Medicaid Provider Spending

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

SPARROW IONIA HOSPITAL

NPI: 1790980712 · IONIA, MI 48846 · Family Nurse Practitioner · NPI assigned 06/19/2007

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

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

$3.49M
Total Medicaid Paid
202,161
Total Claims
181,450
Beneficiaries
87
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date06/19/2007

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 36,421 $460K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 55,403 47,118 $2.60M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27,673 24,878 $360K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,406 14,511 $281K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,424 1,405 $37K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,589 1,574 $30K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 732 729 $25K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,075 1,063 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,109 2,030 $17K
90460 Immunization administration through 18 years of age via any route, first or only component 1,429 1,415 $13K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 869 858 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,720 3,644 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,607 2,560 $11K
90670 970 959 $10K
90686 2,269 2,245 $9K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 166 165 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 803 790 $7K
90472 Immunization administration, each additional vaccine (list separately) 1,309 1,283 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,675 1,512 $5K
90677 55 55 $3K
81025 1,306 1,264 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 127 127 $3K
90651 128 128 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 330 292 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 83 82 $2K
90715 368 359 $2K
90716 214 212 $2K
81002 1,860 1,793 $2K
0011A 86 86 $1K
0012A 83 83 $832.70
90707 192 190 $731.64
90656 75 75 $488.35
90671 39 39 $246.20
90732 15 14 $215.50
90744 38 34 $156.84
J1100 Injection, dexamethasone sodium phosphate, 1 mg 297 289 $99.44
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 20 18 $73.50
J1885 Injection, ketorolac tromethamine, per 15 mg 143 124 $66.28
90474 45 45 $55.14
96127 151 147 $48.72
85018 12 12 $9.80
90473 15 15 $3.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 865 772 $0.02
3077F 1,103 1,039 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 1,037 902 $0.00
4004F 5,012 4,311 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,266 1,108 $0.00
G8484 Influenza immunization was not administered, reason not given 7,746 6,803 $0.00
90648 484 484 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 11,665 10,254 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 2,187 1,939 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 169 153 $0.00
3078F 10,576 9,507 $0.00
3046F 204 185 $0.00
G8482 Influenza immunization administered or previously received 1,922 1,655 $0.00
90681 28 28 $0.00
90685 34 30 $0.00
90633 204 201 $0.00
90461 752 746 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 490 456 $0.00
90734 54 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) 157 152 $0.00
G9900 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified 84 77 $0.00
90700 25 24 $0.00
3051F 27 25 $0.00
D0190 13 12 $0.00
1123F 188 163 $0.00
90680 152 152 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 787 702 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 2,445 2,149 $0.00
1101F 410 358 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 837 806 $0.00
3079F 2,450 2,308 $0.00
1036F 7,601 6,683 $0.00
3074F 10,908 9,753 $0.00
90723 329 329 $0.00
3075F 1,695 1,617 $0.00
3044F 116 115 $0.00
3080F 678 650 $0.00
90698 255 247 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 28 25 $0.00
90647 31 30 $0.00
90697 12 12 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 110 106 $0.00
90743 12 12 $0.00
90696 13 13 $0.00
3014F 76 69 $0.00
1111F 14 12 $0.00