Medicaid Provider Spending

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

SPARROW CLINTON HOSPITAL

NPI: 1306893078 · SAINT JOHNS, MI 48879 · Multi-Specialty Clinic/Center · NPI assigned 05/28/2006

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

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

$1.09M
Total Medicaid Paid
66,260
Total Claims
57,861
Beneficiaries
49
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date05/28/2006

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,684 $140K
2019 7,095 $129K
2020 6,237 $126K
2021 7,671 $183K
2022 8,921 $189K
2023 13,911 $169K
2024 12,741 $153K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,211 9,119 $684K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,052 5,292 $279K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 320 318 $29K
90460 Immunization administration through 18 years of age via any route, first or only component 814 769 $16K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 183 177 $16K
99215 Prolong outpt/office vis 172 161 $14K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 164 155 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,205 1,113 $9K
90686 690 647 $9K
90632 171 146 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 97 95 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 208 178 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 27 27 $2K
90472 Immunization administration, each additional vaccine (list separately) 183 153 $2K
99205 Prolong outpt/office vis 14 14 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 26 25 $763.92
96127 182 166 $568.60
0002A 12 12 $454.20
90715 12 12 $354.07
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 28 26 $341.12
81002 12 12 $34.56
G8420 Bmi is documented within normal parameters and no follow-up plan is required 411 348 $0.00
1036F 6,283 5,276 $0.00
3075F 688 669 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 2,442 2,137 $0.00
3074F 3,785 3,399 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 150 136 $0.00
1123F 17 15 $0.00
3014F 34 30 $0.00
3080F 101 96 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 949 886 $0.00
3079F 1,488 1,392 $0.00
3044F 12 12 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 40 39 $0.00
G8756 No documentation of blood pressure measurement, reason not given 30 28 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 2,105 1,855 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 1,508 1,227 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 8,782 7,476 $0.00
G8482 Influenza immunization administered or previously received 2,181 1,743 $0.00
3078F 3,220 2,965 $0.00
G8484 Influenza immunization was not administered, reason not given 3,776 3,242 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 3,207 2,590 $0.00
4004F 3,373 2,843 $0.00
3077F 502 473 $0.00
3046F 52 51 $0.00
90461 63 61 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 239 226 $0.00
G9900 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified 17 14 $0.00
90685 22 15 $0.00