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Revenue (Tables)
9 Months Ended
Sep. 30, 2018
Revenue from Contract with Customer [Abstract]  
Schedule of revenue by product and customer
The following table and description below shows the products from which the Company generated its revenue:
 
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
Revenue by product (in thousands)
 
2018
 
2017
 
2018
 
2017
MACI and Carticel implants and kits
 
 
 
 
 
 
 
 
     Implants - based on contracted rate
 
$
243

 
$
8,046

 
$
18,354

 
$
11,145

Implants - subject to third party reimbursement
 
15,593

 
1,079

 
23,156

 
15,172

Biopsy kits - direct bill
 
488

 
412

 
1,392

 
1,274

Change in estimates related to prior periods
 
125

 
372

 
(273
)
 
230

Epicel
 
 
 
 
 
 
 
 
     Direct bill (hospital)
 
6,035

 
4,351

 
16,893

 
12,753

Total revenue
 
$
22,484

 
$
14,260

 
$
59,522

 
$
40,574


Schedules of concentration of risk
The Company's total revenue and accounts receivable balances were comprised of the following concentrations from its largest customers of Carticel, MACI and Epicel, as follows:

Revenue Concentration

Accounts Receivable Concentration

Three Months Ended September 30,

Nine Months Ended September 30,

September 30,

December 31,

2018

2017

2018

2017

2018

2017
MACI and Carticel1
<10%

55
%

24
%

25
%

<10%

46
%
Epicel
<10%

10
%

<10%


13
%

<10%

<10%

1 Carticel was removed from the market at the end of the second quarter of 2017.