Medicaid Provider Spending

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

EDWARD W. SPARROW HOSPITAL ASSOCIATION

NPI: 1356088116 · LANSING, MI 48912 · Pulmonary Disease Physician · NPI assigned 05/13/2022

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

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

$279K
Total Medicaid Paid
13,330
Total Claims
12,274
Beneficiaries
32
Codes Billed
2023-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date05/13/2022

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
2023 5,368 $110K
2024 7,962 $169K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 697 340 $87K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 595 595 $44K
99232 Subsequent hospital care, per day, moderate complexity 962 382 $42K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 675 672 $31K
95810 Polysomnography; sleep staging with 4 or more additional parameters 314 311 $21K
99233 Prolong inpt eval add15 m 207 126 $14K
94060 1,295 1,294 $8K
94726 985 984 $7K
95811 91 91 $6K
99222 Initial hospital care, per day, moderate complexity 82 80 $6K
94729 1,062 1,061 $5K
95806 141 137 $3K
99254 13 13 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26 26 $796.79
94010 81 79 $519.07
4004F 340 340 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,141 1,137 $0.00
3077F 314 313 $0.00
3078F 535 535 $0.00
G9900 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified 102 102 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 157 156 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 132 130 $0.00
G8484 Influenza immunization was not administered, reason not given 514 514 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 41 41 $0.00
3074F 737 734 $0.00
1123F 56 55 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 196 194 $0.00
3080F 327 327 $0.00
1036F 848 843 $0.00
3075F 174 174 $0.00
3079F 461 459 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 29 29 $0.00