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 Incorporated (NPI 1316945090)

Field	Value
Entity Type	Organization
Organization	Spurwink Services Incorporated
Address	901 Washington Ave Ste 100
City	Portland
State	ME
ZIP	04103
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	July 7, 2005

Payer Source	Total Paid
Medicaid	$52.9M
Medicare	$0

Key Findings

This provider is effectively single-payer in scope: there is no Medicare billing on file and all recorded lifetime revenue is Medicaid-based totaling $52.9M. The absence of Medicare activity indicates Medicaid is the dominant and nearly exclusive revenue source for the organization’s billed clinical services.

Revenue is highly concentrated in three service lines: the precomputed top 3 Medicaid codes by revenue account for 96.5% of this provider's total Medicaid revenue. Those codes are H2012 ($32.2M, 60.9%), H0004 ($14.6M, 27.6%), and T1026 ($4.2M, 8.0%), which together drive virtually all billed Medicaid dollars for the entity.

The code mix signals a clinic-focused behavioral health operation centered on high-volume day programs and outpatient counseling: H2012 is Behavioral health day treatment, per hour (163.5K claims, $197 avg paid/claim), and H0004 is Behavioral health counseling and therapy, per 15 minutes (202.6K claims, $72 avg paid/claim). T1026 (Intensive, extended multidisciplinary services to children, per hour; 4.6K claims, $916 avg paid/claim) further indicates capacity to deliver intensive, multidisciplinary care to children with complex needs, consistent with a staffed clinic model rather than brief episodic visits.

SPURWINK is a clear statewide market leader on H2012: the provider ranks #1 of 42 in-state and is labeled an "extreme outlier," sitting at the 100th percentile and billing far above typical state volumes for this code. That dominant position on the highest-revenue code underscores a competitive advantage in day-treatment programming within Maine.

The provider is also a major statewide player on H0004, ranking #3 of 290 providers in-state and at the 99th percentile; this "extreme outlier" status on counseling/therapy billing indicates heavy throughput in time-based therapy services and a substantial share of in-state capacity for this modality. High claim counts (202.6K claims for H0004) corroborate sustained counseling volume.

T1026 shows a unique market position: SPURWINK reports $4.2M on 4.6K claims and ranks #1 of 1 providers in-state with no state peer volume comparison available. The high average paid per claim ($916) and the code’s description for intensive multidisciplinary care suggest this provider may be the sole Medicaid-billed source in the state for this particular intensive pediatric service.

Secondary codes contribute only modestly to revenue and reflect complementary services rather than alternate revenue centers: H2021 generated $1.4M (2.7%) and ranks in a typical range (37th percentile), while H2010 ($132.8K, 0.3%) and H0041 ($95K, 0.2%) are small-dollar items that indicate additional capabilities (medication services and foster-care per diem) but do not materially diversify the revenue base. These smaller line items underscore a primary focus on day treatment and therapy rather than a broad mix of high-revenue ancillary services.

The provider’s NPI has been enumerated since 2005-07-07 (~21 years), indicating an established presence; combined with very large claim volumes (e.g., 163.5K H2012 claims and 202.6K H0004 claims), this tenure supports the conclusion that SPURWINK operates a sustained, high-throughput behavioral health clinic specializing in day treatment and time-based therapeutic services for children and other populations under Medicaid.

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2012	Behavioral health day treatment, per hour	163,510	$200	$32.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	202,630	$70	$14.6M
T1026	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour	4,610	$920	$4.2M
H2021	Community-based wrap-around services, per 15 minutes	5,800	$240	$1.4M
H2010	Comprehensive medication services, per 15 minutes	970	$140	$132.8K
H0041	Foster care, child, non-therapeutic, per diem	70	$1,460	$95K
H2000	Comprehensive multidisciplinary evaluation	1,780	$40	$64.1K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	250	$190	$48.1K
96101	N/A	150	$270	$41.5K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	270	$90	$24.1K

Showing 1–10 of 15

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 Incorporated — 4 of 14 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2021	Community-based wrap-around services, per 15 minutes	66	100	8,660	$290	$5.1M
H2012	Behavioral health day treatment, per hour	1	40	13,180	$230	$5.1M
T1026	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour	1	10	4,610	$920	$4.2M
H2010	Comprehensive medication services, per 15 minutes	39	50	3,690	$130	$1.6M
T1017	Targeted case management, each 15 minutes	91	100	4,690	$90	$1M
H0004	Behavioral health counseling and therapy, per 15 minutes	3	290	860	$80	$805.1K
T1013	Sign language or oral interpretive services, per 15 minutes	38	50	740	$90	$453.3K
G9007	Coordinated care fee, scheduled team conference	23	30	950	$60	$258.2K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	16	20	420	$140	$122.7K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	7	10	250	$90	$80.8K

Showing 1–10 of 15

Related Providers

Other providers that share a Tax Identification Number (TIN) with Spurwink Services Incorporated, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spurwink Services	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$51.2M
Spurwink Services Inc.	ME	Developmentally Disabled Services Day Training Agency	$0	$38.6M
Spurwink Services Incorporated	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.8M
Terri-lynn Allen	ME	Clinical Social Worker	$23.4K	$0
Megan Duest	ME	Social Worker	$1.6K	$0

Nearby Providers

Other providers in the same ZIP code as Spurwink Services Incorporated, 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
Spurwink Services	ME	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$112.7M
Cor Health Services LLC	ME	Home Health Agency	$0	$55.9M
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 Incorporated — Billing Profile & Reimbursement Data

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Spurwink Services Incorporated — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References