Medicaid Provider Spending

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

SPARROW CARSON HOSPITAL

NPI: 1336103043 · CARSON CITY, MI 48811 · General Acute Care Hospital · NPI assigned 04/12/2006

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

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

$5.48M
Total Medicaid Paid
152,047
Total Claims
143,389
Beneficiaries
131
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date04/12/2006

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
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
SPARROW CARSON HOSPITAL ITHACA MI $1.54M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,616 $672K
2019 18,833 $603K
2020 17,474 $582K
2021 25,986 $911K
2022 28,569 $1.01M
2023 26,457 $952K
2024 20,112 $744K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,071 3,818 $1.27M
99283 Emergency department visit for the evaluation and management, moderate severity 9,122 8,713 $1.12M
99284 Emergency department visit for the evaluation and management, high severity 4,670 4,485 $881K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,445 3,189 $340K
62323 975 956 $289K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,352 2,296 $167K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 2,715 2,630 $125K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2,083 2,025 $122K
74177 Computed tomography, abdomen and pelvis; with contrast material 741 723 $107K
96375 Therapeutic injection; each additional sequential IV push 2,862 2,565 $94K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 856 778 $85K
64493 154 150 $66K
96361 Intravenous infusion, hydration; each additional hour 1,983 1,796 $54K
71045 Radiologic examination, chest; single view 1,242 1,202 $52K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,254 646 $50K
71046 Radiologic examination, chest; 2 views 1,250 1,207 $43K
80061 Lipid panel 4,594 4,587 $39K
77067 Screening mammography, bilateral, including computer-aided detection 811 811 $39K
70450 Computed tomography, head or brain; without contrast material 430 420 $38K
84443 Thyroid stimulating hormone (TSH) 5,350 5,303 $34K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,416 2,396 $34K
80053 Comprehensive metabolic panel 13,638 12,696 $34K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,187 2,170 $30K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,081 1,053 $28K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 366 362 $28K
74176 Computed tomography, abdomen and pelvis; without contrast material 256 246 $26K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,404 1,400 $19K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,799 1,795 $19K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 11,455 10,380 $19K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,370 1,355 $19K
83036 Hemoglobin; glycosylated (A1C) 4,107 4,098 $15K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,219 1,152 $15K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 223 222 $12K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 50 50 $11K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,079 1,077 $11K
76830 Ultrasound, transvaginal 177 175 $10K
84439 2,131 2,123 $9K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 28 28 $8K
82607 1,138 1,134 $6K
87086 Culture, bacterial; quantitative colony count, urine 3,031 2,888 $5K
73610 272 254 $5K
20610 51 50 $5K
73630 368 351 $4K
86803 600 598 $4K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,224 2,053 $4K
82728 612 602 $4K
97161 66 66 $3K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 437 427 $3K
36415 Collection of venous blood by venipuncture 2,336 2,123 $3K
85027 2,216 2,033 $3K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 24 24 $3K
87077 1,162 1,095 $3K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 245 245 $3K
80048 Basic metabolic panel (calcium, ionized) 1,208 1,116 $3K
83550 688 682 $3K
87210 1,110 1,089 $2K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 24 24 $2K
83540 814 807 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 39 39 $2K
82652 149 148 $2K
73130 121 106 $2K
81514 13 13 $2K
82043 1,013 1,013 $2K
77063 Screening digital breast tomosynthesis, bilateral 161 161 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 626 530 $2K
87186 778 743 $2K
82570 980 975 $2K
73562 111 111 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,009 1,840 $2K
87625 79 73 $1K
83721 386 386 $1K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 25 25 $1K
73030 55 53 $1K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 12 12 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,442 1,397 $1K
84703 2,585 2,490 $885.25
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 14 14 $815.68
86140 1,403 1,331 $770.87
85610 1,422 1,255 $725.47
76801 13 13 $699.12
0002A 20 20 $690.28
G0103 Prostate cancer screening; prostate specific antigen test (psa) 93 93 $654.95
83735 1,558 1,459 $650.58
86900 14 14 $463.97
74018 24 24 $429.60
87070 136 129 $410.53
83690 1,732 1,622 $395.52
0001A 17 17 $336.85
81001 3,322 3,153 $333.63
87420 439 427 $306.59
83880 291 278 $238.38
85730 798 771 $236.75
87510 42 40 $226.29
87480 42 40 $226.29
84478 97 97 $202.53
86780 25 25 $181.61
84702 31 24 $129.71
85652 148 142 $109.67
83516 12 12 $89.46
85007 134 121 $87.88
81003 1,330 1,280 $84.68
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 82 81 $81.97
87660 13 13 $63.01
84484 1,473 1,350 $33.14
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,139 1,125 $32.30
82947 18 18 $25.50
86038 13 13 $21.61
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,854 1,804 $12.00
85379 13 13 $7.77
83605 406 362 $7.62
99152 2,015 1,987 $7.13
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 28 28 $6.13
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 162 162 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 1,530 1,414 $0.00
64494 107 106 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 55 51 $0.00
J0690 Injection, cefazolin sodium, 500 mg 96 91 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 454 437 $0.00
96376 103 81 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 360 352 $0.00
87040 12 12 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 169 165 $0.00
J2704 Injection, propofol, 10 mg 14 13 $0.00
82962 86 63 $0.00
86901 14 14 $0.00
86850 14 14 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 1,177 1,157 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 920 847 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 77 77 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 318 272 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 12 12 $0.00