Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Edward W. Sparrow Hospital Association

Edward W. Sparrow Hospital Association was paid $56K by Medicaid between Apr 2018 and Dec 2024, across 5 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 68% of everything it billed.

33Billing provider infoEDWARD W. SPARROW HOSPITAL ASSOCIATION
LANSING, MI 48912
33aNPI1689620098assigned 05/26/2006
33bProvider typeNeurology Physician
28Total paid$56K
24GClaims806
24DCodes billed5
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers

Next to other Neurology Physician providers in Michigan

Rank by total paid#45 of 78
Median peer was paid$69K
This provider vs. median0.8×

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.

Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2018169$6K
201973$3K
2020208$15K
202183$8K
202240$4K
202343$4K
2024incomplete190$17K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 68% 389 379 $38K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 19% 315 136 $11K
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 6.7% 45 44 $4K
99222 Initial hospital care, per day, moderate complexity 5.5% 42 42 $3K
3074F 0% 15 13 $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 officialDIMOND, MARGARET (PRESIDENT/CEO, UM HEALTH REGIONAL N)
Parent organizationEDWARD W. SPARROW HOSPITAL ASSOCIATION