Managed care
Spetako Care Group INC
Spetako Care Group INC was paid $17.80M by Medicaid between Jan 2021 and Dec 2024, across 18 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 64% of everything it billed.
33Billing provider infoSPETAKO CARE GROUP INC
RICHMOND, TX 77407
RICHMOND, TX 77407
33aNPI1417252321assigned 01/24/2011
33bProvider typePreferred Provider Organization
28Total paid$17.80M
24GClaims105,986
24DCodes billed18
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Preferred Provider Organization providers in Texas
Rank by total paid#1 of 32
Median peer was paid$168K
This provider vs. median106×
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 | |
|---|---|---|---|
| 2021 | 22,792 | $1.98M | |
| 2022 | 20,515 | $4.34M | |
| 2023 | 29,302 | $5.29M | |
| 2024incomplete | 33,377 | $6.19M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 64% | 12,816 | 2,404 | $11.43M |
| H2014 | Skills training and development, per 15 minutes | 12% | 47,949 | 1,680 | $2.21M |
| M0152 | 7.5% | 8,078 | 329 | $1.34M | |
| M0150 | 5.4% | 6,379 | 258 | $968K | |
| T2020 | Day habilitation, waiver; per diem | 3.0% | 5,329 | 661 | $538K |
| M0118 | 1.6% | 7,925 | 361 | $282K | |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 1.5% | 2,041 | 1,652 | $275K |
| M0116 | 1.3% | 7,951 | 356 | $236K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 230 | 219 | $121K |
| M0133 | <1% | 810 | 666 | $112K | |
| T1002 | Rn services, up to 15 minutes | <1% | 1,810 | 1,242 | $95K |
| M0117 | <1% | 979 | 48 | $51K |
6 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 officialEWURHIE, OGHENERO (PRESIDENT)