Medicaid Provider Spending

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

SPARROW IONIA HOSPITAL

NPI: 1891879029 · IONIA, MI 48846 · Orthopaedic Surgery Physician · NPI assigned 10/24/2006

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

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

$149K
Total Medicaid Paid
10,090
Total Claims
9,667
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date10/24/2006

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 1,472 $9K
2019 1,414 $14K
2020 1,186 $12K
2021 1,551 $32K
2022 1,565 $28K
2023 1,566 $31K
2024 1,336 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 686 680 $61K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 703 695 $38K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 361 354 $25K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 443 434 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 154 148 $3K
20610 61 54 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 162 159 $555.50
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14 13 $537.64
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,720 2,597 $0.00
4004F 1,103 1,044 $0.00
G8484 Influenza immunization was not administered, reason not given 1,301 1,241 $0.00
G8482 Influenza immunization administered or previously received 39 38 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 276 253 $0.00
3078F 28 26 $0.00
1036F 1,425 1,354 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 516 485 $0.00
G8756 No documentation of blood pressure measurement, reason not given 36 36 $0.00
3074F 32 30 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 14 12 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 16 14 $0.00