Clinic
Edward W. Sparrow Hospital Association
Edward W. Sparrow Hospital Association was paid $5.43M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoEDWARD W. SPARROW HOSPITAL ASSOCIATION
EAST LANSING, MI 48823
EAST LANSING, MI 48823
33aNPI1477509313assigned 05/25/2006
33bProvider typeUrgent Care Clinic/Center
28Total paid$5.43M
24GClaims391,292
24DCodes billed66
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Michigan
Rank by total paid#11 of 239
Median peer was paid$346K
This provider vs. median16×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official RUSSIAN, MISTY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 31,211 | $508K | |
| 2019 | 42,110 | $777K | |
| 2020 | 34,423 | $529K | |
| 2021 | 41,269 | $686K | |
| 2022 | 56,997 | $869K | |
| 2023 | 97,498 | $1.06M | |
| 2024incomplete | 87,784 | $1.00M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 52,290 | 49,413 | $2.10M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 38% | 37,362 | 35,553 | $2.07M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 14,517 | 14,456 | $746K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.0% | 2,118 | 2,113 | $163K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.1% | 3,128 | 3,099 | $116K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 7,012 | 6,814 | $82K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 2,716 | 2,635 | $72K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,171 | 2,425 | $40K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,678 | 1,633 | $15K |
| 81025 | <1% | 1,231 | 1,213 | $7K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,133 | 1,126 | $5K |
| 81003 | <1% | 2,962 | 2,887 | $5K |
54 more codes
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 392 | $4K |
| 93000 | <1% | 267 | $2K | |
| 12001 | <1% | 83 | $2K | |
| 99422 | <1% | 120 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 16 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 179 | $1K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 500 | $833.62 |
| 90715 | <1% | 28 | $773.95 | |
| 99421 | <1% | 63 | $474.85 | |
| 90686 | <1% | 38 | $416.66 | |
| 29125 | <1% | 12 | $308.26 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 24 | $240.10 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 49 | $207.58 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 16 | $162.34 |
| 87807 | <1% | 18 | $151.90 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 142 | $150.73 |
| 86580 | <1% | 37 | $123.50 | |
| 81002 | <1% | 25 | $68.26 | |
| J2919 | Injection, methylprednisolone sodium succinate, 5 mg | <1% | 59 | $64.48 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 15 | $51.61 |
| 86308 | <1% | 13 | $46.88 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 74 | $0.04 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 3,539 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,046 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 3,282 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 39,690 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 2,330 | $0.00 |
| G8938 | Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible | 0% | 2,109 | $0.00 |
| 3078F | 0% | 23,194 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 52,719 | $0.00 |
| G9900 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified | 0% | 2,215 | $0.00 |
| 3077F | 0% | 5,211 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 2,258 | $0.00 |
| 4004F | 0% | 18,581 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 107 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 2,297 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 4,491 | $0.00 |
| 3080F | 0% | 4,271 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 11,833 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 5,435 | $0.00 |
| 3079F | 0% | 7,386 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 1,645 | $0.00 |
| 3075F | 0% | 5,315 | $0.00 | |
| 1036F | 0% | 33,351 | $0.00 | |
| G9231 | Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period | 0% | 353 | $0.00 |
| 1111F | 0% | 13 | $0.00 | |
| 1101F | 0% | 274 | $0.00 | |
| 1123F | 0% | 434 | $0.00 | |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 239 | $0.00 |
| 3074F | 0% | 24,417 | $0.00 | |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 0% | 689 | $0.00 |
| J7626 | Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg | 0% | 26 | $0.00 |
| 3014F | 0% | 36 | $0.00 | |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 18 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent organizationSPARROW HEALTH SYSTEM
| Provider | Location | 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 |
| 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 |
| Sparrow Carson Hospital | Ithaca, MI | $1.54M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.