Clinic
Spero Health of Indiana, LLC
Spero Health of Indiana, LLC was paid $8.56M by Medicaid between Feb 2019 and Dec 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 18% of everything it billed.
33Billing provider infoSPERO HEALTH OF INDIANA, LLC
INDIANAPOLIS, IN 46227
INDIANAPOLIS, IN 46227
33aNPI1962900183assigned 01/23/2018
33bProvider typeSubstance Use Disorder Rehabilitation Clinic/Center
28Total paid$8.56M
24GClaims151,132
24DCodes billed17
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Indiana
Rank by total paid#12 of 28
Median peer was paid$4.46M
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2019 | 10,722 | $421K | |
| 2020 | 22,019 | $966K | |
| 2021 | 27,177 | $1.57M | |
| 2022 | 33,793 | $2.23M | |
| 2023 | 37,533 | $2.14M | |
| 2024incomplete | 19,888 | $1.23M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 18% | 18,554 | 10,503 | $1.55M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 17% | 34,485 | 17,585 | $1.49M |
| 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 | 17% | 12,110 | 7,764 | $1.46M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 22,620 | 14,100 | $1.40M |
| 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 | 11% | 13,272 | 7,934 | $910K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 8.3% | 16,766 | 12,090 | $709K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 4.6% | 23,523 | 12,846 | $390K |
| 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 | 2.4% | 2,422 | 1,537 | $203K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.8% | 1,600 | 1,418 | $155K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 3,109 | 1,749 | $119K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 509 | 363 | $68K |
| 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 | <1% | 242 | 228 | $30K |
5 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 Virginia, LLC | Martinsville, VA | $9.75M |
| 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.