Medicaid Provider Spending

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

SPARROW EATON HOSPITAL

NPI: 1760681159 · CHARLOTTE, MI 48813 · Clinic/Center · NPI assigned 07/16/2007

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

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

$447K
Total Medicaid Paid
29,360
Total Claims
27,857
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date07/16/2007

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 2,767 $79K
2019 6,735 $83K
2020 4,011 $64K
2021 3,828 $63K
2022 3,085 $51K
2023 4,739 $59K
2024 4,195 $48K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,083 4,827 $322K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,738 2,613 $120K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 14 $1K
90682 24 22 $873.50
90686 44 44 $799.19
98929 16 14 $690.62
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 72 72 $674.47
J1040 Injection, methylprednisolone acetate, 80 mg 56 51 $581.71
98927 14 13 $476.98
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $103.41
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) 74 73 $76.57
96127 12 12 $35.46
4004F 1,789 1,697 $0.00
G8484 Influenza immunization was not administered, reason not given 1,972 1,833 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 911 879 $0.00
3078F 1,647 1,578 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,005 923 $0.00
G8482 Influenza immunization administered or previously received 338 321 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 4,503 4,259 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 537 510 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 211 199 $0.00
1036F 2,864 2,689 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,291 1,237 $0.00
3079F 458 449 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 1,043 981 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 482 460 $0.00
3074F 1,526 1,468 $0.00
3075F 500 487 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 13 13 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 83 81 $0.00
1123F 28 26 $0.00