Physician
Edward W. Sparrow Hospital Association
Edward W. Sparrow Hospital Association was paid $5.81M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is 59409, Vaginal delivery only (with or without episiotomy and/or forceps) — 29% of everything it billed.
33Billing provider infoEDWARD W. SPARROW HOSPITAL ASSOCIATION
LANSING, MI 48912
LANSING, MI 48912
33aNPI1811943582assigned 05/25/2006
33bProvider typeFamily Medicine Physician
28Total paid$5.81M
24GClaims119,653
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#19 of 826
Median peer was paid$98K
This provider vs. median59×
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 | 16,385 | $1.07M | |
| 2019 | 14,413 | $966K | |
| 2020 | 12,446 | $833K | |
| 2021 | 16,188 | $994K | |
| 2022 | 19,397 | $728K | |
| 2023 | 20,868 | $580K | |
| 2024incomplete | 19,956 | $640K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 29% | 2,268 | 2,250 | $1.70M |
| 59514 | 18% | 1,249 | 1,237 | $1.05M | |
| 59426 | 14% | 1,058 | 1,054 | $836K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 9,425 | 8,417 | $344K |
| 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 | 4.3% | 4,576 | 3,787 | $248K |
| 59430 | 4.0% | 1,455 | 1,443 | $235K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 3.3% | 7,950 | 7,179 | $191K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.6% | 1,827 | 1,820 | $149K |
| 59025 | Fetal non-stress test | 2.2% | 6,551 | 2,999 | $129K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 2.1% | 5,663 | 5,195 | $119K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 2.0% | 2,110 | 2,100 | $115K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.9% | 4,014 | 3,978 | $113K |
53 more codes
| 76819 | Fetal biophysical profile; without non-stress testing | 1.6% | 4,423 | $95K |
| 76801 | 1.3% | 2,645 | $74K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.3% | 1,188 | $73K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.3% | 4,069 | $73K |
| 76820 | <1% | 2,530 | $35K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 367 | $29K |
| 59425 | <1% | 58 | $26K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 509 | $25K |
| 90715 | <1% | 688 | $21K | |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | <1% | 24 | $19K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 487 | $18K |
| 99402 | <1% | 183 | $16K | |
| 76818 | <1% | 317 | $9K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 910 | $9K |
| 76813 | <1% | 267 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 321 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 918 | $6K |
| 90686 | <1% | 268 | $5K | |
| 81025 | <1% | 772 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 41 | $3K |
| 76825 | <1% | 70 | $3K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 41 | $3K |
| 58300 | <1% | 83 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 43 | $1K |
| 99459 | <1% | 365 | $1K | |
| 87210 | <1% | 270 | $961.07 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 30 | $911.12 |
| 76827 | <1% | 54 | $851.74 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 18 | $216.83 |
| 93325 | <1% | 68 | $115.70 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 12 | $84.00 |
| 96127 | <1% | 14 | $54.66 | |
| 3079F | 0% | 1,466 | $0.00 | |
| 1036F | 0% | 7,034 | $0.00 | |
| 3075F | 0% | 1,092 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 1,094 | $0.00 |
| 3074F | 0% | 5,245 | $0.00 | |
| 0501F | 0% | 198 | $0.00 | |
| 1111F | 0% | 148 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 557 | $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 | 0% | 335 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 14 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 249 | $0.00 |
| 3080F | 0% | 623 | $0.00 | |
| 0502F | 0% | 7,045 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 3,947 | $0.00 |
| 3077F | 0% | 722 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 228 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 8,811 | $0.00 |
| 3078F | 0% | 4,991 | $0.00 | |
| 4004F | 0% | 2,796 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 695 | $0.00 |
| G8938 | Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible | 0% | 2,164 | $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)
Parent organizationSPARROW HEALTH SYSTEM
| 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 |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.