Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Indiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Indiana only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Indiana (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Aspire Indiana Inc. (NPI 1124016050)

Field	Value
Entity Type	Organization
Organization	Aspire Indiana Inc.
Address	697 Pro Med Ln
City	Carmel
State	IN
ZIP	46032
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	October 13, 2005

Payer Source	Total Paid
Medicaid	$26.2M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	29,950	$370	$11.1M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	181,010	$40	$7.8M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	24,930	$70	$1.7M
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	129,260	$10	$1.7M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	29,210	$30	$993.2K
H2034	Alcohol and/or drug abuse halfway house services, per diem	6,200	$140	$836.3K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	10,420	$60	$593.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	9,370	$60	$590.4K
T2022	Case management, per month	300	$760	$227.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	10,850	$20	$217.1K

Showing 1–10 of 26

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.

Claims Volume vs. Indiana Distribution

Aspire Indiana Inc. — 5 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2014	Skills training and development, per 15 minutes	34	50	75,600	$130	$34.8M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	27	60	23,940	$380	$12.8M
T1016	Case management, each 15 minutes	40	50	8,980	$30	$3.8M
H0004	Behavioral health counseling and therapy, per 15 minutes	63	70	3,960	$130	$1.9M
T2022	Case management, per month	68	100	710	$180	$1.1M
H2034	Alcohol and/or drug abuse halfway house services, per diem	5	10	4,820	$130	$933.4K
H0031	Mental health assessment, by non-physician	34	40	6,070	$70	$724.3K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	6	580	710	$60	$582.9K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	913	2,120	870	$60	$450.6K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	40	70	1,520	$100	$429.2K

Showing 1–10 of 26

Related Providers

Other providers that share a Tax Identification Number (TIN) with Aspire Indiana Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aspire Indiana Inc	IN	Case Manager/Care Coordinator	$0	$61.7M
Aspire Indiana Health Inc.	IN	Federally Qualified Health Center (FQHC)	$0	$4.9M

Nearby Providers

Other providers in the same ZIP code as Aspire Indiana Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Landmark Recovery Of Carmel LLC	IN	Substance Abuse Rehabilitation Facility	$0	$26.2M
Little Star Center, Inc.	IN	Early Intervention Provider Agency	$0	$22.7M
Arrow Consultation Services, Inc.	IN	Developmentally Disabled Services Day Training Agency	$0	$10.5M
Indiana University Health North Hospital Inc	IN	General Acute Care Hospital	$0	$6.9M
Option Care Enterprises, Inc.	IN	Home Infusion Therapy Pharmacy	$0	$5.2M
Impact Physician Group, Indiana LLC	IN	Internal Medicine Physician	$0	$4.2M
Westmed, LLC	IN	Durable Medical Equipment & Medical Supplies	$0	$4M
Chinthala, PC	IN	Psychiatry Physician	$0	$3.9M
American Health Network Of Indiana, LLC	IN	Clinical Medical Laboratory	$2.2M	$1.6M
Magnolia Health Systems 41, LLC	IN	Assisted Living Facility	$0	$3.5M

Aspire Indiana Inc. — Billing Profile & Reimbursement Data

Sign up for Aspire Indiana Inc. — Billing Profile & Reimbursement Data policy alerts

Aspire Indiana Inc. — Billing Profile & Reimbursement Data

Sign up for Aspire Indiana Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References