Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Maine for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Maine only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Maine (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Spurwink Services (NPI 1295994804)

Field	Value
Entity Type	Organization
Organization	Spurwink Services
Address	899 Riverside St
City	Portland
State	ME
ZIP	04103
Taxonomy	Emotionally Disturbed Childrens' Residential Treatment Facility
NPI Enumerated	June 9, 2008

Payer Source	Total Paid
Medicaid	$112.7M
Medicare	$0

Key Findings

SPURWINK SERVICES is effectively a Medicaid-focused provider with no Medicare billing on file; lifetime Medicare revenue is reported as none while total Medicaid revenue is $112.7M, indicating the entity operates almost entirely within the Medicaid system rather than the Medicare market. This payer concentration suggests its operations and reimbursement exposure are driven by state Medicaid policy and program design rather than federal Medicare fee schedules.

The provider's business model is centered on long-term residential behavioral health care for children: the dominant Medicaid code is H0019 (long-term residential, per diem) which generated $90.2M and accounts for 80.1% of the provider's total Medicaid revenue. This concentration in H0019 revenue indicates SPURWINK primarily delivers non-medical, non-acute residential treatment stays where services are billed per diem rather than episodically.

Revenue concentration is extreme across a very small set of service codes: the top 3 Medicaid codes by revenue together account for 98.3% of total Medicaid revenue, demonstrating that nearly all Medicaid receipts are tied to a narrow set of service lines (H0019, S9484, T1020). That tight concentration creates operational dependence on continued demand and reimbursement for residential and crisis intervention services.

SPURWINK is a dominant statewide provider for its flagship residential code and one crisis code: H0019 ranks #1 of 28 providers in-state and is labeled an extreme outlier, and S9484 ranks #1 of 3 providers in-state (100th percentile). These rankings indicate SPURWINK has unusually high volume for long-term residential care and is a leading provider of crisis intervention mental health services by hour within Maine.

Other Medicaid service lines are present but much smaller and more typical in-state: T1020 produced $2.6M (2.3% of Medicaid revenue) and ranks #15 of 21 providers (30th percentile), while S9485 produced $1.9M (1.7% of revenue) and ranks #1 of 2 providers. This suggests SPURWINK supplements its residential program with personal care and per-diem crisis services, but these are not primary revenue drivers compared with H0019 and S9484.

The provider's NPI was enumerated on 2008-06-09 (~18 years ago), indicating a longstanding presence in the market. This tenure combined with the provider’s dominant in-state rankings for its top codes suggests established capacity and referral relationships to support high residential and crisis-service volumes.

Because H0019 alone represents $90.2M and 80.1% of Medicaid revenue and the top three codes constitute 98.3% of revenue, SPURWINK faces concentrated reimbursement risk: any change in Medicaid per-diem rates, eligibility rules, or program contracting for residential long-term behavioral health could materially affect its revenue. Analysts should prioritize monitoring state policy and rate-setting for H0019 and S9484 when assessing financial resilience and risk.

From a competitive standpoint, SPURWINK’s status as an extreme outlier for H0019 and top-ranked for S9484 implies it is more of a regional specialist than a diversified multi-payer provider; its market position is dominant for specific child residential and crisis services within Maine but not diversified across payers or service categories.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	228,440	$400	$90.2M
S9484	Crisis intervention mental health services, per hour	62,250	$290	$18.1M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	4,340	$590	$2.6M
S9485	Crisis intervention mental health services, per diem	11,170	$170	$1.9M

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Maine providers billing the same CPT/HCPCS codes.

Claims Volume vs. Maine Distribution

Spurwink Services — 3 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. Maine median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	1	30	13,990	$560	$23.9M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	15	20	8,350	$340	$9.2M
S9484	Crisis intervention mental health services, per hour	1	10	9,370	$270	$6.9M
S9485	Crisis intervention mental health services, per diem	1	10	6,000	$160	$934.7K

Nearby Providers

Other providers in the same ZIP code as Spurwink Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Granite Bay Care, Inc	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$281.6M
Cor Health Services LLC	ME	Home Health Agency	$0	$55.9M
Spurwink Services Incorporated	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$52.9M
Casa, Inc.	ME	Adult Care Home Facility	$0	$50.1M
Gateway Community Services, LLC	ME	Community/Behavioral Health Agency	$0	$30.2M
Peregrine Corporation	ME	Case Management Agency	$0	$30M
Ubuntu Care	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$27.3M
New England Integrated Living Support	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$22.3M
Affinity	ME	Developmentally Disabled Services Day Training Agency	$0	$9.7M
Ocean Home Care LLC	ME	Personal Care Attendant	$0	$9M

Spurwink Services — Billing Profile & Reimbursement Data

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Spurwink Services — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References