Medicaid Provider Spending

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

SPARROW IONIA HOSPITAL

NPI: 1588747075 · IONIA, MI 48846 · Internal Medicine Physician · NPI assigned 10/20/2006

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

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

$1.10M
Total Medicaid Paid
19,073
Total Claims
17,825
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR. PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date10/20/2006

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 5,582 $295K
2019 5,299 $283K
2020 3,866 $238K
2021 4,211 $275K
2022 89 $5K
2024 26 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 9,000 8,168 $523K
99283 Emergency department visit for the evaluation and management, moderate severity 7,548 7,214 $400K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,643 1,588 $136K
99282 Emergency department visit for the evaluation and management, low to moderate severity 648 630 $31K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 107 105 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41 41 $1K
99220 12 12 $1K
99239 Hospital discharge day management, more than 30 minutes 12 12 $603.97
12001 12 12 $309.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 33 30 $0.00
G8484 Influenza immunization was not administered, reason not given 17 13 $0.00