Is SPURWINK SERVICES flagged for Medicaid fraud?

SPURWINK SERVICES (NPI: 1295994804) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does SPURWINK SERVICES bill Medicaid?

SPURWINK SERVICES received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Residential Treatment Facility, Emotionally Disturbed Children provider. Located in PORTLAND, ME.

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SPURWINK SERVICES

Residential Treatment Facility, Emotionally Disturbed Children·PORTLAND, ME·NPI: 1295994804Share

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$112.8M

$112,804,149

Total Claims

306K

Beneficiaries

10K

30.0 claims/patient

Avg Cost/Claim

$368

Monthly Spending Trend

Yearly Spending

2018

$17.6M

+6%

2019

$18.6M

+6%

2020

$19.8M

-37%

2021

$12.5M

-4%

2022

$12.1M

+28%

2023

$15.4M

+9%

2024

$16.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (H0019 (Behavioral health; residential, per diem)) accounts for 80% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H0019Behavioral health; residential, per diemSee all providers →

$90.3M

228K claims

$395.34

$357.16

1.1×

Normal range

H0019Normal range

Behavioral health; residential, per diem

$90.3M

228K claims · 80.1%

Your Cost: $395.34/claim|Median: $357.16

1.1× median

S9484Crisis intervention mental health services, per hourSee all providers →

$18.1M

62K claims

$290.05

$249.51

1.2×

Normal range

S9484Normal range

Crisis intervention mental health services, per hour

$18.1M

62K claims · 16.0%

Your Cost: $290.05/claim|Median: $249.51

1.2× median

T1020Personal care services, per diemSee all providers →

$2.6M

4,338 claims

$591.76

$296.27

2.0×

Top 25%

T1020Top 25%

Personal care services, per diem

$2.6M

4,338 claims · 2.3%

Your Cost: $591.76/claim|Median: $296.27

2.0× median

S9485Crisis intervention mental health services, per diemSee all providers →

$1.9M

11K claims

$167.43

$501.33

0.3×

Normal range

S9485Normal range

Crisis intervention mental health services, per diem

$1.9M

11K claims · 1.7%

Your Cost: $167.43/claim|Median: $501.33

0.3× median

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