Clinic
Sparrow Eaton Hospital
Sparrow Eaton Hospital was paid $26K by Medicaid between Dec 2018 and Mar 2019, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.
33Billing provider infoSPARROW EATON HOSPITAL
CHARLOTTE, MI 48813
CHARLOTTE, MI 48813
33aNPI1861763252assigned 01/18/2012
33bProvider typeUrgent Care Clinic/Center
28Total paid$26K
24GClaims1,059
24DCodes billed9
24AFirst – last monthDec 2018 – Mar 2019
Compared with peers
Next to other Urgent Care Clinic/Center providers in Michigan
Rank by total paid#199 of 239
Median peer was paid$346K
This provider vs. median0.1×
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.
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 | 514 | $16K | |
| 2019 | 545 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 76% | 682 | 634 | $20K |
| 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 | 15% | 83 | 79 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.2% | 154 | 148 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.6% | 40 | 40 | $405.51 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 1.1% | 14 | 14 | $279.72 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 19 | 19 | $199.50 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 12 | 12 | $93.91 |
| 81002 | <1% | 39 | 36 | $77.76 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 16 | 16 | $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 officialCAPPS, KIM (REVENUE CYCLE DIRECTOR)