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

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

Spetako Care Group Inc (NPI 1417252321)

Field	Value
Entity Type	Organization
Organization	Spetako Care Group Inc
Address	8927 Gauge Hollow Ct
City	Richmond
State	TX
ZIP	77407
Taxonomy	Adult Care Home Facility
NPI Enumerated	January 24, 2011

Payer Source	Total Paid
Medicaid	$17.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	12,820	$890	$11.4M
H2014	Skills training and development, per 15 minutes	47,950	$50	$2.2M
M0152	N/A	8,080	$170	$1.3M
M0150	N/A	6,380	$150	$969.6K
T2020	Day habilitation, waiver; per diem	5,330	$100	$538.2K
M0118	N/A	7,930	$40	$285.3K
H2019	Therapeutic behavioral services, per 15 minutes	2,040	$140	$275.5K
M0116	N/A	7,950	$30	$238.5K
D0120	Periodic oral evaluation - established patient	230	$530	$121.2K
M0133	N/A	810	$140	$111.8K

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Spetako Care Group Inc — 0 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	137	430	5,020	$270	$5.6M
M0150	N/A	41	80	6,450	$160	$1.4M
H2014	Skills training and development, per 15 minutes	42	560	9,630	$80	$1.4M
M0152	N/A	10	40	5,390	$170	$1.3M
H2019	Therapeutic behavioral services, per 15 minutes	43	160	1,030	$100	$322.9K
T2020	Day habilitation, waiver; per diem	73	370	2,050	$70	$306.1K
M0116	N/A	72	240	5,200	$30	$250.7K
M0118	N/A	20	100	4,900	$40	$239.6K
M0117	N/A	34	40	3,970	$40	$226.9K
T2025	Waiver services; not otherwise specified (nos)	34	50	1,070	$70	$142.4K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Spetako Care Group Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hands-on Living Health Care Services Inc	TX	Home Health Agency	$0	$12.7M
Seleina Kirorei	TX	Family Nurse Practitioner	$529.6K	$0

Spetako Care Group Inc — Billing Profile & Reimbursement Data

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Spetako Care Group Inc — 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