Medicaid Provider Spending

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

EDWARD W SPARROW HOSPITAL ASSOCIATION

NPI: 1568867190 · LANSING, MI 48912 · Nurse Practitioner · NPI assigned 10/24/2014

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

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

$781K
Total Medicaid Paid
29,226
Total Claims
22,795
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date10/24/2014

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 3,228 $85K
2019 3,540 $91K
2020 2,921 $92K
2021 4,059 $133K
2022 4,357 $121K
2023 5,615 $129K
2024 5,506 $130K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 5,560 1,652 $204K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 1,537 1,537 $167K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,766 2,682 $129K
90935 Hemodialysis procedure with single evaluation by a physician 2,450 792 $80K
90961 669 667 $67K
99233 Prolong inpt eval add15 m 611 252 $36K
99222 Initial hospital care, per day, moderate complexity 565 513 $33K
99254 262 248 $24K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 729 711 $23K
99231 Subsequent hospital care, per day, straightforward or low complexity 472 292 $9K
99223 Prolong inpt eval add15 m 82 75 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 31 31 $2K
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) 94 94 $80.00
3074F 567 565 $0.00
1101F 13 13 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,639 1,627 $0.00
1036F 2,316 2,283 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 40 37 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 336 333 $0.00
1123F 45 45 $0.00
3079F 186 184 $0.00
3075F 100 100 $0.00
3080F 69 69 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 14 14 $0.00
G8484 Influenza immunization was not administered, reason not given 1,165 1,145 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 124 122 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 567 558 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,200 1,195 $0.00
3077F 286 283 $0.00
4004F 427 422 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,046 3,007 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 356 351 $0.00
G8482 Influenza immunization administered or previously received 191 188 $0.00
3078F 631 628 $0.00
3046F 40 40 $0.00
G9900 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified 40 40 $0.00