Medicaid Provider Spending

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

EDWARD W. SPARROW HOSPITAL ASSOCIATION

NPI: 1437102357 · OKEMOS, MI 48864 · Family Medicine Physician · NPI assigned 05/19/2006

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

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

$297K
Total Medicaid Paid
17,767
Total Claims
16,928
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date05/19/2006

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 2,284 $51K
2019 2,027 $46K
2020 1,061 $35K
2021 1,650 $36K
2022 2,918 $47K
2023 4,371 $47K
2024 3,456 $36K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,803 2,713 $181K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,476 2,366 $112K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 319 309 $2K
90686 106 106 $2K
90472 Immunization administration, each additional vaccine (list separately) 14 13 $119.00
3074F 1,040 999 $0.00
1036F 2,663 2,499 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 268 259 $0.00
3079F 312 310 $0.00
3080F 123 122 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 40 39 $0.00
3075F 184 183 $0.00
4004F 334 314 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,165 2,988 $0.00
3078F 977 934 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 682 643 $0.00
G8482 Influenza immunization administered or previously received 692 647 $0.00
G8484 Influenza immunization was not administered, reason not given 1,144 1,074 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 230 222 $0.00
3077F 135 134 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 60 54 $0.00