Medicaid Provider Spending

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

EDWARD W. SPARROW HOSPITAL ASSOCIATION

NPI: 1811943582 · LANSING, MI 48912 · Family Medicine Physician · NPI assigned 05/25/2006

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

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

$5.81M
Total Medicaid Paid
119,653
Total Claims
99,954
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date05/25/2006

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
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
SPARROW CARSON HOSPITAL ITHACA MI $1.54M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,385 $1.07M
2019 14,413 $966K
2020 12,446 $833K
2021 16,188 $994K
2022 19,397 $728K
2023 20,868 $580K
2024 19,956 $640K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 2,268 2,250 $1.70M
59514 1,249 1,237 $1.05M
59426 1,058 1,054 $836K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,425 8,417 $344K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,576 3,787 $248K
59430 1,455 1,443 $235K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 7,950 7,179 $191K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,827 1,820 $149K
59025 Fetal non-stress test 6,551 2,999 $129K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 5,663 5,195 $119K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,110 2,100 $115K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 4,014 3,978 $113K
76819 Fetal biophysical profile; without non-stress testing 4,423 2,435 $95K
76801 2,645 2,566 $74K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,188 1,186 $73K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 4,069 2,907 $73K
76820 2,530 1,287 $35K
J1050 Injection, medroxyprogesterone acetate, 1 mg 367 359 $29K
59425 58 58 $26K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 509 507 $25K
90715 688 676 $21K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 24 24 $19K
99232 Subsequent hospital care, per day, moderate complexity 487 195 $18K
99402 183 109 $16K
76818 317 186 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 910 705 $9K
76813 267 266 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 321 299 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 918 893 $6K
90686 268 267 $5K
81025 772 725 $5K
99215 Prolong outpt/office vis 41 40 $3K
76825 70 67 $3K
99222 Initial hospital care, per day, moderate complexity 41 40 $3K
58300 83 82 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 43 43 $1K
99459 365 361 $1K
87210 270 254 $961.07
99231 Subsequent hospital care, per day, straightforward or low complexity 30 13 $911.12
76827 54 53 $851.74
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 18 17 $216.83
93325 68 67 $115.70
90472 Immunization administration, each additional vaccine (list separately) 12 12 $84.00
96127 14 14 $54.66
3079F 1,466 1,389 $0.00
1036F 7,034 6,240 $0.00
3075F 1,092 1,048 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 1,094 991 $0.00
3074F 5,245 4,503 $0.00
0501F 198 194 $0.00
1111F 148 123 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 557 509 $0.00
G9231 Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period 335 271 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 14 14 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 249 242 $0.00
3080F 623 584 $0.00
0502F 7,045 4,036 $0.00
G8484 Influenza immunization was not administered, reason not given 3,947 3,575 $0.00
3077F 722 671 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 228 202 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 8,811 7,907 $0.00
3078F 4,991 4,282 $0.00
4004F 2,796 2,520 $0.00
G8482 Influenza immunization administered or previously received 695 600 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 2,164 1,881 $0.00