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 Arizona for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Arizona 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. Arizona (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.

Four Peaks Surgery Center, LLC (NPI 1083169700)

Key Findings

Field	Value
Entity Type	Organization
Organization	Four Peaks Surgery Center, LLC
Address	9425 W Bell Rd
City	Sun City
State	AZ
ZIP	85351
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	August 23, 2016

Payer Source	Total Paid
Medicare	$2.3M
Medicaid	$0

FOUR PEAKS SURGERY CENTER, LLC is an ambulatory surgical clinic heavily oriented toward urology and pelvic surgery based on its top Medicare codes: 64590 and 64561 (neurostimulator implantation and sacral nerve electrode implantation) and multiple high-volume cystoscopy, TURP, sling, and vaginal prolapse repair codes. The presence of both advanced implantable neurostimulation codes and a broad set of endoscopic/urologic procedure codes indicates the center performs a mix of implantable device procedures and more routine therapeutic and diagnostic urologic surgeries on an outpatient basis.

Medicare revenue for this provider totals $2.3M and the precomputed top-three Medicare codes account for 59.7% of that Medicare revenue, indicating substantial revenue concentration in a small set of procedures. That concentration suggests the facility’s financial performance is materially driven by a handful of high-reimbursement interventions rather than a very diversified service mix.

Payer mix is effectively single-payer at the encounter level: the provider reports $2.3M in total Medicare revenue and has no Medicaid billing on file. Analysts should treat this entity as Medicare-dependent for publicly available claims data and not expect Medicaid claims to contribute meaningfully to observed procedure volumes or revenue.

The provider’s activity for several high-revenue codes is well above typical national volumes: 64561 ranks #16 of 564 providers nationally (97th percentile) and 64590 ranks #29 of 561 providers (94th percentile), showing the center is a notable national participant for sacral neurostimulation and implantable pulse generator work. Similarly, multiple urology and pelvic procedure codes (for example, 52356, 52648, 57288) rank in the 97th–99th percentiles nationally, which signals concentrated procedural expertise and referral patterns that support higher-than-typical volumes.

FOUR PEAKS is an extreme outlier for some pelvic reconstructive procedures: 57282 (colpopexy via vaginal extraperitoneal approach) ranks #1 of 162 providers nationally and 57265 (vaginal wall repairs) ranks #1 of 105 providers nationally, both described as "extreme outlier, far above typical national volume for this code." This strongly indicates a specialized referral role or focused service line in vaginal vault suspension and vaginal wall repairs relative to most peers.

For many cystoscopy- and endoscopy-related codes the provider’s national rank is high but not anomalous: codes like 52332, 52240, and 52235 rank in the top percentiles (89th–98th), characterized as "notably above typical" or "typical, unremarkable" volumes depending on the code. This pattern suggests steady throughput of diagnostic and therapeutic endoscopic urologic procedures that complement the center’s higher-margin implant and reconstructive surgeries.

The center has been enumerated with an NPI since 2016-08-23 (~10 years ago), which provides a multi-year operating history in Medicare claims and supports trend analysis for referral relationships and case-mix shifts over time. Tenure of roughly a decade increases confidence that the observed concentration in a few high-revenue codes reflects an established service line rather than a transient billing artifact.

Where national ranking is more modest, activity is routine and expected: several device-marker and minor cystoscopy codes (for example, 55874, 55876, 52281) appear near median national volumes and are described as "typical, unremarkable." Those entries align with the profile of an ambulatory surgical center that performs specialized high-volume procedures alongside routine peri-procedural and diagnostic services.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
64590	The provider inserts or replaces a peripheral, sacral, or gastric neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that…	40	$14,970	$643.8K
64561	The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.	140	$3,860	$552.3K
C1747	Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable)	40	$4,990	$199.6K
57282	The surgeon in this procedure performs a colpopexy, which is the suspension of the vaginal apex via a vaginal approach using the extraperitoneal technique. This procedure, also known as vault repair,…	90	$2,170	$193.1K
52356	The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…	70	$1,710	$113.1K
52648	Transurethral resection of the prostate is performed in cases of BPH (benign prostate hyperplasia) which commonly occurs in middle–aged and elderly men, often causing lower urinary symptoms, with…	60	$1,750	$99.9K
57288	The provider places a sling made of fascia or synthetic material under the urethra to support it in the correct position to treat urinary stress incontinence. The procedure can be performed…	60	$1,680	$92.5K
57265	In this procedure, the vaginal walls that hold the bladder, the rectum and the small bowel in place are weak, and the provider must repair the areas in the wall to support these structures with…	110	$860	$91.6K
52601	During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…	40	$1,750	$76.8K
52240	The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder; he destroys…	40	$1,730	$69.2K

Showing 1–10 of 21

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Banner Boswell Medical Center	AZ	General Acute Care Hospital	$0	$27M
Succeeding At Recovery LLC	AZ	Substance Use Disorder Rehabilitation Clinic/Center	$0	$18.8M
Banner Imaging Services LLC	AZ	Diagnostic Radiology Physician	$0	$12.9M
S P Gill Md PC	AZ	Medical Specialty Clinic/Center	$0	$9.5M
Maxfar, LLC	AZ	Home Health Agency	$0	$8.9M
Leading Healthcare, LLC	AZ	Hospitalist Physician	$0	$7M
Express Urgent Care, PC	AZ	Urgent Care Clinic/Center	$0	$6.6M
Barnet Dulaney Perkins Eye Center, PC	AZ	Ambulatory Surgical Clinic/Center	$2.8M	$1.1M
Bcc West Valley LLC	AZ	Ambulatory Surgical Clinic/Center	$3.5M	$0
Sun City Ophthalmology Asc LLC	AZ	Ambulatory Surgical Clinic/Center	$2M	$1.2M

Four Peaks Surgery Center, LLC — Billing Profile & Reimbursement Data

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Four Peaks Surgery Center, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
C1747	1	10	40	$4,990	$199.7K
64590	3	30	20	$7,000	$189K
64561	3	30	30	$2,530	$167.1K
57282	1	20	20	$800	$22.5K
52224	28	30	20	$590	$22.5K
55874	10	20	20	$930	$22.3K
57265	1	20	30	$550	$19.7K
52648	1	20	20	$820	$17.2K
52601	2	50	20	$770	$15.5K
52240	1	10	20	$560	$12.8K