Physician
Edward W. Sparrow Hospital Association
Edward W. Sparrow Hospital Association was paid $1.10M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoEDWARD W. SPARROW HOSPITAL ASSOCIATION
LANSING, MI 48912
LANSING, MI 48912
33aNPI1831139088assigned 06/07/2006
33bProvider typePediatric Endocrinology Physician
28Total paid$1.10M
24GClaims34,974
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
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 | 3,201 | $114K | |
| 2019 | 3,565 | $134K | |
| 2020 | 2,879 | $117K | |
| 2021 | 3,328 | $156K | |
| 2022 | 4,729 | $188K | |
| 2023 | 8,146 | $179K | |
| 2024incomplete | 9,126 | $209K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 39% | 7,908 | 7,764 | $433K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 15% | 2,089 | 2,035 | $163K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 3,914 | 3,777 | $148K |
| 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 | 8.5% | 1,182 | 1,179 | $93K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.3% | 966 | 960 | $48K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 3.1% | 388 | 388 | $34K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.8% | 725 | 356 | $31K |
| 99253 | 2.7% | 509 | 472 | $29K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.6% | 488 | 229 | $29K |
| 99205 | Prolong outpt/office vis | 2.0% | 224 | 224 | $22K |
| 99255 | 1.7% | 171 | 166 | $19K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.2% | 177 | 162 | $13K |
25 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 854 | $7K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 69 | $5K |
| 99243 | <1% | 61 | $4K | |
| 99460 | <1% | 77 | $4K | |
| 99223 | Prolong inpt eval add15 m | <1% | 26 | $3K |
| 99245 | <1% | 26 | $3K | |
| 99254 | <1% | 27 | $2K | |
| 95782 | <1% | 24 | $2K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 25 | $2K |
| 82962 | <1% | 913 | $1K | |
| 96040 | <1% | 25 | $759.46 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 29 | $637.71 |
| 92250 | <1% | 45 | $632.85 | |
| 95251 | <1% | 31 | $618.51 | |
| 99252 | <1% | 13 | $543.40 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 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) | <1% | 659 | $117.00 |
| 1036F | 0% | 333 | $0.00 | |
| 3074F | 0% | 3,928 | $0.00 | |
| 3079F | 0% | 99 | $0.00 | |
| 3075F | 0% | 58 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 4,593 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 108 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 285 | $0.00 |
| 3078F | 0% | 3,913 | $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 |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.