Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Zanesville › NPI 1346748563
Clinic

Spero Health of Ohio, LLC

Spero Health of Ohio, LLC was paid $46.00M by Medicaid between Jul 2018 and Dec 2024, across 43 billing codes. Its largest line is 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 — 20% of everything it billed.

33Billing provider infoSPERO HEALTH OF OHIO, LLC
ZANESVILLE, OH 43701
33aNPI1346748563assigned 01/23/2018
28Total paid$46.00M
24GClaims913,237
24DCodes billed43
24AFirst – last monthJul 2018 – Dec 2024
Compared with peers

Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Ohio

Rank by total paid#3 of 97
Median peer was paid$1.34M
This provider vs. median34×

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

$0$500K$1.0M$1.5M2018201920202021202220232024
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
YearClaimsPaid
201855,089$1.45M
2019108,771$3.28M
2020121,635$4.03M
2021172,148$9.24M
2022203,714$11.37M
2023156,505$9.87M
2024incomplete95,375$6.77M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 20% 68,446 47,041 $9.38M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 100,278 64,024 $8.15M
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 17% 66,812 41,882 $8.00M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 9.0% 93,892 52,629 $4.15M
90853 Group psychotherapy (other than of a multiple-family group) 8.8% 149,907 82,455 $4.04M
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 8.2% 71,049 55,869 $3.77M
T1003 Lpn/lvn services, up to 15 minutes 6.3% 126,733 69,525 $2.91M
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 5.1% 169,118 93,540 $2.33M
H0006 Alcohol and/or drug services; case management 2.1% 28,987 20,680 $962K
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 1.4% 8,645 6,192 $666K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 1,872 1,251 $305K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 2,259 2,143 $234K
31 more codes
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education <1% 1,722 $201K
H0038 Self-help/peer services, per 15 minutes <1% 8,389 $193K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 3,881 $188K
99204 Doctor's office visit, new patient (more involved) <1% 942 $169K
G0481 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; 8-14 drug class(es), including metabolite(s) if performed <1% 1,325 $148K
99203 Doctor's office visit, new patient (routine) <1% 660 $74K
H0001 Alcohol and/or drug assessment <1% 453 $35K
99205 Prolong outpt/office vis <1% 99 $20K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 150 $12K
H0005 Alcohol and/or drug services; group counseling by a clinician <1% 407 $9K
90834 Psychotherapy session, about 45 minutes <1% 110 $8K
80346 <1% 523 $5K
80364 <1% 528 $5K
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% 96 $5K
80361 <1% 516 $5K
90792 Psychiatric diagnostic evaluation with medical services <1% 24 $3K
80354 <1% 523 $3K
80324 <1% 523 $3K
80353 <1% 521 $3K
80365 <1% 514 $3K
80366 <1% 516 $2K
80358 <1% 512 $2K
80355 <1% 525 $2K
80356 <1% 522 $2K
80349 <1% 515 $2K
80348 <1% 525 $2K
90837 Psychotherapy session, about an hour <1% 20 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 57 $1K
80352 <1% 64 $288.61
80359 <1% 65 $244.03
80369 <1% 12 $42.44

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)
Same official

Other billing entities under ADAMS, RICHARD

Full network →
ProviderLocationPaid
Spero Health of Kentucky, LLCDanville, KY$154.25M
Spero Health of Virginia, LLCMartinsville, VA$9.75M
Spero Health of Indiana, LLCIndianapolis, IN$8.56M
Tri-State Orthopaedic Surgeons, INC.Evansville, IN$1.09M
Butler Emergency Physicians AssociatesButler, PA$398K
Spero Health of West Virginia, LLCClarksburg, WV$391K
Richard M Adams DPM PAGranbury, TX$4K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.