Medicaid Provider Spending

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

EDWARD W SPARROW HOSPITAL ASSOCIATION

NPI: 1487154290 · LANSING, MI 48912 · Nurse Practitioner · NPI assigned 02/19/2018

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

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

$364K
Total Medicaid Paid
32,774
Total Claims
31,139
Beneficiaries
33
Codes Billed
2018-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date02/19/2018

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 45 $0.00
2019 657 $19K
2020 1,601 $37K
2021 3,558 $60K
2022 7,579 $84K
2023 10,292 $86K
2024 9,042 $80K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,070 2,939 $172K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,362 3,221 $128K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 646 644 $54K
99205 Prolong outpt/office vis 34 34 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 57 56 $3K
99215 Prolong outpt/office vis 14 12 $1K
90686 25 25 $399.63
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 17 15 $375.24
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) 287 277 $215.13
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 28 28 $196.00
1036F 3,566 3,350 $0.00
1111F 176 164 $0.00
3080F 609 582 $0.00
3074F 1,895 1,805 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,430 1,368 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 418 381 $0.00
3079F 869 851 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 414 410 $0.00
3075F 646 638 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 140 120 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 346 333 $0.00
1123F 58 55 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 5,229 4,903 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,180 1,131 $0.00
G8482 Influenza immunization administered or previously received 491 463 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 673 647 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 360 343 $0.00
4004F 1,718 1,597 $0.00
G8484 Influenza immunization was not administered, reason not given 2,110 1,989 $0.00
3078F 1,911 1,817 $0.00
3077F 848 804 $0.00
3046F 61 58 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 86 79 $0.00