NP / PA
Sparrow Ionia Hospital
Sparrow Ionia Hospital was paid $3.49M by Medicaid between Jan 2018 and Dec 2024, across 87 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 75% of everything it billed.
33Billing provider infoSPARROW IONIA HOSPITAL
IONIA, MI 48846
IONIA, MI 48846
33aNPI1790980712assigned 06/19/2007
33bProvider typeFamily Nurse Practitioner
28Total paid$3.49M
24GClaims202,161
24DCodes billed87
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Michigan
Rank by total paid#1 of 49
Median peer was paid$20K
This provider vs. median171×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official RUSSIAN, MISTY controls 20+ related entities in our dataset. Read more
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 | 34,217 | $503K | |
| 2019 | 21,926 | $459K | |
| 2020 | 14,461 | $374K | |
| 2021 | 19,036 | $499K | |
| 2022 | 28,173 | $594K | |
| 2023 | 47,927 | $597K | |
| 2024incomplete | 36,421 | $460K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 75% | 55,403 | 47,118 | $2.60M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 27,673 | 24,878 | $360K |
| 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 | 8.1% | 15,406 | 14,511 | $281K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 1,424 | 1,405 | $37K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,589 | 1,574 | $30K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 732 | 729 | $25K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,075 | 1,063 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,109 | 2,030 | $17K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,429 | 1,415 | $13K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 869 | 858 | $13K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,720 | 3,644 | $11K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,607 | 2,560 | $11K |
75 more codes
| 90670 | <1% | 970 | $10K | |
| 90686 | <1% | 2,269 | $9K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 166 | $7K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 803 | $7K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,309 | $6K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,675 | $5K |
| 90677 | <1% | 55 | $3K | |
| 81025 | <1% | 1,306 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 127 | $3K |
| 90651 | <1% | 128 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 330 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 83 | $2K |
| 90715 | <1% | 368 | $2K | |
| 90716 | <1% | 214 | $2K | |
| 81002 | <1% | 1,860 | $2K | |
| 0011A | <1% | 86 | $1K | |
| 0012A | <1% | 83 | $832.70 | |
| 90707 | <1% | 192 | $731.64 | |
| 90656 | <1% | 75 | $488.35 | |
| 90671 | <1% | 39 | $246.20 | |
| 90732 | <1% | 15 | $215.50 | |
| 90744 | <1% | 38 | $156.84 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 297 | $99.44 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 20 | $73.50 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 143 | $66.28 |
| 90474 | <1% | 45 | $55.14 | |
| 96127 | <1% | 151 | $48.72 | |
| 85018 | <1% | 12 | $9.80 | |
| 90473 | <1% | 15 | $3.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 865 | $0.02 |
| 3077F | 0% | 1,103 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 1,037 | $0.00 |
| 4004F | 0% | 5,012 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,266 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 7,746 | $0.00 |
| 90648 | 0% | 484 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 11,665 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 2,187 | $0.00 |
| G8938 | Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible | 0% | 169 | $0.00 |
| 3078F | 0% | 10,576 | $0.00 | |
| 3046F | 0% | 204 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 1,922 | $0.00 |
| 90681 | 0% | 28 | $0.00 | |
| 90685 | 0% | 34 | $0.00 | |
| 90633 | 0% | 204 | $0.00 | |
| 90461 | 0% | 752 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 490 | $0.00 |
| 90734 | 0% | 54 | $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) | 0% | 157 | $0.00 |
| G9900 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified | 0% | 84 | $0.00 |
| 90700 | 0% | 25 | $0.00 | |
| 3051F | 0% | 27 | $0.00 | |
| D0190 | 0% | 13 | $0.00 | |
| 1123F | 0% | 188 | $0.00 | |
| 90680 | 0% | 152 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 787 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 2,445 | $0.00 |
| 1101F | 0% | 410 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 837 | $0.00 |
| 3079F | 0% | 2,450 | $0.00 | |
| 1036F | 0% | 7,601 | $0.00 | |
| 3074F | 0% | 10,908 | $0.00 | |
| 90723 | 0% | 329 | $0.00 | |
| 3075F | 0% | 1,695 | $0.00 | |
| 3044F | 0% | 116 | $0.00 | |
| 3080F | 0% | 678 | $0.00 | |
| 90698 | 0% | 255 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 28 | $0.00 |
| 90647 | 0% | 31 | $0.00 | |
| 90697 | 0% | 12 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 110 | $0.00 |
| 90743 | 0% | 12 | $0.00 | |
| 90696 | 0% | 13 | $0.00 | |
| 3014F | 0% | 76 | $0.00 | |
| 1111F | 0% | 14 | $0.00 |
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 officialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent organizationSPARROW HEALTH SYSTEM
| Provider | Location | 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 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 |
| Sparrow Carson Hospital | Ithaca, MI | $1.54M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.