Physician
Spero Health of Virginia, LLC
Spero Health of Virginia, LLC was paid $9.75M by Medicaid between Sep 2020 and Dec 2024, across 14 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 39% of everything it billed.
33Billing provider infoSPERO HEALTH OF VIRGINIA, LLC
MARTINSVILLE, VA 24112
MARTINSVILLE, VA 24112
33aNPI1104465103assigned 12/23/2019
33bProvider typeAddiction Medicine (Family Medicine) Physician
28Total paid$9.75M
24GClaims117,084
24DCodes billed14
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Addiction Medicine (Family Medicine) Physician providers in Virginia
Rank by total paid#3 of 14
Median peer was paid$121K
This provider vs. median81×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 865 | $39K | |
| 2021 | 9,962 | $667K | |
| 2022 | 34,848 | $2.71M | |
| 2023 | 40,269 | $3.48M | |
| 2024incomplete | 31,140 | $2.86M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 39% | 16,375 | 15,691 | $3.81M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 19,951 | 13,527 | $1.15M |
| 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 not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed | 11% | 7,403 | 6,226 | $1.10M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 11% | 12,239 | 8,255 | $1.03M |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 6.4% | 22,996 | 13,706 | $621K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 6.0% | 13,045 | 10,878 | $584K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 5.7% | 9,746 | 7,785 | $553K |
| 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 not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 4.0% | 5,283 | 4,483 | $392K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.6% | 7,508 | 4,338 | $257K |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | 2.1% | 1,653 | 1,571 | $206K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 298 | 226 | $35K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 192 | 152 | $9K |
2 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialADAMS, RICHARD (CFO)
| Provider | Location | Paid |
|---|---|---|
| Spero Health of Kentucky, LLC | Danville, KY | $154.25M |
| Spero Health of Ohio, LLC | Zanesville, OH | $46.00M |
| Spero Health of Indiana, LLC | Indianapolis, IN | $8.56M |
| Tri-State Orthopaedic Surgeons, INC. | Evansville, IN | $1.09M |
| Butler Emergency Physicians Associates | Butler, PA | $398K |
| Spero Health of West Virginia, LLC | Clarksburg, WV | $391K |
| Richard M Adams DPM PA | Granbury, TX | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.