Is SPURWINK SERVICES INCORPORATED flagged for Medicaid fraud?

SPURWINK SERVICES INCORPORATED (NPI: 1316945090) 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 INCORPORATED bill Medicaid?

SPURWINK SERVICES INCORPORATED received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Clinic/Center, Mental Health (Including Community Mental Health Center) provider. Located in PORTLAND, ME.

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SPURWINK SERVICES INCORPORATED

Clinic/Center, Mental Health (Including Community Mental Health Center)·PORTLAND, ME·NPI: 1316945090Share

Compared to Clinic/Center, Mental Health (Including Community Mental Health Center) Peers

Total spending distribution among 44 providers in this specialty

P25MedianP75P90

This provider's total spending of $52.8M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

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

Total Paid

$52.8M

$52,784,462

Total Claims

381K

Beneficiaries

76K

5.0 claims/patient

Avg Cost/Claim

$139

Monthly Spending Trend

Yearly Spending

2018

$9.1M

+2%

2019

$9.2M

-28%

2020

$6.6M

+11%

2021

$7.3M

-10%

2022

$6.6M

+25%

2023

$8.2M

-30%

2024

$5.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (H2012 (Behavioral health day treatment, per hour)) accounts for 61% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H2012Behavioral health day treatment, per hourSee all providers →

$32.2M

164K claims

$197.04

$137.86

1.4×

Top 25%

H2012Top 25%

Behavioral health day treatment, per hour

$32.2M

164K claims · 61.0%

Your Cost: $197.04/claim|Median: $137.86

1.4× median

H0004Behavioral health counseling & therapy, per 15 minSee all providers →

$14.5M

203K claims

$71.57

$74.63

1.0×

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$14.5M

203K claims · 27.5%

Your Cost: $71.57/claim|Median: $74.63

1.0× median

T1026Waiver services, NOS, per diemSee all providers →

$4.2M

4,606 claims

$916.39

$146.05

6.3×

Top 5%

T1026Top 5%

Waiver services, NOS, per diem

$4.2M

4,606 claims · 8.0%

Your Cost: $916.39/claim|Median: $146.05

6.3× median

H2021Community-based wrap-around services, per 15 minSee all providers →

$1.4M

5,801 claims

$242.34

$169.11

1.4×

Normal range

H2021Normal range

Community-based wrap-around services, per 15 min

$1.4M

5,801 claims · 2.7%

Your Cost: $242.34/claim|Median: $169.11

1.4× median

H2010Comprehensive medication services, per 15 minSee all providers →

$133K

969 claims

$136.81

$62.69

2.2×

Normal range

H2010Normal range

Comprehensive medication services, per 15 min

$133K

969 claims · 0.3%

Your Cost: $136.81/claim|Median: $62.69

2.2× median

H0041 See all providers →

$95K

65 claims

$1,462.48

$192.56

7.6×

Top 10%

H0041Top 10%

$95K

65 claims · 0.2%

Your Cost: $1,462.48/claim|Median: $192.56

7.6× median

H2000Comprehensive multidisciplinary evaluationSee all providers →

$64K

1,781 claims

$36.12

$114.71

0.3×

Normal range

H2000Normal range

Comprehensive multidisciplinary evaluation

$64K

1,781 claims · 0.1%

Your Cost: $36.12/claim|Median: $114.71

0.3× median

96137Psychological/neuropsychological testing, each additional 30 minSee all providers →

$48K

249 claims

$193.06

$92.96

2.1×

Top 25%

96137Top 25%

Psychological/neuropsychological testing, each additional 30 min

$48K

249 claims · 0.1%

Your Cost: $193.06/claim|Median: $92.96

2.1× median

96101 See all providers →

$41K

152 claims

$272.90

$196.08

1.4×

Top 25%

96101Top 25%

$41K

152 claims · 0.1%

Your Cost: $272.90/claim|Median: $196.08

1.4× median

96130Psychological testing evaluation by professional, first hourSee all providers →

$24K

271 claims

$88.67

$79.21

1.1×

Normal range

96130Normal range

Psychological testing evaluation by professional, first hour

$24K

271 claims · 0.0%

Your Cost: $88.67/claim|Median: $79.21

1.1× median

T1017Targeted case management, per 15 minSee all providers →

$13K

219 claims

$59.84

$69.56

0.9×

Normal range

T1017Normal range

Targeted case management, per 15 min

$13K

219 claims · 0.0%

Your Cost: $59.84/claim|Median: $69.56

0.9× median

96136Psychological/neuropsychological testing, first 30 minSee all providers →

$13K

312 claims

$40.45

$30.49

1.3×

Normal range

96136Normal range

Psychological/neuropsychological testing, first 30 min

$13K

312 claims · 0.0%

Your Cost: $40.45/claim|Median: $30.49

1.3× median

T1013Sign language or oral interpretive services, per 15 minutesSee all providers →

$4K

343 claims

$10.79

$17.67

0.6×

Normal range

T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$4K

343 claims · 0.0%

Your Cost: $10.79/claim|Median: $17.67

0.6× median

96131Psychological testing evaluation, each additional hourSee all providers →

$1K

12 claims

$114.64

$133.38

0.9×

Normal range

96131Normal range

Psychological testing evaluation, each additional hour

$1K

12 claims · 0.0%

Your Cost: $114.64/claim|Median: $133.38

0.9× median

G9007 See all providers →

100 claims

$0.00

$43.44

—

Normal range

G9007Normal range

100 claims · 0.0%

Your Cost: $0.00/claim|Median: $43.44

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$6.78B

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