NPI: 1295801108 · PORTLAND, MI 48875 · Family Medicine Physician · NPI assigned 11/24/2006
Authorized official RUSSIAN, MISTY controls 20+ related entities in our dataset. Read more
| Authorized Official | RUSSIAN, MISTY (SUPERVISOR. PROVIDER ENROLLMENT) |
| Parent Organization | SPARROW HEALTH SYSTEM |
| NPI Enumeration Date | 11/24/2006 |
Other providers sharing the same authorized official: RUSSIAN, MISTY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,432 | $201K |
| 2019 | 8,169 | $210K |
| 2020 | 6,526 | $189K |
| 2021 | 7,758 | $217K |
| 2022 | 10,755 | $266K |
| 2023 | 16,982 | $265K |
| 2024 | 16,473 | $266K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 23,908 | 19,831 | $1.10M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11,022 | 9,720 | $187K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7,313 | 6,695 | $178K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1,015 | 1,002 | $39K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 878 | 874 | $28K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2,266 | 2,242 | $25K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 951 | 924 | $23K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 167 | 167 | $7K |
| 90677 | 126 | 126 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 894 | 880 | $4K |
| 90686 | 1,099 | 1,094 | $4K | |
| 90670 | 468 | 465 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 264 | 216 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 327 | 310 | $2K |
| 91320 | 13 | 13 | $835.94 | |
| 96127 | 407 | 384 | $760.55 | |
| 90651 | 12 | 12 | $688.02 | |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 24 | 24 | $677.69 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 12 | 12 | $650.72 |
| 0124A | 38 | 35 | $638.01 | |
| 99215 | Prolong outpt/office vis | 16 | 14 | $523.95 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 116 | 111 | $441.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 25 | 22 | $355.04 |
| 87807 | 53 | 50 | $308.30 | |
| 90656 | 60 | 60 | $207.13 | |
| 99406 | 28 | 27 | $159.29 | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14 | 13 | $120.84 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 15 | 15 | $49.92 |
| 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) | 136 | 126 | $13.40 |
| 3078F | 3,302 | 3,043 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 1,102 | 952 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 769 | 696 | $0.00 |
| 90461 | 1,122 | 1,109 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 219 | 200 | $0.00 |
| 90648 | 310 | 308 | $0.00 | |
| 90685 | 71 | 71 | $0.00 | |
| 4004F | 1,512 | 1,300 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 3,500 | 3,097 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 14 | 12 | $0.00 |
| 3077F | 132 | 124 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 134 | 120 | $0.00 |
| 90681 | 50 | 50 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 2,686 | 2,340 | $0.00 |
| 90633 | 13 | 12 | $0.00 | |
| 3046F | 14 | 13 | $0.00 | |
| 90698 | 144 | 143 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 616 | 577 | $0.00 |
| 3075F | 669 | 634 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 248 | 236 | $0.00 |
| 1036F | 2,498 | 2,221 | $0.00 | |
| 90680 | 71 | 69 | $0.00 | |
| 3074F | 3,792 | 3,474 | $0.00 | |
| 3079F | 1,215 | 1,131 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 833 | 746 | $0.00 |
| 90723 | 130 | 128 | $0.00 | |
| 3080F | 73 | 69 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 152 | 138 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 12 | 12 | $0.00 |
| 90744 | 12 | 12 | $0.00 | |
| 1101F | 13 | 13 | $0.00 |