Medicaid Provider Spending

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

EDWARD W. SPARROW HOSPITAL ASSOCIATION

NPI: 1942256607 · LANSING, MI 48912 · Obstetrics & Gynecology Physician · NPI assigned 05/25/2006

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

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

$2.61M
Total Medicaid Paid
73,185
Total Claims
63,979
Beneficiaries
59
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSIAN, MISTY (SUPERVISOR, PROVIDER ENROLLMENT)
Parent OrganizationSPARROW HEALTH SYSTEM
NPI Enumeration Date05/25/2006

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 $2.48M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 16,562 $232K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
59426 783 774 $635K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 726 717 $539K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,012 3,857 $213K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,723 5,349 $209K
59430 861 852 $137K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,798 2,590 $111K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,338 2,156 $83K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 39 39 $83K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,337 1,713 $69K
76830 Ultrasound, transvaginal 1,709 1,695 $66K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,239 1,236 $56K
76801 1,167 1,074 $51K
59025 Fetal non-stress test 2,450 1,321 $45K
76820 2,480 1,410 $41K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 637 637 $39K
59514 45 45 $37K
59510 13 13 $30K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,065 1,057 $30K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 267 266 $27K
54150 429 429 $24K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 325 324 $24K
90715 333 332 $10K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 150 149 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 292 285 $6K
76818 158 108 $6K
99215 Prolong outpt/office vis 58 55 $5K
76819 Fetal biophysical profile; without non-stress testing 215 143 $5K
58300 118 117 $4K
81025 560 530 $4K
87210 885 804 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 511 504 $4K
90686 140 140 $2K
99459 653 642 $2K
81002 408 390 $964.05
57454 12 12 $888.45
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 13 13 $876.30
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 73 54 $707.20
83986 26 26 $17.71
0501F 57 55 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 278 264 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 430 401 $0.00
1036F 6,057 5,628 $0.00
3074F 4,934 4,360 $0.00
3079F 1,181 1,134 $0.00
3080F 28 25 $0.00
3075F 407 388 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 53 51 $0.00
0500F 12 12 $0.00
1111F 15 14 $0.00
4004F 1,062 989 $0.00
0502F 5,818 3,323 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 7,157 6,670 $0.00
G8484 Influenza immunization was not administered, reason not given 3,046 2,838 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,282 1,204 $0.00
3078F 4,250 3,769 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 245 233 $0.00
G8482 Influenza immunization administered or previously received 335 317 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 460 420 $0.00
3077F 30 26 $0.00