Medicaid Provider Spending

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

EDWARD W. SPARROW HOSPITAL ASSOCIATION

NPI: 1831139088 · LANSING, MI 48912 · Pediatric Endocrinology Physician · NPI assigned 06/07/2006

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

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

$1.10M
Total Medicaid Paid
34,974
Total Claims
33,584
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date06/07/2006

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 3,201 $114K
2019 3,565 $134K
2020 2,879 $117K
2021 3,328 $156K
2022 4,729 $188K
2023 8,146 $179K
2024 9,126 $209K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,908 7,764 $433K
99215 Prolong outpt/office vis 2,089 2,035 $163K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,914 3,777 $148K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,182 1,179 $93K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 966 960 $48K
99244 Office or other outpatient consultation, moderate to high complexity 388 388 $34K
99232 Subsequent hospital care, per day, moderate complexity 725 356 $31K
99253 509 472 $29K
99233 Prolong inpt eval add15 m 488 229 $29K
99205 Prolong outpt/office vis 224 224 $22K
99255 171 166 $19K
99222 Initial hospital care, per day, moderate complexity 177 162 $13K
83036 Hemoglobin; glycosylated (A1C) 854 846 $7K
95810 Polysomnography; sleep staging with 4 or more additional parameters 69 69 $5K
99243 61 61 $4K
99460 77 76 $4K
99223 Prolong inpt eval add15 m 26 26 $3K
99245 26 26 $3K
99254 27 26 $2K
95782 24 24 $2K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 25 25 $2K
82962 913 895 $1K
96040 25 25 $759.46
99231 Subsequent hospital care, per day, straightforward or low complexity 29 13 $637.71
92250 45 31 $632.85
95251 31 31 $618.51
99252 13 13 $543.40
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $330.99
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) 659 649 $117.00
1036F 333 331 $0.00
3074F 3,928 3,847 $0.00
3079F 99 98 $0.00
3075F 58 58 $0.00
G8484 Influenza immunization was not administered, reason not given 4,593 4,469 $0.00
G8482 Influenza immunization administered or previously received 108 104 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 285 283 $0.00
3078F 3,913 3,834 $0.00