Medicaid Provider Spending

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

EDWARD W. SPARROW HOSPITAL ASSOCIATION

NPI: 1811942436 · LANSING, MI 48915 · Psychiatry Physician · NPI assigned 05/23/2006

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

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

$737K
Total Medicaid Paid
17,155
Total Claims
14,330
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date05/23/2006

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 1,900 $90K
2019 1,682 $78K
2020 1,648 $89K
2021 1,795 $104K
2022 1,727 $119K
2023 4,186 $139K
2024 4,217 $117K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,134 4,450 $300K
90792 Psychiatric diagnostic evaluation with medical services 1,461 1,399 $153K
99233 Prolong inpt eval add15 m 2,369 1,097 $101K
99254 773 747 $66K
99253 629 580 $35K
99232 Subsequent hospital care, per day, moderate complexity 619 226 $21K
90791 Psychiatric diagnostic evaluation 172 165 $16K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 310 301 $15K
99223 Prolong inpt eval add15 m 144 135 $11K
96116 172 151 $7K
99244 Office or other outpatient consultation, moderate to high complexity 64 63 $5K
99205 Prolong outpt/office vis 41 41 $4K
99284 Emergency department visit for the evaluation and management, high severity 32 31 $2K
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) 253 239 $164.46
3079F 155 152 $0.00
1036F 1,037 959 $0.00
3075F 38 37 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 83 80 $0.00
3074F 616 587 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 47 41 $0.00
3078F 617 588 $0.00
4004F 304 296 $0.00
G8484 Influenza immunization was not administered, reason not given 605 566 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,403 1,323 $0.00
3077F 77 76 $0.00