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 1356400576)

Field	Value
Entity Type	Organization
Organization	Aspire Indiana Inc
Address	9615 E 148th St
City	Noblesville
State	IN
ZIP	46060
Taxonomy	Case Manager/Care Coordinator
NPI Enumerated	December 6, 2006

Payer Source	Total Paid
Medicaid	$61.7M
Medicare	$0

Key Findings

ASPIRE INDIANA INC appears to operate essentially as a Medicaid-focused behavioral health and care-coordination provider: total Medicaid revenue is $61.7M and there is no Medicare billing on file, making it effectively a single-payer (Medicaid) operation for the periods captured. The NPI was enumerated on 2006-12-06 (~20 years ago), indicating a long tenure in the market that aligns with an established, Medicaid-centered service line rather than new entrant activity.

Revenue is highly concentrated in a small set of time-based behavioral health codes: the precomputed top 3 Medicaid codes account for 98.2% of the provider's total Medicaid revenue. The dominant code is H2014 (427.8K claims, $120 avg paid/claim, $51.3M revenue), which alone represents 83.2% of the provider's Medicaid revenue and anchors the business model around skills training and development billed in 15-minute units.

The code mix (H2014, T1016, H0004) points to a programmatic model focused on frequent, short-interval interventions and care coordination rather than low-volume, high-intensity medical encounters. H2014 (skills training and development, per 15 minutes) plus T1016 (case management, each 15 minutes) together imply sustained, recurring contact with clients and revenue primarily from time-based outpatient behavioral health services.

Competitive standing by in-state rank shows the provider is a solid regional participant for its top lines but not an outsized statewide dominator: H2014 ranks #10 of 48 providers in-state (81th percentile; typical, unremarkable volume for this code), T1016 ranks #13 of 52 providers (76th percentile; typical, unremarkable volume), and H0004 ranks #11 of 72 providers (86th percentile; typical, unremarkable volume). Those placements indicate above-median volume for its core services but still within the range characterized by the dataset as typical rather than an extreme outlier.

Smaller Medicaid line items contribute only marginally to overall revenue and reinforce the behavioral-health orientation: H0031 (10.1K claims, $78 avg paid/claim, $791.5K revenue) and H0034 (8.1K claims, $19 avg paid/claim, $154.6K revenue) together represent single-digit shares of total Medicaid revenue and rank in mid-to-lower percentiles (H0031 at 64th, H0034 at 55th; both labeled typical). These minor codes suggest supplementary assessment, medication support, and peer-service activities that complement the primary skills-training and case-management workload.

From a payer-mix perspective the profile is unambiguous: there is no Medicare revenue reported and Medicaid accounts for the entirety of recorded lifetime revenue ($61.7M). Analysts evaluating contract risk or diversification should treat ASPIRE INDIANA INC as highly Medicaid-dependent, with exposure concentrated in a few high-volume time-based codes.

Operational implications for payers and network planners include the likelihood of steady, high-frequency billing patterns tied to session-based authorizations and utilization management. Given that H2014 alone delivers $51.3M in revenue through 427.8K claims, contract terms, rate negotiations, and program integrity reviews should prioritize time-based skills-training authorization rules, documentation expectations for 15-minute units, and monitoring of case-management utilization represented by T1016 (184.7K claims, $6.1M).

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2014	Skills training and development, per 15 minutes	427,770	$120	$51.3M
T1016	Case management, each 15 minutes	184,730	$30	$6.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	32,650	$100	$3.2M
H0031	Mental health assessment, by non-physician	10,150	$80	$791.5K
H0034	Medication training and support, per 15 minutes	8,140	$20	$154.6K
H0038	Self‑help/peer services, per 15 minutes	2,470	$40	$96.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	350	$70	$24K
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…	380	$50	$17.3K
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…	130	$20	$1.9K

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 — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2014	Skills training and development, per 15 minutes	10	50	75,600	$130	$34.8M
T1016	Case management, each 15 minutes	13	50	8,980	$30	$3.8M
H0004	Behavioral health counseling and therapy, per 15 minutes	11	70	3,960	$130	$1.9M
H0031	Mental health assessment, by non-physician	15	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…	367	580	710	$60	$582.9K
H0034	Medication training and support, per 15 minutes	14	30	7,890	$20	$529.8K
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…	187	220	1,380	$20	$360.2K
H0038	Self‑help/peer services, per 15 minutes	24	80	1,080	$60	$219.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	226	520	240	$80	$165K

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	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$26.2M
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
Opportunities For Positive Growth, Inc	IN	Counselor	$0	$30.1M
Orthodynamics Company, Inc.	IN	Durable Medical Equipment & Medical Supplies	$5.1M	$8.1M
Riverview Hospital	IN	Family Medicine Physician	$0	$9.1M
Riverview Hospital	IN	General Acute Care Hospital	$0	$7.9M
Cork Medical LLC	IN	Durable Medical Equipment & Medical Supplies	$0	$4.6M
Rehab Medical, LLC	IN	Customized Equipment (DME)	$0	$4.4M
Pediatric Dentistry Of Noblesville	IN	Pediatric Dentistry	$0	$2.6M
City Of Noblesville	IN	Ambulance	$366.1K	$1.6M
Hamilton Surgery Center LLC	IN	Ambulatory Surgical Clinic/Center	$931.1K	$85.8K
Kathleen Thomas	IN	Rheumatology Physician	$933.8K	$0

Aspire Indiana Inc — Billing Profile & Reimbursement Data

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Aspire Indiana Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References