Medicaid Provider Spending

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

SPARROW CARSON HOSPITAL

NPI: 1902153083 · CARSON CITY, MI 48811 · Hematology & Oncology Physician · NPI assigned 08/08/2012

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

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

$121K
Total Medicaid Paid
10,403
Total Claims
9,063
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date08/08/2012

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 4,947 $60K
2019 827 $10K
2020 397 $11K
2021 693 $9K
2022 1,060 $17K
2023 1,269 $8K
2024 1,210 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,441 1,271 $65K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 932 860 $35K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 131 130 $10K
T1015 Clinic visit/encounter, all-inclusive 112 104 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 192 176 $4K
59430 12 12 $2K
59025 Fetal non-stress test 35 13 $915.70
99406 73 64 $504.82
99459 15 14 $178.87
81025 31 27 $123.24
81002 59 55 $57.20
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) 76 67 $5.44
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,244 1,946 $0.00
3078F 470 411 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 528 454 $0.00
4004F 438 369 $0.00
G8484 Influenza immunization was not administered, reason not given 939 818 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 162 128 $0.00
0502F 103 57 $0.00
G8482 Influenza immunization administered or previously received 15 14 $0.00
3074F 552 480 $0.00
1036F 1,459 1,269 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 227 188 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 142 123 $0.00
3079F 15 13 $0.00