Medicaid Provider Spending

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

EDWARD W. SPARROW HOSPITAL ASSOCIATION

NPI: 1700365244 · EAST LANSING, MI 48823 · Orthopaedic Surgery Physician · NPI assigned 08/07/2018

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

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

$793K
Total Medicaid Paid
44,672
Total Claims
42,689
Beneficiaries
32
Codes Billed
2018-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date08/07/2018

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 69 $4K
2019 1,242 $36K
2020 1,644 $38K
2021 5,578 $87K
2022 10,053 $188K
2023 13,622 $222K
2024 12,464 $219K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,632 2,626 $197K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,304 5,145 $185K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,715 3,694 $171K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,585 2,537 $137K
20610 2,587 2,069 $72K
25600 81 81 $17K
20611 236 199 $9K
73564 558 432 $3K
73502 111 110 $664.60
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 47 46 $340.53
99201 13 13 $332.15
73030 55 51 $269.22
73110 47 40 $239.49
73630 27 24 $122.64
73560 24 24 $98.96
G8482 Influenza immunization administered or previously received 311 300 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 6,845 6,564 $0.00
G8484 Influenza immunization was not administered, reason not given 4,640 4,454 $0.00
4004F 2,740 2,633 $0.00
G9900 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified 882 844 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 143 140 $0.00
3078F 92 90 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 1,121 1,075 $0.00
3079F 25 25 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 1,457 1,431 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 690 668 $0.00
G8756 No documentation of blood pressure measurement, reason not given 1,967 1,890 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 130 127 $0.00
1036F 5,461 5,216 $0.00
1123F 90 87 $0.00
3074F 44 42 $0.00
1101F 12 12 $0.00