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 (NPI 1811130685)

Field	Value
Entity Type	Organization
Organization	Spurwink Services
Address	319 Foss Rd
City	Limerick
State	ME
ZIP	04048
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	April 9, 2009

Payer Source	Total Paid
Medicaid	$51.2M
Medicare	$0

Key Findings

SPURWINK SERVICES is effectively a single-payer Medicaid provider: it has no Medicare billing on file and reports $51.2M in total Medicaid revenue, and its NPI has been enumerated since 2009-04-09 (~17 years ago), indicating an established presence in the state Medicaid market. This longevity suggests stable enrollment in Medicaid networks but limited diversification across federal payers.

Revenue is highly concentrated in a very small set of service lines: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with T2016 alone representing the vast majority of receipts. That concentration means most of the provider’s financial performance is driven by a narrow set of habilitation and residential service payments.

The code mix indicates a service model focused on residential and habilitation supports for people with intellectual and developmental disabilities: T2016 (habilitation, residential, waiver; per diem), T2021 (day habilitation, waiver; per 15 minutes), and S5140 (foster care, adult; per diem) together make up the provider’s entire Medicaid billing footprint. This aligns with the listed taxonomy (Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility) and suggests operations centered on per-diem residential care supplemented by day habilitation and adult foster care placements.

T2016 is the primary revenue driver: 11.5K claims, $3897 avg paid/claim, $44.9M revenue (87.6% of this provider's total Medicaid revenue), and the provider ranks #32 of 75 providers in-state (58th percentile; typical, unremarkable volume for this code). Despite its dominance in the provider’s own revenue mix, the in-state rank places SPURWINK in the middle tier for T2016 activity rather than as a statewide leader.

S5140 (foster care, adult) plays a secondary role: 20.9K claims, $173 avg paid/claim, $3.6M revenue (7.1% of this provider's total Medicaid revenue) and the provider ranks #9 of 31 providers in-state (73th percentile; typical, unremarkable volume for this code). The relatively high percentile and smaller provider pool for S5140 indicate a stronger competitive position in adult foster care compared with its T2016 standing.

T2021 (day habilitation) is a modest revenue contributor with 6.6K claims, $413 avg paid/claim, $2.7M revenue (5.3% of this provider's total Medicaid revenue), and ranks #46 of 72 providers in-state (37th percentile; typical, unremarkable volume for this code). This lower percentile suggests the provider is a smaller participant in day habilitation compared with many peers, making day services a smaller piece of its overall footprint.

Taken together, the ranking and percentile spread show SPURWINK is not a dominant statewide player across all habilitation codes: it is mid‑rank for the largest code (T2016), stronger in a narrower foster-care niche (S5140), and modest in day habilitation (T2021). Analysts should interpret the provider as a specialized, Medicaid-centric operator with localized strengths rather than a broad-market leader.

The business and financial profile implies operational sensitivity to Medicaid authorization, rate, or waiver policy changes because nearly all revenue is tied to three Medicaid codes and there is no Medicare revenue to offset shifts. Any changes to per-diem habilitation payments, foster care reimbursement, or day habilitation rules in Maine could have outsized effects on SPURWINK’s revenue given the concentration described above.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	11,510	$3,900	$44.9M
S5140	Foster care, adult; per diem	20,900	$170	$3.6M
T2021	Day habilitation, waiver; per 15 minutes	6,560	$410	$2.7M

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 — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	32	80	7,300	$1,670	$30.8M
S5140	Foster care, adult; per diem	9	30	9,310	$530	$13.6M
T2021	Day habilitation, waiver; per 15 minutes	46	70	13,340	$200	$5.1M

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spurwink Services Incorporated	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$52.9M
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, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Village Smiles	ME	Dental Hygienist	$0	$383.1K
Kathryn Galbraith	ME	Family Medicine Physician	$33.6K	$0

Spurwink Services — Billing Profile & Reimbursement Data

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Spurwink Services — 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