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.

Spectrum Healthcare Partners, P.A (NPI 1518382936)

Field	Value
Entity Type	Organization
Organization	Spectrum Healthcare Partners, P.A
Address	33 Sewall St
City	Portland
State	ME
ZIP	04102
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	February 21, 2014

Payer Source	Total Paid
Medicare	$310.7K
Medicaid	$0

Key Findings

This provider is effectively a single-payer Medicare operator: lifetime Medicare revenue is $310.7K and there is no Medicaid billing on file. The absence of any Medicaid activity means analyses of payer mix should treat this entity as concentrated in Medicare rather than balanced across public programs.

Revenue concentration is very high: the precomputed top-3 Medicare codes account for 82.9% of this provider's total Medicare revenue. Those top three codes are 27447 ($131.1K, 42.2%), 27130 ($89K, 28.7%), and 64721 ($37.4K, 12.0%), showing that a small set of procedures drives most receipts.

The code mix and the listed taxonomy (Ambulatory Surgical Clinic/Center) indicate an orthopedic-focused ambulatory surgical practice that performs major joint arthroplasty alongside hand and wrist procedures. High-revenue arthroplasty codes 27447 and 27130 sit alongside soft-tissue and nerve procedures such as 64721 (carpal tunnel release) and 26055 (trigger finger release), consistent with a mixed arthroplasty and upper-extremity surgical service line.

Despite producing the largest shares of revenue, the major-joint arthroplasty codes show only modest national standing: 27447 ranks #9226 of 12089 providers nationally (21th percentile; typical, unremarkable volume for this code) and 27130 ranks #7312 of 8062 providers nationally (4th percentile; typical, unremarkable volume for this code). These rankings suggest the practice is not a dominant national provider of knee or hip arthroplasty but rather a lower-volume source of those high-dollar procedures.

In contrast, upper-extremity procedures show relatively stronger national positioning: 64721 ranks #495 of 3206 providers nationally (84th percentile; typical, unremarkable volume for this code) and 26055 ranks #869 of 2946 providers nationally (69th percentile; typical, unremarkable volume for this code). This pattern indicates the practice is comparatively more active in hand/wrist surgery than it is in high-volume joint replacement nationally.

The revenue-per-claim profile helps explain the concentration: the two arthroplasty codes have high average paid per claim ($7281 for 27447 with 18 claims, $7420 for 27130 with 12 claims) which drives large revenue shares despite modest claim counts, while higher-volume, lower-paid codes such as 64721 ($613 avg paid/claim, 61 claims) contribute meaningful but smaller revenue. This mix creates sensitivity to a small number of high-dollar events—fewer arthroplasty cases can disproportionately affect total Medicare revenue.

The provider has an established NPI tenure, enumerated on 2014-02-21 (~12 years ago), but its lifetime Medicare billing footprint ($310.7K) is small in absolute terms. Combined with the heavy reliance on a few codes (82.9% from the top three), this suggests a stable but limited Medicare presence and a business profile that would be categorized as a modest, specialty-focused ambulatory surgical operator rather than a high-volume regional center.

Medicare: Complete Services Breakdown

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

7 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…	20	$7,280	$131.1K
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…	10	$7,420	$89K
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…	60	$610	$37.4K
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…	40	$440	$18.9K
25447	The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…	20	$970	$14.6K
29881	The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral…	10	$1,110	$14.4K
25210	In this procedure the provider removes any one of the eight carpal bones in the wrist area.	10	$490	$5.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Spectrum Healthcare Partners, P.A — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	42	60	30	$780	$25.8K
27130	41	50	20	$730	$18.2K
64721	2	20	30	$420	$13.6K
25447	1	10	10	$810	$11.3K
29881	2	10	20	$650	$10.5K
26055	2	10	20	$300	$8.2K
25210	1	10	10	$340	$3.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Spectrum Healthcare Partners, P.A, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spectrum Healthcare Partners, PA	ME	Diagnostic Radiology Physician	$0	$4.6M
Spectrum Healthcare Partners, PA	ME	Diagnostic Radiology Physician	$0	$3M
Spectrum Healthcare Partners, P.A.	ME	Anatomic Pathology & Clinical Pathology Physician	$0	$2.9M
Jonathan Breslau	MN	Diagnostic Radiology Physician	$1.3M	$0
Linda Armstrong	GA	Diagnostic Radiology Physician	$643.9K	$175.1K
Stephen Kelly	MA	Orthopaedic Surgery Physician	$379.3K	$110.9K
Arthur Kane	ME	Diagnostic Radiology Physician	$459.4K	$0
Muhammad Khan	MI	Vascular & Interventional Radiology Physician	$455.8K	$0
Richard Sibley	IN	Diagnostic Radiology Physician	$406.2K	$0
Spectrum Healthcare Partners, PA	ME	Multi-Specialty Clinic/Center	$0	$371.9K

Nearby Providers

Other providers in the same ZIP code as Spectrum Healthcare Partners, P.A, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mainehealth	ME	General Acute Care Hospital	$0	$142.6M
Shalom House, Inc.	ME	Mental Illness Community Based Residential Treatment Facility	$0	$81.9M
Mercy Hospital	ME	General Acute Care Hospital	$0	$35.5M
Maxim Healthcare Services, Inc.	ME	Home Health Agency	$0	$28.1M
Quality Care Access, LLC	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.2M
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$12.9M
Al-shawk Home Healthcare, LLC	ME	Personal Care Attendant	$0	$7M
Maine Eye Center, PA	ME	Ophthalmology Physician	$0	$6.1M
Hand Of Mercy Health Care, LLC	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.1M
Mainehealth	ME	General Acute Care Hospital	$0	$5.5M

Spectrum Healthcare Partners, P.A — Billing Profile & Reimbursement Data

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Spectrum Healthcare Partners, P.A — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References