Medicaid Provider Spending

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

EDWARD W. SPARROW HOSPITAL ASSOCIATION

NPI: 1508812264 · LANSING, MI 48912 · Endocrinology, Diabetes & Metabolism Physician · NPI assigned 05/25/2006

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

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

$398K
Total Medicaid Paid
38,641
Total Claims
38,128
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date05/25/2006

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 3,664 $44K
2019 2,951 $34K
2020 3,034 $44K
2021 5,011 $58K
2022 5,956 $70K
2023 8,085 $77K
2024 9,940 $72K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,453 6,378 $309K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 379 377 $26K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 611 605 $22K
99215 Prolong outpt/office vis 243 240 $17K
95251 1,082 1,064 $17K
83036 Hemoglobin; glycosylated (A1C) 752 748 $6K
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) 822 815 $319.55
82962 159 154 $138.20
G8484 Influenza immunization was not administered, reason not given 2,583 2,543 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 6,086 5,994 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,936 1,916 $0.00
4004F 1,142 1,126 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 702 698 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,443 1,419 $0.00
3046F 986 972 $0.00
3078F 1,525 1,510 $0.00
3045F 117 117 $0.00
3051F 314 311 $0.00
G8482 Influenza immunization administered or previously received 335 321 $0.00
G9900 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified 160 157 $0.00
3077F 38 38 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 12 12 $0.00
1036F 5,042 4,960 $0.00
3079F 500 496 $0.00
3044F 321 317 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 2,190 2,165 $0.00
3074F 1,604 1,590 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 311 307 $0.00
G8756 No documentation of blood pressure measurement, reason not given 179 171 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 183 181 $0.00
3075F 144 144 $0.00
3052F 206 202 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 27 27 $0.00
1123F 41 41 $0.00
3014F 13 12 $0.00