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    OpenPayerNPI Medicare & MedicaidPlastic & Hand Surgical Associates
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    Plastic & Hand Surgical Associates — Billing Profile & Reimbursement Data

    NPI 1366453730 · Westbrook, ME · Ambulatory Surgical Clinic/Center

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    Plastic & Hand Surgical Associates is a ambulatory surgical clinic/center provider located in Westbrook, Maine. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationPlastic & Hand Surgical Associates
    Address11 Rock Row Ste 210
    CityWestbrook
    StateME
    ZIP04092
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedAugust 11, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$98.6K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    29848The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness.40$590$22.2K
    26123The provider surgically removes fascial tissue from part of the palm and releases one finger, including the middle joint of that finger. Treatment may include Z–plasty, rearranging local tissue, or…20$1,040$16.6K
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.20$700$14K
    26055Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…20$510$12.2K
    26160In this procedure, the provider excises a lesion, like a cyst or ganglion, from a tendon sheath or joint capsule in the hand or finger.30$430$10.8K
    14040The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…20$700$10.5K
    12051This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes that are 2.5 cm or less in size.30$120$3.4K
    11642The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the face, ears, eyelids, nose, lips.40$70$2.8K
    12052This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips and/or mucous membranes that are 2.6 to 5.0 cm in size.20$110$2.3K
    12032This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.20$110$1.9K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2984811040$580$22.2K
    2612311020$1,040$16.6K
    1406031020$560$14K
    2616011030$430$10.9K
    2605561020$300$8.2K
    1404011010$630$8.2K
    12032152030$180$6.4K
    1205121040$110$4.4K
    1205231020$140$3.5K
    1164211020$100$1.9K

    Showing 1–10 of 11

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Plastic & Hand Surgical Associates, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Arthur TurkoMEPlastic and Reconstructive Surgery Physician$19K$0
    Sirish MaddaliMEPlastic and Reconstructive Surgery Physician$14.3K$0
    Richard KutzMEPlastic and Reconstructive Surgery Physician$7.9K$0
    Kristin MarstonMEOccupational Therapist$7.8K$0
    Eric StunkelMEOccupational Therapist$6.7K$0

    Nearby Providers

    Other providers in the same ZIP code as Plastic & Hand Surgical Associates, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Creative WorksMEDevelopmentally Disabled Services Day Training Agency$0$144.1M
    Woodfords Family ServicesMECommunity/Behavioral Health Agency$0$101.5M
    Safe Residential Care, LLCMEPhysical Disabilities Residential Treatment Facility$0$94.6M
    3rivers, Inc.MEIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$78.6M
    Woodfords Family ServicesMECommunity/Behavioral Health Agency$0$46.3M
    Alliance Case ManagementMECase Management Agency$0$17.8M
    Woodfords Family ServicesMEIn Home Supportive Care Agency$0$11.3M
    Woodfords Family ServicesMECase Management Agency$0$9.4M
    Mas Medical Staffing CorporationMEHome Health Agency$0$8.1M
    Maine Community HomecareMEIn Home Supportive Care Agency$0$8.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Maine Distribution
    Plastic & Hand Surgical Associates — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine