Physician
Sparrow Ionia Hospital
Sparrow Ionia Hospital was paid $473K by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 85% of everything it billed.
33Billing provider infoSPARROW IONIA HOSPITAL
SARANAC, MI 48881
SARANAC, MI 48881
33aNPI1811380066assigned 03/12/2015
33bProvider typeFamily Medicine Physician
28Total paid$473K
24GClaims26,691
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#216 of 826
Median peer was paid$98K
This provider vs. median4.8×
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 | 3,551 | $61K | |
| 2019 | 2,642 | $62K | |
| 2020 | 1,628 | $50K | |
| 2021 | 2,122 | $64K | |
| 2022 | 3,459 | $72K | |
| 2023 | 7,452 | $93K | |
| 2024incomplete | 5,837 | $72K |
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 | 85% | 8,421 | 7,257 | $401K |
| 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 | 9.2% | 3,438 | 3,188 | $44K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.4% | 2,988 | 2,761 | $26K |
| 90686 | <1% | 257 | 254 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 295 | 290 | $712.25 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 49 | 28 | $170.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 39 | 39 | $154.68 |
| 0012A | <1% | 12 | 12 | $75.70 | |
| 96127 | <1% | 31 | 30 | $28.56 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | 12 | $11.49 |
| 4004F | 0% | 563 | 502 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,276 | 2,044 | $0.00 |
14 more codes
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 419 | $0.00 |
| 3078F | 0% | 1,483 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 370 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 1,020 | $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% | 111 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 311 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 73 | $0.00 |
| 3077F | 0% | 16 | $0.00 | |
| 1036F | 0% | 1,634 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 484 | $0.00 |
| 3075F | 0% | 80 | $0.00 | |
| 3079F | 0% | 521 | $0.00 | |
| 3074F | 0% | 1,772 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 16 | $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)
| 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 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.