Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Edward W. Sparrow Hospital Association

Edward W. Sparrow Hospital Association was paid $140K by Medicaid between Jan 2018 and Sep 2024, across 9 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 42% of everything it billed.

33Billing provider infoEDWARD W. SPARROW HOSPITAL ASSOCIATION
LANSING, MI 48912
33aNPI1285949461assigned 08/12/2010
33bProvider typePediatrics Physician
28Total paid$140K
24GClaims1,405
24DCodes billed9
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Pediatrics Physician providers in Michigan

Rank by total paid#211 of 349
Median peer was paid$321K
This provider vs. median0.4×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2018227$13K
2019335$41K
2020110$6K
2021248$18K
2022301$48K
2023122$9K
2024incomplete62$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 42% 1,011 489 $58K
99471 27% 59 59 $38K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 17% 68 28 $24K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 4.4% 49 25 $6K
99223 Prolong inpt eval add15 m 3.1% 41 41 $4K
99238 Hospital discharge day management, 30 minutes or less 2.6% 90 88 $4K
01922 2.3% 29 27 $3K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 1.1% 33 26 $2K
99239 Hospital discharge day management, more than 30 minutes 1.1% 25 25 $2K

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
Same official

Other billing entities under RUSSIAN, MISTY

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.