Clinic
Sparrow Clinton Hospital
Sparrow Clinton Hospital was paid $1.09M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.
33Billing provider infoSPARROW CLINTON HOSPITAL
SAINT JOHNS, MI 48879
SAINT JOHNS, MI 48879
33aNPI1306893078assigned 05/28/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$1.09M
24GClaims66,260
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Michigan
Rank by total paid#12 of 44
Median peer was paid$362K
This provider vs. median3.0×
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 | 9,684 | $140K | |
| 2019 | 7,095 | $129K | |
| 2020 | 6,237 | $126K | |
| 2021 | 7,671 | $183K | |
| 2022 | 8,921 | $189K | |
| 2023 | 13,911 | $169K | |
| 2024incomplete | 12,741 | $153K |
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 | 63% | 10,211 | 9,119 | $684K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 6,052 | 5,292 | $279K |
| 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 | 2.7% | 320 | 318 | $29K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.5% | 814 | 769 | $16K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 183 | 177 | $16K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 172 | 161 | $14K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 164 | 155 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,205 | 1,113 | $9K |
| 90686 | <1% | 690 | 647 | $9K | |
| 90632 | <1% | 171 | 146 | $8K | |
| 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% | 97 | 95 | $6K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 208 | 178 | $2K |
37 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 27 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 183 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 14 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 26 | $763.92 |
| 96127 | <1% | 182 | $568.60 | |
| 0002A | <1% | 12 | $454.20 | |
| 90715 | <1% | 12 | $354.07 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 28 | $341.12 |
| 81002 | <1% | 12 | $34.56 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 411 | $0.00 |
| 1036F | 0% | 6,283 | $0.00 | |
| 3075F | 0% | 688 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 2,442 | $0.00 |
| 3074F | 0% | 3,785 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 150 | $0.00 |
| 1123F | 0% | 17 | $0.00 | |
| 3014F | 0% | 34 | $0.00 | |
| 3080F | 0% | 101 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 949 | $0.00 |
| 3079F | 0% | 1,488 | $0.00 | |
| 3044F | 0% | 12 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 40 | $0.00 |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 30 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 2,105 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 1,508 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 8,782 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 2,181 | $0.00 |
| 3078F | 0% | 3,220 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 3,776 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 3,207 | $0.00 |
| 4004F | 0% | 3,373 | $0.00 | |
| 3077F | 0% | 502 | $0.00 | |
| 3046F | 0% | 52 | $0.00 | |
| 90461 | 0% | 63 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 239 | $0.00 |
| G9900 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified | 0% | 17 | $0.00 |
| 90685 | 0% | 22 | $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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.