Medicaid Provider Spending

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

SPARROW CARSON HOSPITAL

NPI: 1396789798 · CARSON CITY, MI 48811 · Interventional Pain Medicine Physician · NPI assigned 06/15/2006

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

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

$198K
Total Medicaid Paid
11,163
Total Claims
10,921
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date06/15/2006

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 2,167 $41K
2019 1,598 $36K
2020 925 $25K
2021 902 $25K
2022 1,592 $29K
2023 1,899 $18K
2024 2,080 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,938 1,904 $56K
62323 1,038 1,024 $56K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 907 881 $41K
64493 250 248 $16K
99152 2,096 2,065 $13K
64494 226 224 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 92 91 $7K
20610 38 36 $828.54
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 323 321 $111.60
1036F 318 311 $0.00
3074F 883 839 $0.00
3080F 79 77 $0.00
3079F 318 316 $0.00
3075F 51 51 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 39 39 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 89 85 $0.00
4004F 349 338 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 943 923 $0.00
G8484 Influenza immunization was not administered, reason not given 320 317 $0.00
3078F 736 703 $0.00
3077F 92 91 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 13 13 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 25 24 $0.00