Spero Health of Kentucky LLC
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $5.2M (2018) to $20.8M (2019) — a 300% swing with $15.6M absolute change.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Billing Swing
Billing Swing means this provider's total billing changed dramatically from one year to the next — increasing or decreasing by more than 200% with over $1M in absolute change. This could indicate a change in practice scope, a billing scheme ramping up, or legitimate growth.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $433.68 per claim for H0047 (Alcohol and/or drug abuse, not otherwise specified) — 5.3× the national median of $81.37.
Bills $359.67 per claim for G2087 — 7.5× the national median of $48.10.
Billing above the 90th percentile for 2 procedure codes simultaneously.
This is a statistical summary, not an accusation. See our methodology.
Total Paid
$154.2M
$154,247,261
Total Claims
2.6M
Beneficiaries
1.7M
1.5 claims/patient
Avg Cost/Claim
$59
#694 of 618K providers by total spending(top 0.1%)
🔍 Analysis
Provider Overview
Spero Health of Kentucky LLC is a Family Medicine Addiction Medicine provider based in Danville, KY. From the 2018–2024 period, this provider received $154.2M in Medicaid payments across 2.6M claims.
Why This Matters
This provider received $154.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 19,280 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 29 distinct procedure codes. The top code (80307 (Drug test, presumptive, by chemistry analyzers)) accounts for 22% of total spending.
$34.1M
728K claims
$46.78
$35.43
Drug test, presumptive, by chemistry analyzers
$34.1M
728K claims · 22.1%
$20.1M
427K claims
$47.20
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$20.1M
427K claims · 13.1%
$17.9M
132K claims
$135.62
$75.26
Drug test, definitive, 15-21 drug classes
$17.9M
132K claims · 11.6%
$17.5M
219K claims
$79.92
$37.56
Drug test, definitive, 1-7 drug classes
$17.5M
219K claims · 11.3%
$17.2M
59K claims
$292.28
$300.13
Community transition, waiver; per service
$17.2M
59K claims · 11.2%
$8.1M
52K claims
$156.58
$90.89
Drug test, definitive, 22+ drug classes
$8.1M
52K claims · 5.3%
$7.6M
129K claims
$59.21
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$7.6M
129K claims · 5.0%
$7.0M
113K claims
$61.99
$64.10
Alcohol/drug services, treatment plan review
$7.0M
113K claims · 4.5%
Group psychotherapy
$5.9M
482K claims · 3.9%
$5.4M
13K claims
$433.68
$81.37
Alcohol and/or drug abuse, not otherwise specified
$5.4M
13K claims · 3.5%
Psychotherapy, 30 minutes
$5.3M
153K claims · 3.4%
$3.6M
40K claims
$89.94
$64.72
Drug test, definitive, 8-14 drug classes
$3.6M
40K claims · 2.3%
$1.7M
4,639 claims · 1.1%
$833K
11K claims
$73.28
$99.21
Psychiatric diagnostic evaluation
$833K
11K claims · 0.5%
$559K
18K claims
$30.69
$25.06
Office/outpatient visit, low complexity
$559K
18K claims · 0.4%
$553K
5,983 claims
$92.44
$74.09
Office/outpatient visit, high complexity
$553K
5,983 claims · 0.4%
$308K
20K claims
$15.07
$55.04
Self-help/peer services, per 15 minutes
$308K
20K claims · 0.2%
Psychotherapy, 60 minutes
$226K
3,268 claims · 0.1%
$77K
1,456 claims
$52.86
$57.85
Office/outpatient visit, new patient, low-mod complexity
$77K
1,456 claims · 0.0%
$58K
669 claims
$86.48
$84.03
Office/outpatient visit, new patient, mod-high complexity
$58K
669 claims · 0.0%
$38K
435 claims
$86.54
$108.91
Psychiatric diagnostic evaluation with medical services
$38K
435 claims · 0.0%
$33K
308 claims
$106.98
$111.09
Office/outpatient visit, new patient, high complexity
$33K
308 claims · 0.0%
Psychotherapy, 45 minutes
$31K
649 claims · 0.0%
$24K
345 claims
$70.35
$129.75
Alcohol and/or drug abuse, intensive outpatient, per hour
$24K
345 claims · 0.0%
$19K
485 claims
$39.04
$40.11
Office/outpatient visit, new patient, low complexity
$19K
485 claims · 0.0%
$3K
214 claims
$15.59
$12.93
Office/outpatient visit, minimal complexity
$3K
214 claims · 0.0%
Alcohol and/or drug assessment
$2K
43 claims · 0.0%
$1K
56 claims
$21.82
$27.38
Office/outpatient visit, new patient, straightforward
$1K
56 claims · 0.0%
$129
13 claims · 0.0%
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