Medicaid Provider Spending

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

EDWARD W. SPARROW HOSPITAL ASSOCIATION

NPI: 1720034499 · LANSING, MI 48912 · Pediatrics Physician · NPI assigned 05/25/2006

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

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

$1.65M
Total Medicaid Paid
29,937
Total Claims
27,006
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date05/25/2006

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
SPARROW IONIA HOSPITAL PORTLAND MI $1.61M
SPARROW CARSON HOSPITAL ITHACA MI $1.54M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,611 $239K
2019 4,712 $251K
2020 3,757 $202K
2021 4,084 $220K
2022 4,571 $249K
2023 4,354 $251K
2024 3,848 $241K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99239 Hospital discharge day management, more than 30 minutes 8,526 8,317 $520K
99460 5,421 5,373 $291K
99222 Initial hospital care, per day, moderate complexity 2,622 2,561 $197K
99223 Prolong inpt eval add15 m 1,345 1,311 $141K
99232 Subsequent hospital care, per day, moderate complexity 2,824 1,500 $120K
54150 1,982 1,964 $111K
99462 3,433 2,666 $81K
99464 1,524 1,519 $64K
99233 Prolong inpt eval add15 m 896 453 $49K
99219 235 231 $18K
99235 182 182 $17K
99217 413 406 $17K
99238 Hospital discharge day management, 30 minutes or less 245 240 $10K
99252 212 209 $9K
99236 Prolong inpt eval add15 m 44 41 $4K
99220 33 33 $3K