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.

Surgi-care, Inc (NPI 1669532248)

Field	Value
Entity Type	Organization
Organization	Surgi-care, Inc
Address	51 Us Route 1 Ste I
City	Scarborough
State	ME
ZIP	04074
Taxonomy	Prosthetic/Orthotic Supplier
NPI Enumerated	December 12, 2006

Payer Source	Total Paid
Medicaid	$5.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	8,840	$230	$2M
L3660	Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf	8,320	$70	$615.5K
L3809	Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type	4,310	$120	$503.9K
E0114	Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips	11,170	$40	$435.6K
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	7,810	$50	$374.8K
L1833	Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf	720	$470	$336.5K
L4350	Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf	4,330	$70	$307.2K
L1820	Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific…	2,220	$90	$195.2K
L1830	Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf	2,970	$50	$154.4K
E0143	Walker, folding, wheeled, adjustable or fixed height	3,440	$40	$134K

Showing 1–10 of 23

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

Surgi-care, Inc — 17 of 22 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	1	10	6,410	$220	$1.1M
L3660	Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf	1	10	6,780	$70	$488.2K
L3809	Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type	1	10	3,540	$110	$401.4K
E0114	Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips	1	10	8,260	$40	$249.8K
L1833	Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf	1	10	460	$440	$177.8K
L4350	Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf	1	10	3,240	$70	$168.6K
L1820	Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific…	1	10	2,010	$80	$163.3K
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	1	10	30	$50	$105.5K
L1830	Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf	1	10	2,390	$50	$89.5K
L3984	Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment	1	10	240	$290	$69.6K

Showing 1–10 of 23

Related Providers

Other providers that share a Tax Identification Number (TIN) with Surgi-care, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Surgi-care Inc	MA	Prosthetic/Orthotic Supplier	$0	$18.9M
Surgi-care, Inc	CT	Prosthetic/Orthotic Supplier	$0	$4.2M
Surgicare Inc	ME	Prosthetic/Orthotic Supplier	$0	$3.5M
Surgi-care Inc	VT	Prosthetic/Orthotic Supplier	$0	$1.7M
Surgi-care Inc	NH	Prosthetic/Orthotic Supplier	$0	$397.4K

Nearby Providers

Other providers in the same ZIP code as Surgi-care, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nordx	ME	Clinical Medical Laboratory	$2.4M	$21.8M
New England Life Care, Inc.	ME	Home Infusion Therapy Pharmacy	$0	$12.4M
Northeast Mobile Health Services	ME	Ambulance	$930.3K	$9.5M
Choices Are For Everyone, Inc.	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$9.7M
Skilled Care Solutions	ME	Home Health Agency	$0	$6.8M
Mainehealth	ME	Family Medicine Physician	$0	$5M
Mainehealth	ME	Neurology Physician	$0	$4.2M
Mainehealth	ME	Cardiovascular Disease Physician	$0	$3.9M
Maine Home Care Solutions	ME	In Home Supportive Care Agency	$0	$3.2M
Mainehealth	ME	Neurological Surgery Physician	$0	$3.2M

Surgi-care, Inc — Billing Profile & Reimbursement Data

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Surgi-care, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References