EDWARD W SPARROW HOSPITAL ASSOCIATION

$661K

Total Medicaid Paid

23,406

Total Claims

20,967

Beneficiaries

30

Codes Billed

2018-01

First Month

2019-10

Last Month

Authorized Official	GALLUPS, DIANE (DIRECTOR BUSINESS OPERATION)
NPI Enumeration Date	12/03/2009

Provider	City	State	Total Paid
EDWARD W. SPARROW HOSPITAL ASSOCIATION	MASON	MI	$4K

Year	Claims	Total Paid
2018	13,531	$362K
2019	9,875	$299K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	4,094	3,645	$154K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	3,491	3,344	$125K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1,315	1,282	$88K
99223	Prolong inpt eval add15 m	603	539	$50K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,858	1,723	$48K
99233	Prolong inpt eval add15 m	909	415	$43K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	971	932	$36K
93016		1,846	1,745	$20K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	3,665	3,123	$17K
99232	Subsequent hospital care, per day, moderate complexity	458	223	$16K
93018		1,836	1,738	$13K
93227		653	645	$9K
93458		51	50	$7K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	158	156	$6K
99222	Initial hospital care, per day, moderate complexity	95	89	$6K
93308		366	337	$5K
93350		126	121	$4K
93272		203	197	$3K
93295		92	90	$2K
93283		77	71	$2K
93291		184	178	$2K
93280		81	70	$1K
93880		47	43	$722.56
99221		13	13	$682.20
93312		12	12	$677.71
99238	Hospital discharge day management, 30 minutes or less	12	12	$489.72
93282		20	13	$287.64
93325		142	135	$217.16
93971		16	14	$164.84
93320		12	12	$113.30

Medicaid Provider Spending