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NPI 1407867583 · Bangor, ME · Ambulatory Surgical Clinic/Center
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Acadia Medical Arts Ambulatory Surgical Suite is a ambulatory surgical clinic/center provider located in Bangor, Maine. This profile covers 4 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Acadia Medical Arts Ambulatory Surgical Suite |
| Address | 73 Ridgewood Drive |
| City | Bangor |
| State | ME |
| ZIP | 04401 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 11, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $532.6K |
| Medicaid | $41.1K |
ACADIA MEDICAL ARTS AMBULATORY SURGICAL SUITE’s code mix indicates an orthopedic-focused ambulatory surgical practice: the top Medicare revenue drivers are major joint arthroplasty procedures (27447 and 27130) supplemented by peripheral nerve/hand procedures (64721 and 26055), consistent with an ASC performing both high-cost joint replacements and lower-cost hand surgeries. The presence of 27447 (total knee arthroplasty) as the single largest Medicare line item and multiple hand/nerve procedure codes suggests a service line combining orthopedic joint replacement and ambulatory hand surgery.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes account for 96.3% of this provider’s total Medicare revenue, with 27447 representing $351K (65.9% of Medicare revenue), 27130 $114.4K (21.5%), and 64721 $47.5K (8.9%). This concentration indicates that a small set of high-value orthopedic procedures drive almost all Medicare receipts for the facility.
Medicaid activity is effectively mono-coded: the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue, and Medicaid receipts of $41.1K are entirely attributable to 64721 (95 claims, $433 avg paid/claim). In-state ranking for Medicaid 64721 is #1 of 7 (100th percentile; notably above typical state volume for this code), which points to a substantial statewide footprint for that specific hand/nerve procedure on Medicaid.
The payer mix is strongly Medicare-skewed in scale: lifetime Medicare revenue is $532.6K versus $41.1K in Medicaid, meaning the provider operates with Medicare as the dominant payer by an order of magnitude and Medicaid represents a minor share of lifetime public-payer revenue. Operational planning and financial performance are therefore likely more sensitive to Medicare reimbursement patterns and volumes than to Medicaid.
Competitive standing across codes is mixed. For 27447 the provider ranks #3341 of 12089 nationally (72th percentile) and is described as having a typical, unremarkable volume for that code, indicating a modest but above-median national presence in knee arthroplasty; 27130 ranks #6017 of 8062 (22th percentile) with typical volume, signaling a comparatively modest national footprint in hip replacement; conversely 64721 ranks #283 of 3206 (91th percentile) on Medicare and is labeled as a typical, unremarkable volume there, while on Medicaid 64721 is #1 of 7 (100th percentile; notably above typical state volume), highlighting a relatively strong in-state position for carpal tunnel/neuroplasty procedures.
The provider has long tenure in the NPI registry, enumerated on 2006-08-11 (~20 years ago), which supports interpretation of these patterns as established rather than transient; the longevity combined with concentrated revenue by a few codes suggests a stable, focused ambulatory surgical operation centered on selected orthopedic procedures.
Administrative reporting nuance is present on Medicaid: code G8907 appears on Medicaid claims (25 claims) with $0 avg paid/claim and $0 revenue and ranks #13 of 13 in-state (0th percentile; typical, unremarkable volume for this code). This pattern indicates use of a non-revenue safety/documentation code on Medicaid activity rather than an additional revenue source, which is relevant for interpretation of Medicaid claim counts versus dollar impact.
Procedure-level price signals reflect a mix of high-dollar arthroplasty and lower-dollar hand procedures: Medicare average paid per claim for major arthroplasty codes is high (27447 $7019 avg paid/claim and 27130 $7150 avg paid/claim), while hand/nerve procedures show much lower per-claim averages (Medicare 64721 $609 avg paid/claim; Medicaid 64721 $433 avg paid/claim). This contrast reinforces that a small number of high-cost joint procedures generate the bulk of revenue while higher-volume hand procedures make up most of the remaining clinical activity.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 27447 | In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The… | 50 | $7,020 | $350.9K |
| 27130 | In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or… | 20 | $7,150 | $114.4K |
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 80 | $610 | $47.5K |
| 26055 | Trigger 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… | 50 | $400 | $19.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 100 | $430 | $41.1K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 30 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Maine providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Maine median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 1 | 10 | 40 | $590 | $26.7K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 13 | 10 | 270 | $1 | $1 |
Other providers in the same ZIP code as Acadia Medical Arts Ambulatory Surgical Suite, ranked by combined Medicare and Medicaid revenue.
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