NPI: 1770553547 · ITHACA, MI 48847 · Rural Health Clinic/Center · NPI assigned 01/25/2006
Authorized official RUSSIAN, MISTY controls 20+ related entities in our dataset. Read more
| Authorized Official | RUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT) |
| Parent Organization | SPARROW HEALTH SYSTEM |
| NPI Enumeration Date | 01/25/2006 |
Other providers sharing the same authorized official: RUSSIAN, MISTY
| Year | Claims | Total 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 |
| Code | Description | Claims | Beneficiaries | Total 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 |