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 Ohio for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Ohio 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. Ohio (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.

Spero Health Of Ohio, LLC (NPI 1346748563)

Field	Value
Entity Type	Organization
Organization	Spero Health Of Ohio, LLC
Address	833 James St
City	Zanesville
State	OH
ZIP	43701
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	January 23, 2018

Payer Source	Total Paid
Medicaid	$46M
Medicare	$0

Medicaid: Complete Services Breakdown

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

43 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	68,450	$140	$9.4M
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…	100,280	$80	$8.1M
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…	66,810	$120	$8M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	93,890	$40	$4.1M
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…	149,910	$30	$4M
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…	71,050	$50	$3.8M
T1003	Lpn/lvn services, up to 15 minutes	126,730	$20	$2.9M
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	169,120	$10	$2.4M
H0006	Alcohol and/or drug services; case management	28,990	$30	$956.6K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	8,650	$80	$665.7K

Showing 1–10 of 43

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Ohio Distribution

Spero Health Of Ohio, LLC — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

43 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	283	610	1,350	$150	$1.9M
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	2	80	910	$110	$884.9K
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…	2,533	2,640	620	$90	$408.2K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	6	340	2,260	$30	$398.2K
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…	73	4,510	500	$60	$377.8K
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…	58	5,080	560	$40	$323.9K
H0006	Alcohol and/or drug services; case management	31	710	520	$50	$307.3K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	20	70	560	$70	$292.9K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	10	120	580	$50	$273K
H0005	Alcohol and/or drug services; group counseling by a clinician	282	490	940	$50	$271.1K

Showing 1–10 of 43

Nearby Providers

Other providers in the same ZIP code as Spero Health Of Ohio, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Genesis Healthcare System	OH	General Acute Care Hospital	$0	$101.8M
Allwell Behavioral Health Services	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$35M
Muskingum Valley Health Centers	OH	Federally Qualified Health Center (FQHC)	$0	$28.7M
Mid-ohio Behavioral Health LLC	OH	Mental Health Counselor	$0	$28.6M
Genesis Medical Group LLC	OH	General Practice Physician	$0	$15.2M
Genesis Emergency Physicians LLC	OH	Emergency Medicine Physician	$0	$10.8M
Muskingum Valley Health Centers	OH	Federally Qualified Health Center (FQHC)	$0	$9.7M
Genesis Primary Care Physicians LLC	OH	Family Medicine Physician	$0	$7.1M
Coler Hospice, Ltd	OH	Community Based Hospice Care Agency	$0	$6.7M
Community Ambulance Service	OH	Ambulance	$1.2M	$3.7M

Spero Health Of Ohio, LLC — Billing Profile & Reimbursement Data

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Spero Health Of Ohio, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References