Medicaid Provider Spending

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

SPARROW CARSON HOSPITAL

NPI: 1689644403 · GREENVILLE, MI 48838 · Rural Health Clinic/Center · NPI assigned 01/24/2006

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

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

$1.16M
Total Medicaid Paid
61,665
Total Claims
55,638
Beneficiaries
50
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date01/24/2006

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 12,711 $196K
2019 7,048 $176K
2020 5,748 $164K
2021 5,711 $162K
2022 7,080 $164K
2023 12,395 $162K
2024 10,972 $134K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 18,827 16,440 $1.03M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,695 7,013 $46K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,166 4,775 $46K
90686 1,117 1,095 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 288 284 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 248 248 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 242 236 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 451 449 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 305 294 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 617 610 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,632 1,573 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 339 301 $1K
90472 Immunization administration, each additional vaccine (list separately) 448 426 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 324 292 $964.60
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 120 120 $855.79
0012A 24 24 $567.75
0011A 19 17 $502.05
90670 56 56 $230.14
36415 Collection of venous blood by venipuncture 230 217 $221.36
81003 757 738 $172.79
90656 30 30 $147.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 22 19 $144.98
90715 12 12 $137.12
98966 15 14 $134.10
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 103 99 $72.30
81002 65 64 $48.96
96127 20 20 $10.71
3079F 988 946 $0.00
3074F 3,639 3,350 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 388 325 $0.00
1036F 2,527 2,227 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 862 773 $0.00
3075F 322 312 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 326 256 $0.00
3014F 57 31 $0.00
3080F 74 73 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 39 32 $0.00
90651 12 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,642 3,230 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 516 412 $0.00
G8484 Influenza immunization was not administered, reason not given 2,177 1,906 $0.00
4004F 1,107 970 $0.00
3078F 3,070 2,859 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 425 391 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 849 764 $0.00
90461 99 99 $0.00
G8482 Influenza immunization administered or previously received 700 560 $0.00
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) 563 534 $0.00
3077F 56 55 $0.00
90648 55 55 $0.00