Medicaid Provider Spending

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

SPARROW CARSON HOSPITAL

NPI: 1770553547 · ITHACA, MI 48847 · Rural Health Clinic/Center · NPI assigned 01/25/2006

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

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

$1.54M
Total Medicaid Paid
74,721
Total Claims
67,884
Beneficiaries
48
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date01/25/2006

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
EDWARD W. SPARROW HOSPITAL ASSOCIATION LANSING MI $1.65M
SPARROW IONIA HOSPITAL PORTLAND MI $1.61M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,373 $187K
2019 6,325 $188K
2020 4,524 $177K
2021 7,227 $219K
2022 10,519 $261K
2023 17,494 $255K
2024 17,259 $250K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 22,537 19,524 $877K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,046 7,456 $323K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,687 7,977 $260K
90460 Immunization administration through 18 years of age via any route, first or only component 596 588 $15K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 173 172 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 555 544 $11K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 126 124 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 130 128 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,010 994 $6K
90686 689 683 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 70 68 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 76 76 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 26 25 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 80 80 $848.78
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 30 29 $740.34
98926 52 49 $718.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 131 104 $663.38
90472 Immunization administration, each additional vaccine (list separately) 41 40 $546.60
90656 21 21 $210.00
94010 14 12 $121.26
99304 16 16 $101.82
99307 702 700 $74.48
G8754 Most recent diastolic blood pressure < 90 mmhg 1,300 1,177 $0.00
3079F 1,202 1,161 $0.00
3075F 753 738 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 487 463 $0.00
99308 Subsequent nursing facility care, per day, straightforward 397 397 $0.00
3074F 4,963 4,569 $0.00
1036F 3,506 3,175 $0.00
3080F 68 67 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 136 123 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 242 225 $0.00
3014F 50 43 $0.00
3044F 51 50 $0.00
90647 12 12 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,141 1,039 $0.00
4004F 1,523 1,383 $0.00
G8482 Influenza immunization administered or previously received 482 437 $0.00
3077F 472 456 $0.00
G8484 Influenza immunization was not administered, reason not given 2,896 2,640 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 4,516 4,133 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 487 429 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 867 781 $0.00
3078F 4,805 4,438 $0.00
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) 364 347 $0.00
90461 139 139 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 41 39 $0.00
90670 13 13 $0.00