | <1% | 325 | $5K | |
| 93922 | <1% | 596 | $4K | |
| 93351 | <1% | 81 | $4K | |
| 93454 | <1% | 26 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 36 | $3K |
| 93325 | <1% | 1,230 | $2K | |
| 93280 | <1% | 98 | $2K | |
| 93294 | <1% | 97 | $2K | |
| 93321 | <1% | 387 | $2K | |
| 93042 | <1% | 142 | $1K | |
| 93320 | <1% | 111 | $1K | |
| 93925 | <1% | 56 | $1K | |
| 93356 | <1% | 155 | $979.50 | |
| 75574 | <1% | 12 | $794.04 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 27 | $737.49 |
| 93283 | <1% | 25 | $720.99 | |
| 93971 | <1% | 54 | $645.24 | |
| 75561 | <1% | 12 | $588.14 | |
| 93880 | <1% | 25 | $488.98 | |
| 93282 | <1% | 12 | $241.90 | |
| 93291 | <1% | 24 | $231.00 | |
| 93970 | <1% | 12 | $211.42 | |
| 99442 | <1% | 35 | $177.54 | |
| 93793 | <1% | 88 | $72.84 | |
| 85610 | <1% | 13 | $25.20 | |
| 36416 | <1% | 13 | $3.00 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | <1% | 331 | $0.02 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 639 | $0.00 |
| 1123F | 0% | 1,279 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 971 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 5,921 | $0.00 |
| 1036F | 0% | 10,305 | $0.00 | |
| 3079F | 0% | 2,325 | $0.00 | |
| 3074F | 0% | 5,496 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 2,189 | $0.00 |
| 1101F | 0% | 857 | $0.00 | |
| 3080F | 0% | 969 | $0.00 | |
| 3075F | 0% | 1,360 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 600 | $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 | 0% | 56 | $0.00 |
| 4004F | 0% | 4,299 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 14,062 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 725 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 5,124 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 1,776 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 6,245 | $0.00 |
| 3077F | 0% | 1,419 | $0.00 | |
| G9900 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified | 0% | 1,811 | $0.00 |
| 3046F | 0% | 12 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 1,821 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 740 | $0.00 |
| 3078F | 0% | 5,109 | $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% | 94 | $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 |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.