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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Stacey Spina (NPI 1417510579)

Field	Value
Entity Type	Individual
Organization	Stacey Spina
Address	1415 Hooper Ave Ste 305d
City	Toms River
State	NJ
ZIP	08753
Taxonomy	Clinical Social Worker
NPI Enumerated	April 15, 2019

Payer Source	Total Paid
Medicare	$54.8K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	550	$90	$48.5K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	550	$10	$4.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	10	$110	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Stacey Spina — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	46	560	250	$100	$27.6K
90791	472	510	30	$120	$9.1K
90785	1	50	140	$10	$1.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Preferred Behavioral Health Of New Jersey, Inc.	NJ	Community/Behavioral Health Agency	$0	$13M
Preferred Behavioral Health Of New Jersey, Inc.	NJ	Community/Behavioral Health Agency	$0	$9.5M
Janine Fabrizio	NJ	Social Worker	$31.1K	$0
Felix Geller	NJ	Psychiatry Physician	$25.7K	$0

Nearby Providers

Other providers in the same ZIP code as Stacey Spina, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	NJ	Home Health Agency	$0	$269.7M
Easter Seals New Jersey	NJ	Community/Behavioral Health Agency	$0	$46M
Easter Seals New Jersey	NJ	Mental Illness Community Based Residential Treatment Facility	$0	$38.8M
Loving Care Agency, Inc	NJ	Home Health Agency	$0	$19.2M
Pediatric Affiliates PA	NJ	Pediatrics Physician	$0	$17M
Toms River Regional Schools	NJ	Local Education Agency (LEA)	$0	$14.9M
Bayada Home Health Care, Inc.	NJ	Home Health Agency	$0	$13M
Preferred Home Health Care & Nursing Services, Inc	NJ	Home Health Agency	$0	$11.1M
Vna Health Group Of New Jersey, LLC	NJ	Home Health Agency	$0	$9.8M
Cmg Brentwood, LLC	NJ	Assisted Living Facility	$0	$9.3M

Stacey Spina — Billing Profile & Reimbursement Data

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Stacey Spina — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References