Spiras Health, INC.

Spiras Health, INC. was paid $31K by Medicaid between Oct 2022 and Dec 2024, across 24 billing codes. Its largest line is G0082, Limited (30 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility) — 24% of everything it billed.

Compared with peers

Next to other Adult Health Nurse Practitioner providers in Tennessee

Rank by total paid#10 of 50

Median peer was paid$7K

This provider vs. median4.6×

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
2022	1,044	$0.00
2023	4,961	$0.00
2024incomplete	18,689	$31K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G0082	Limited (30 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)	24%	4,206	4,137	$8K
99490	Ccm add 20min	17%	8,107	7,645	$5K
G0083	Moderate (45 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)	14%	1,793	1,748	$4K
G0084	Comprehensive (60 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)	11%	524	509	$3K
G0080	Extensive (75 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)	9.2%	1,640	1,626	$3K
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	8.8%	1,143	1,115	$3K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	7.1%	699	693	$2K
99205	Prolong outpt/office vis	5.4%	858	850	$2K
G0079	Comprehensive (60 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)	1.3%	80	80	$394.38
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.2%	404	395	$384.54
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	224	222	$241.82
99487	Ccm add 20min	<1%	152	150	$59.88

12 more codes

3077F		0%	64	$0.00
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	0%	16	$0.00
3078F		0%	612	$0.00
G0081	Brief (20 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)	0%	16	$0.00
G0077	Limited (30 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)	0%	16	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	2,226	$0.00
G9902	Patient screened for tobacco use and identified as a tobacco user	0%	888	$0.00
3074F		0%	458	$0.00
3079F		0%	114	$0.00
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	0%	269	$0.00
3075F		0%	172	$0.00
G0085	Extensive (75 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)	0%	13	$0.00

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 officialMONIZ, BETH (DIRECTOR OF CLINICAL QUALITY)