Hospital
Edward W Sparrow Hospital Association
Edward W Sparrow Hospital Association was paid $661K by Medicaid between Jan 2018 and Oct 2019, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.
33Billing provider infoEDWARD W SPARROW HOSPITAL ASSOCIATION
LANSING, MI 48912
LANSING, MI 48912
33aNPI1760710719assigned 12/03/2009
33bProvider typeGeneral Acute Care Hospital
28Total paid$661K
24GClaims23,406
24DCodes billed30
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers
Next to other General Acute Care Hospital providers in Michigan
Rank by total paid#76 of 86
Median peer was paid$21.55M
This provider vs. median0.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 13,531 | $362K | |
| 2019 | 9,875 | $299K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 23% | 4,094 | 3,645 | $154K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 19% | 3,491 | 3,344 | $125K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 13% | 1,315 | 1,282 | $88K |
| 99223 | Prolong inpt eval add15 m | 7.6% | 603 | 539 | $50K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.3% | 1,858 | 1,723 | $48K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.5% | 909 | 415 | $43K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 5.5% | 971 | 932 | $36K |
| 93016 | 3.0% | 1,846 | 1,745 | $20K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.5% | 3,665 | 3,123 | $17K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.4% | 458 | 223 | $16K |
| 93018 | 2.0% | 1,836 | 1,738 | $13K | |
| 93227 | 1.4% | 653 | 645 | $9K |
18 more codes
| 93458 | 1.1% | 51 | $7K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 158 | $6K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 95 | $6K |
| 93308 | <1% | 366 | $5K | |
| 93350 | <1% | 126 | $4K | |
| 93272 | <1% | 203 | $3K | |
| 93295 | <1% | 92 | $2K | |
| 93283 | <1% | 77 | $2K | |
| 93291 | <1% | 184 | $2K | |
| 93280 | <1% | 81 | $1K | |
| 93880 | <1% | 47 | $722.56 | |
| 99221 | <1% | 13 | $682.20 | |
| 93312 | <1% | 12 | $677.71 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | $489.72 |
| 93282 | <1% | 20 | $287.64 | |
| 93325 | <1% | 142 | $217.16 | |
| 93971 | <1% | 16 | $164.84 | |
| 93320 | <1% | 12 | $113.30 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGALLUPS, DIANE (DIRECTOR BUSINESS OPERATION)
| Provider | Location | Paid |
|---|---|---|
| Edward W. Sparrow Hospital Association | Mason, MI | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.