Medicaid Provider Spending

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

SPARROW CARSON HOSPITAL

NPI: 1821068479 · STANTON, MI 48888 · Rural Health Clinic/Center · NPI assigned 01/25/2006

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

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

$700K
Total Medicaid Paid
34,515
Total Claims
31,020
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date01/25/2006

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
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 3,976 $75K
2019 3,311 $93K
2020 2,880 $95K
2021 3,397 $103K
2022 4,936 $115K
2023 8,868 $121K
2024 7,147 $99K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 11,283 9,683 $594K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,689 3,419 $52K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,558 4,207 $45K
90686 468 466 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 287 286 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 377 366 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 367 362 $976.02
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 39 39 $664.62
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 27 26 $404.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12 12 $303.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $289.41
96127 215 214 $135.14
90472 Immunization administration, each additional vaccine (list separately) 15 15 $28.00
90461 13 13 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,532 2,259 $0.00
4004F 790 689 $0.00
3078F 2,179 2,013 $0.00
G8484 Influenza immunization was not administered, reason not given 1,506 1,340 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 327 293 $0.00
3077F 106 97 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 244 202 $0.00
G8482 Influenza immunization administered or previously received 251 217 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 13 13 $0.00
3079F 569 541 $0.00
3074F 2,313 2,118 $0.00
1036F 1,560 1,413 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 380 347 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 61 49 $0.00
3075F 277 268 $0.00
3080F 13 12 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 32 29 $0.00