Medicaid Provider Spending

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

EDWARD W. SPARROW HOSPITAL ASSOCIATION

NPI: 1740233717 · LANSING, MI 48912 · Family Medicine Physician · NPI assigned 05/18/2006

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

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

$301K
Total Medicaid Paid
16,090
Total Claims
15,184
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date05/18/2006

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 2,053 $48K
2019 1,514 $36K
2020 1,035 $30K
2021 1,935 $50K
2022 3,197 $61K
2023 3,530 $42K
2024 2,826 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,987 2,853 $205K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,740 1,641 $81K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 97 97 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 71 71 $5K
90686 115 115 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 189 187 $1K
99421 41 40 $377.65
96127 40 40 $129.60
81003 58 58 $120.28
90472 Immunization administration, each additional vaccine (list separately) 12 12 $119.00
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) 99 96 $78.02
3074F 1,320 1,261 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 281 264 $0.00
1036F 2,147 1,979 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 357 336 $0.00
3079F 273 269 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 39 37 $0.00
G8482 Influenza immunization administered or previously received 466 437 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,449 2,279 $0.00
3078F 1,127 1,084 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 658 609 $0.00
G8484 Influenza immunization was not administered, reason not given 754 705 $0.00
4004F 313 288 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 340 316 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 117 110 $0.00