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

Why is the Medicaid comparison limited to Tennessee 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. Tennessee (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 Tennessee, LLC (NPI 1538628904)

Field	Value
Entity Type	Organization
Organization	Spero Health Of Tennessee, LLC
Address	301 Wolverine Trl
City	Smyrna
State	TN
ZIP	37167
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	March 15, 2019

Payer Source	Total Paid
Medicaid	$23.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	42,060	$220	$9.4M
H0014	Alcohol and/or drug services; ambulatory detoxification	24,410	$260	$6.4M
H0033	Oral medication administration, direct observation	34,910	$170	$5.9M
H0047	Alcohol and/or other drug abuse services, not otherwise specified	2,090	$470	$969.5K
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…	5,010	$60	$305.8K
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…	4,470	$50	$228K
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.	3,710	$30	$115.1K
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…	2,290	$10	$22.9K
G2087	Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month	1,250	$20	$18.8K
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…	1,440	$10	$11.5K

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Spero Health Of Tennessee, LLC — 4 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	6	60	430	$50	$1M
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	2	130	620	$200	$655.5K
H0014	Alcohol and/or drug services; ambulatory detoxification	1	80	250	$250	$405.4K
H0033	Oral medication administration, direct observation	1	100	340	$150	$306.9K
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.	58	240	840	$20	$259.2K
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…	133	300	480	$30	$221.2K
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…	1,296	3,760	610	$40	$202.3K
H0047	Alcohol and/or other drug abuse services, not otherwise specified	2	40	440	$250	$190.5K
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…	11	90	400	$30	$189K
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…	1,765	4,050	620	$30	$183.9K

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with Spero Health Of Tennessee, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gregory Cagle	AK	Family Nurse Practitioner	$41K	$0
Leslie Johnson	KY	Family Nurse Practitioner	$20.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spark Dental Tn, PLLC	TN	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$33.8M
Hca Health Services Of Tennessee, Inc.	TN	General Acute Care Hospital	$0	$28.2M
Grace Pediatrics PLLC	TN	Pediatrics Physician	$0	$12M
Feltz Therapy Services, LLC	TN	Rehabilitation Clinic/Center	$0	$11.1M
Children's Dentistry Of Smyrna	TN	Pediatric Dentistry	$0	$8.2M
Nurture Pediatrics, PLLC	TN	Pediatrics Physician	$0	$5M
Cumberland Pediatric Dentistry And Orthodontics Of Murfreesboro, PLLC	TN	Pediatric Dentistry	$0	$4.1M
Smyrna Pediatrics PLLC	TN	Pediatrics Physician	$0	$3.7M
Newberry Emergency Physicians PLLC	TN	Emergency Medicine Physician	$0	$3M
Tennessee Family Solutions, Inc	TN	Developmentally Disabled Services Day Training Agency	$0	$3M

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

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Spero Health Of Tennessee, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References