NPI: 1437400413 · HOLT, MI 48842 · Family Medicine Physician · NPI assigned 10/01/2012
Authorized official RUSSIAN, MISTY controls 20+ related entities in our dataset. Read more
| Authorized Official | RUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT) |
| Parent Organization | SPARROW HEALTH SYSTEM |
| NPI Enumeration Date | 10/01/2012 |
Other providers sharing the same authorized official: RUSSIAN, MISTY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,877 | $71K |
| 2019 | 2,761 | $67K |
| 2020 | 2,175 | $53K |
| 2021 | 2,517 | $61K |
| 2022 | 4,131 | $76K |
| 2023 | 6,926 | $79K |
| 2024 | 6,159 | $62K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5,114 | 4,857 | $329K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2,429 | 2,301 | $109K |
| 99421 | 761 | 722 | $6K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 92 | 92 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 56 | 56 | $4K |
| 99215 | Prolong outpt/office vis | 38 | 38 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 401 | 399 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 32 | 32 | $2K |
| 90686 | 137 | 137 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 61 | 61 | $897.96 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 14 | 14 | $855.12 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14 | 14 | $799.98 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 43 | 43 | $539.00 |
| 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) | 469 | 441 | $195.50 |
| 96127 | 41 | 40 | $157.71 | |
| 1036F | 3,081 | 2,879 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 396 | 379 | $0.00 |
| 3075F | 132 | 129 | $0.00 | |
| 3074F | 2,309 | 2,245 | $0.00 | |
| 3079F | 523 | 515 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 459 | 424 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 148 | 134 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 13 | 12 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 4,105 | 3,853 | $0.00 |
| 3078F | 2,046 | 1,994 | $0.00 | |
| 4004F | 1,036 | 962 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 1,939 | 1,816 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 678 | 640 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 502 | 465 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 354 | 339 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 123 | 118 | $0.00 |