Physician
Edward W. Sparrow Hospital Association
Edward W. Sparrow Hospital Association was paid $2.61M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 59426, — 24% of everything it billed.
33Billing provider infoEDWARD W. SPARROW HOSPITAL ASSOCIATION
LANSING, MI 48912
LANSING, MI 48912
33aNPI1942256607assigned 05/25/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$2.61M
24GClaims73,185
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Michigan
Rank by total paid#13 of 173
Median peer was paid$66K
This provider vs. median40×
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.
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 | 7,074 | $373K | |
| 2019 | 8,873 | $473K | |
| 2020 | 6,714 | $357K | |
| 2021 | 8,457 | $452K | |
| 2022 | 11,036 | $473K | |
| 2023 | 14,469 | $251K | |
| 2024incomplete | 16,562 | $232K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59426 | 24% | 783 | 774 | $635K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 21% | 726 | 717 | $539K |
| 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 | 8.2% | 4,012 | 3,857 | $213K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.0% | 5,723 | 5,349 | $209K |
| 59430 | 5.2% | 861 | 852 | $137K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 4.2% | 2,798 | 2,590 | $111K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 3.2% | 2,338 | 2,156 | $83K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 3.2% | 39 | 39 | $83K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 2.6% | 2,337 | 1,713 | $69K |
| 76830 | Ultrasound, transvaginal | 2.5% | 1,709 | 1,695 | $66K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 2.1% | 1,239 | 1,236 | $56K |
| 76801 | 2.0% | 1,167 | 1,074 | $51K |
47 more codes
| 59025 | Fetal non-stress test | 1.7% | 2,450 | $45K |
| 76820 | 1.6% | 2,480 | $41K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.5% | 637 | $39K |
| 59514 | 1.4% | 45 | $37K | |
| 59510 | 1.2% | 13 | $30K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 1.1% | 1,065 | $30K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.0% | 267 | $27K |
| 54150 | <1% | 429 | $24K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 325 | $24K |
| 90715 | <1% | 333 | $10K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 150 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 292 | $6K |
| 76818 | <1% | 158 | $6K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 58 | $5K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 215 | $5K |
| 58300 | <1% | 118 | $4K | |
| 81025 | <1% | 560 | $4K | |
| 87210 | <1% | 885 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 511 | $4K |
| 90686 | <1% | 140 | $2K | |
| 99459 | <1% | 653 | $2K | |
| 81002 | <1% | 408 | $964.05 | |
| 57454 | <1% | 12 | $888.45 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | $876.30 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 73 | $707.20 |
| 83986 | <1% | 26 | $17.71 | |
| 0501F | 0% | 57 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 278 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 430 | $0.00 |
| 1036F | 0% | 6,057 | $0.00 | |
| 3074F | 0% | 4,934 | $0.00 | |
| 3079F | 0% | 1,181 | $0.00 | |
| 3080F | 0% | 28 | $0.00 | |
| 3075F | 0% | 407 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 53 | $0.00 |
| 0500F | 0% | 12 | $0.00 | |
| 1111F | 0% | 15 | $0.00 | |
| 4004F | 0% | 1,062 | $0.00 | |
| 0502F | 0% | 5,818 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 7,157 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 3,046 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,282 | $0.00 |
| 3078F | 0% | 4,250 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 245 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 335 | $0.00 |
| G8938 | Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible | 0% | 460 | $0.00 |
| 3077F | 0% | 30 | $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 | $2.48M |
| 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 |
| Sparrow Carson Hospital | Ithaca, MI | $1.54M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.