Medicaid Provider Spending

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

SPARROW IONIA HOSPITAL

NPI: 1811380066 · SARANAC, MI 48881 · Family Medicine Physician · NPI assigned 03/12/2015

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

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

$473K
Total Medicaid Paid
26,691
Total Claims
23,983
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR. PROVIDER ENROLLMENT)
NPI Enumeration Date03/12/2015

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 3,551 $61K
2019 2,642 $62K
2020 1,628 $50K
2021 2,122 $64K
2022 3,459 $72K
2023 7,452 $93K
2024 5,837 $72K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 8,421 7,257 $401K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,438 3,188 $44K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,988 2,761 $26K
90686 257 254 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 295 290 $712.25
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 49 28 $170.00
90460 Immunization administration through 18 years of age via any route, first or only component 39 39 $154.68
0012A 12 12 $75.70
96127 31 30 $28.56
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $11.49
4004F 563 502 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,276 2,044 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 419 374 $0.00
3078F 1,483 1,382 $0.00
G8482 Influenza immunization administered or previously received 370 308 $0.00
G8484 Influenza immunization was not administered, reason not given 1,020 930 $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) 111 104 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 311 271 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 73 65 $0.00
3077F 16 13 $0.00
1036F 1,634 1,463 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 484 429 $0.00
3075F 80 79 $0.00
3079F 521 505 $0.00
3074F 1,772 1,630 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 16 13 $0.00