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Edward W Sparrow Hospital Association

Rehabilitation, Substance Use Disorder Unit·Lansing, MI·NPI: 1073588711Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$125.9M

$125,877,341

Total Claims

4.2M

Beneficiaries

3.7M

1.1 claims/patient

Avg Cost/Claim

$30

#935 of 618K providers by total spending(top 0.2%)

🔍 Analysis

Provider Overview

Edward W Sparrow Hospital Association is a Rehabilitation, Substance Use Disorder Unit provider based in Lansing, MI. From the 2018–2024 period, this provider received $125.9M in Medicaid payments across 4.2M claims.

Why This Matters

This provider received $125.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 15,734 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 45% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$13.2M
+1%
2019
$13.3M
+7%
2020
$14.3M
+46%
2021
$20.8M
+8%
2022
$22.5M
+1%
2023
$22.8M
-16%
2024
$19.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 21% of total spending.

99285Top 5%

Emergency dept visit, high/urgent complexity

$26.0M

72K claims · 20.7%

Your Cost: $363.11/claim|Median: $85.65
4.2× median
G0463Top 25%

Hospital outpatient clinic visit

$16.6M

264K claims · 13.2%

Your Cost: $62.85/claim|Median: $26.41
2.4× median
99284Top 10%

Emergency dept visit, high complexity

$12.4M

60K claims · 9.9%

Your Cost: $206.62/claim|Median: $69.51
3.0× median
99283Top 25%

Emergency dept visit, moderate complexity

$8.1M

65K claims · 6.5%

Your Cost: $125.41/claim|Median: $42.48
3.0× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$4.1M

43K claims · 3.2%

Your Cost: $94.22/claim|Median: $21.76
4.3× median
74177Normal range

CT abdomen and pelvis with contrast

$1.9M

17K claims · 1.5%

Your Cost: $114.85/claim|Median: $65.76
1.8× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$1.9M

21K claims · 1.5%

Your Cost: $91.62/claim|Median: $54.77
1.7× median
70450Top 25%

CT head/brain without contrast

$1.7M

16K claims · 1.4%

Your Cost: $106.37/claim|Median: $45.53
2.3× median
97530Normal range

Therapeutic activities, each 15 min

$1.7M

48K claims · 1.3%

Your Cost: $35.53/claim|Median: $33.11
1.1× median
U0003Normal range

Infectious disease detection (COVID-19)

$1.7M

53K claims · 1.3%

Your Cost: $31.91/claim|Median: $63.08
0.5× median
71046Top 10%

Chest X-ray, 2 views

$1.7M

44K claims · 1.3%

Your Cost: $37.53/claim|Median: $8.92
4.2× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$1.3M

19K claims · 1.0%

Your Cost: $69.58/claim|Median: $100.62
0.7× median
97110Normal range

Therapeutic exercises, each 15 min

$1.3M

66K claims · 1.0%

Your Cost: $19.62/claim|Median: $24.49
0.8× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$1.3M

40K claims · 1.0%

Your Cost: $31.65/claim|Median: $14.92
2.1× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$1.2M

6K claims · 1.0%

Your Cost: $217.98/claim|Median: $54.68
4.0× median
59025Top 25%

Fetal non-stress test

$1.2M

14K claims · 1.0%

Your Cost: $91.22/claim|Median: $26.45
3.5× median
96361Normal range

IV infusion, hydration, each additional hour

$1.2M

33K claims · 1.0%

Your Cost: $35.96/claim|Median: $38.92
0.9× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$1.2M

2K claims · 0.9%

Your Cost: $472.38/claim|Median: $233.73
2.0× median
64493Top 10%

$1.1M

2K claims · 0.9%

Your Cost: $545.98/claim|Median: $103.44
5.3× median
96360Normal range

IV infusion, hydration, initial, 31 minutes to 1 hour

$1.1M

11K claims · 0.9%

Your Cost: $97.72/claim|Median: $61.57
1.6× median
64483Top 10%

$1.0M

2K claims · 0.8%

Your Cost: $482.21/claim|Median: $124.24
3.9× median
99282Normal range

Emergency dept visit, low complexity

$919K

13K claims · 0.7%

Your Cost: $70.94/claim|Median: $37.72
1.9× median
78452Top 10%

Myocardial perfusion imaging, SPECT, multiple studies

$888K

2K claims · 0.7%

Your Cost: $454.25/claim|Median: $106.14
4.3× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$783K

6K claims · 0.6%

Your Cost: $141.37/claim|Median: $75.28
1.9× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$727K

61K claims · 0.6%

Your Cost: $11.95/claim|Median: $24.95
0.5× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$707K

60K claims · 0.6%

Your Cost: $11.84/claim|Median: $23.39
0.5× median
76830Normal range

Ultrasound, transvaginal

$707K

12K claims · 0.6%

Your Cost: $56.81/claim|Median: $57.47
1.0× median
80061Normal range

Lipid panel

$666K

61K claims · 0.5%

Your Cost: $10.87/claim|Median: $8.41
1.3× median
64490Top 5%

$611K

1K claims · 0.5%

Your Cost: $498.79/claim|Median: $111.43
4.5× median
78815Normal range

PET imaging for limited area

$594K

901 claims · 0.5%

Your Cost: $659.00/claim|Median: $325.10
2.0× median

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