Page 5 - Sparky's Electric - 2020 Renewal Presentation

Blue Care Network - PCP Focus Network

Group/Subgroup Disruption Report - Membership Reported as of: 8/9/2020

PCP Focus providers for 2020 based on listing as of August 2020

Employer Group Name (ID): SPARKYS ELECTRIC (00283692)
Employer Subgroup Name (ID): SPARKYS ELECTRIC (0001)
Employer Group Address: 12780 PARTLOW AVENUE, GRAND LEDGE, MI, 48837
Employer Group County: EATON

Member Count - Total: 17
Members Disrupted: 1

% of Members Disrupted: 6%

Disclaimer: This PCP Focus Disruption Analysis Report is provided by Blue Care Network of Michigan for informational purposes only and should be used only as a guide in comparing
provider networks. Due to the many variables in provider network data, matching results may be inexact and cannot be guaranteed. Given the inherent margin of error in data matching, this
report should not be used for other purposes, such as collating claims dollars or locating a participating provider from whom to obtain covered health care services. Always verify participation
status with the proposed health plan.

PCP Focus PCP Name PCP Spec PCP Address Current Member Disrupted
Network Count Member
Ind Count

Yes GREGORY HOLZHEI FP 901 S OAKLAND ST SAINT JOHNS MI 48879 CLINTON 1 0
Yes TIMOTHY IZZO FP 1035 CHARLEVOIX DR STE 100 GRAND LEDGE MI 48837 EATON 1 0
Yes THOMAS KELLY FP FAMILY CARE CENTER EATON RAPIDS MI 48827 EATON 2 0
Yes SARAH LOZNAK PED 2414 LAKE LANSING RD LANSING MI 48912 INGHAM 2 0
Yes ABIGAIL RICHESON FP 2040 AURELIUS RD STE 22 HOLT MI 48842 INGHAM 2 0
Yes DAVID SMITH FP 1035 CHARLEVOIX DR STE 100 GRAND LEDGE MI 48837 EATON 6 0
Yes JILL STEPHENSON-MCCOLE FP 2040 AURELIUS RD STE 22 HOLT MI 48842 INGHAM 1 0
Yes RICHA TIKARIA INT 4650 S HAGADORN RD STE 100 EAST LANSING MI 48823 INGHAM 1 0
No LEE STUART FP 4294 LAUREL DR LAKE ODESSA MI 48849 IONIA 1 1

SPARKYS ELECTRIC (00283692)
SPARKYS ELECTRIC (0001) Run Date: 8/17/2020 Page 1 of 1