Physician
Edward W. Sparrow Hospital Association
Edward W. Sparrow Hospital Association was paid $279K by Medicaid between Feb 2023 and Dec 2024, across 32 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 31% of everything it billed.
33Billing provider infoEDWARD W. SPARROW HOSPITAL ASSOCIATION
LANSING, MI 48912
LANSING, MI 48912
33aNPI1356088116assigned 05/13/2022
33bProvider typePulmonary Disease Physician
28Total paid$279K
24GClaims13,330
24DCodes billed32
24AFirst – last monthFeb 2023 – Dec 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Michigan
Rank by total paid#21 of 63
Median peer was paid$118K
This provider vs. median2.4×
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
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 | |
|---|---|---|---|
| 2023 | 5,368 | $110K | |
| 2024incomplete | 7,962 | $169K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 31% | 697 | 340 | $87K |
| 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 | 16% | 595 | 595 | $44K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 15% | 962 | 382 | $42K |
| 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 | 11% | 675 | 672 | $31K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 7.6% | 314 | 311 | $21K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.2% | 207 | 126 | $14K |
| 94060 | 2.7% | 1,295 | 1,294 | $8K | |
| 94726 | 2.4% | 985 | 984 | $7K | |
| 95811 | 2.3% | 91 | 91 | $6K | |
| 99222 | Initial hospital care, per day, moderate complexity | 2.1% | 82 | 80 | $6K |
| 94729 | 1.9% | 1,062 | 1,061 | $5K | |
| 95806 | 1.3% | 141 | 137 | $3K |
20 more codes
| 99254 | <1% | 13 | $1K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 26 | $796.79 |
| 94010 | <1% | 81 | $519.07 | |
| 4004F | 0% | 340 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,141 | $0.00 |
| 3077F | 0% | 314 | $0.00 | |
| 3078F | 0% | 535 | $0.00 | |
| G9900 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified | 0% | 102 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 157 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 132 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 514 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 41 | $0.00 |
| 3074F | 0% | 737 | $0.00 | |
| 1123F | 0% | 56 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 196 | $0.00 |
| 3080F | 0% | 327 | $0.00 | |
| 1036F | 0% | 848 | $0.00 | |
| 3075F | 0% | 174 | $0.00 | |
| 3079F | 0% | 461 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 29 | $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.