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SPERO HEALTH OF TENNESSEE, LLC

Clinic/Center, Rehabilitation, Substance Use Disorder·SMYRNA, TN·NPI: 1538628904Share

Compared to Clinic/Center, Rehabilitation, Substance Use Disorder Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $23.4M is at the 75th percentile among 13 Clinic/Center, Rehabilitation, Substance Use Disorder providers.

Active Billing Period:2019-11→2024-12(59 months)

Total Paid

$23.4M

$23,449,364

Total Claims

123K

Beneficiaries

93K

1.3 claims/patient

Avg Cost/Claim

$190

Monthly Spending Trend

Yearly Spending

2019
$3K
+17874%
2020
$539K
+748%
2021
$4.6M
+46%
2022
$6.7M
-3%
2023
$6.5M
-21%
2024
$5.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (H0016 (Alcohol or drug abuse services, prenatal)) accounts for 40% of total spending.

H0016Normal range

Alcohol or drug abuse services, prenatal

$9.4M

42K claims · 40.3%

Your Cost: $224.49/claim|Median: $182.66
1.2× median
H0014Top 25%

$6.4M

24K claims · 27.4%

Your Cost: $262.90/claim|Median: $137.81
1.9× median
H0033Top 25%

Oral medication administration, direct observation

$5.9M

35K claims · 25.2%

Your Cost: $169.21/claim|Median: $31.37
5.4× median
H0047Top 10%

Alcohol and/or drug abuse, not otherwise specified

$970K

2,085 claims · 4.1%

Your Cost: $465.12/claim|Median: $81.37
5.7× median
G0482Normal range

Drug test, definitive, 15-21 drug classes

$304K

5,013 claims · 1.3%

Your Cost: $60.62/claim|Median: $75.26
0.8× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$228K

4,470 claims · 1.0%

Your Cost: $50.99/claim|Median: $37.56
1.4× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$115K

3,714 claims · 0.5%

Your Cost: $30.85/claim|Median: $35.43
0.9× median
90853Normal range

Group psychotherapy

$22K

2,294 claims · 0.1%

Your Cost: $9.78/claim|Median: $25.02
0.4× median
G2087Normal range

$19K

1,254 claims · 0.1%

Your Cost: $15.46/claim|Median: $48.10
0.3× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$12K

1,438 claims · 0.1%

Your Cost: $8.34/claim|Median: $53.41
0.2× median
90832Normal range

Psychotherapy, 30 minutes

$8K

659 claims · 0.0%

Your Cost: $12.35/claim|Median: $41.28
0.3× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$6K

861 claims · 0.0%

Your Cost: $6.59/claim|Median: $37.81
0.2× median
96160Normal range

Patient-focused health risk assessment

$0

43 claims · 0.0%

Your Cost: $0.01/claim|Median: $2.10
0.0× median

Other Top Providers in Tennessee

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Department of Intellectual and Developmental Disabilities, State of Tn

Public Health or Welfare

$2.60B

Department of Intellectual and Developmental Disabilities, State of Tn

Public Health or Welfare

$1.45B

Tennessee Department of Children's Services

Public Health or Welfare

$781.0M

Youth Villages Inc.

Community/Behavioral Health

$615.3M

Mental Health Cooperative INC

Clinic/Center Mental Health (Including Community

$363.8M

Similar Providers

Other top providers in Clinic/Center, Rehabilitation, Substance Use Disorder

Spectrum Health Systems, INC

Worcester, MA

$187.4M

Inova Health Care Services

Falls Church, VA

$176.7M

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