Medicaid Provider Spending

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

EDWARD W SPARROW HOSPITAL ASSOCIATION

NPI: 1457744666 · LANSING, MI 48912 · Surgery Physician · NPI assigned 03/12/2015

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

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

$111K
Total Medicaid Paid
12,108
Total Claims
11,423
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date03/12/2015

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 868 $6K
2019 619 $12K
2020 708 $9K
2021 1,035 $16K
2022 1,590 $12K
2023 4,154 $27K
2024 3,134 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 689 686 $33K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 816 765 $28K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 201 201 $16K
99223 Prolong inpt eval add15 m 151 148 $15K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 172 166 $9K
99222 Initial hospital care, per day, moderate complexity 50 49 $4K
99232 Subsequent hospital care, per day, moderate complexity 67 39 $3K
99253 42 41 $3K
99233 Prolong inpt eval add15 m 24 14 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 20 14 $430.28
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 12 $297.92
3074F 909 861 $0.00
1036F 1,773 1,657 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 274 250 $0.00
3075F 206 202 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 152 145 $0.00
3079F 382 376 $0.00
3080F 88 87 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 14 14 $0.00
3078F 946 888 $0.00
4004F 624 586 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,811 2,631 $0.00
G8484 Influenza immunization was not administered, reason not given 1,169 1,101 $0.00
3077F 398 380 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 61 58 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 27 25 $0.00
G8482 Influenza immunization administered or previously received 29 27 $0.00