Medicaid Provider Spending

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

SPARROW CARSON HOSPITAL

NPI: 1699200550 · CARSON CITY, MI 48811 · Rural Health Clinic/Center · NPI assigned 04/27/2017

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

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

$366K
Total Medicaid Paid
19,317
Total Claims
16,387
Beneficiaries
21
Codes Billed
2018-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date04/27/2017

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 1,664 $34K
2019 2,161 $62K
2020 967 $41K
2021 1,018 $35K
2022 2,086 $46K
2023 6,425 $82K
2024 4,996 $67K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 6,350 5,221 $292K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,258 2,022 $47K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,353 1,226 $20K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 210 191 $5K
99459 148 146 $786.39
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 20 20 $164.40
81025 12 12 $25.31
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $24.96
99406 12 12 $16.64
4004F 361 298 $0.00
G8484 Influenza immunization was not administered, reason not given 930 776 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,084 1,754 $0.00
3078F 1,777 1,505 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 132 99 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 14 13 $0.00
3075F 30 28 $0.00
3074F 1,862 1,546 $0.00
1036F 1,508 1,279 $0.00
3079F 205 191 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 26 24 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 13 12 $0.00