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

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

Logan Surgical Suites LLC (NPI 1104301613)

Field	Value
Entity Type	Organization
Organization	Logan Surgical Suites LLC
Address	55 East Golf Course Road
City	Logan
State	UT
ZIP	84321
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	October 1, 2018

Payer Source	Total Paid
Medicare	$830.7K
Medicaid	$0

Key Findings

LOGAN SURGICAL SUITES LLC is an ambulatory surgical clinic/center in LOGAN, UT whose NPI was enumerated on 2018-10-01 (~8 years ago), indicating several years of Medicare billing history under this taxonomy. The facility listing and tenure are consistent with an ASC-style operation rather than a hospital-based practice.

This provider reports Total Medicare revenue of $830.7K and has no Medicaid billing on file, making it effectively a single‑payer operation focused on Medicare reimbursement rather than a mixed Medicare/Medicaid payer mix. The absence of Medicaid activity suggests limited exposure or participation in state Medicaid case volume and contracting.

Revenue is highly concentrated: the precomputed top 3 Medicare codes account for 89.3% of the provider’s Medicare revenue, driven by 27447 ($478.2K, 57.6%), 27130 ($136.3K, 16.4%), and 64628 ($126.7K, 15.3%). This concentration indicates that a very small number of high-value procedures produce the bulk of billed Medicare dollars.

The procedure mix is anchored in major orthopedic and spine interventions: 27447 (total knee arthroplasty), 27130 (hip arthroplasty), and 64628 (basivertebral nerve ablation) together suggest the ASC specializes in joint replacement and targeted spine pain procedures rather than primarily minor ambulatory cases. These codes are consistent with an ASC that manages both large-joint arthroplasty and interventional spine pain services.

Competitive standing by code is mixed: 27447 ranks #2045 of 12089 (83th percentile; typical, unremarkable volume for this code), indicating above-average national placement but not dominant market share; 27130 ranks #5215 of 8062 (32th percentile), reflecting relatively modest national volume for hip replacement; and 64628 ranks #119 of 247 (46th percentile), which is middling within a smaller national sample for basivertebral ablation. Together these ranks indicate the provider is a meaningful but not market-leading participant for its top procedures.

Secondary procedure lines contribute small portions of Medicare revenue, with 23430 generating $37.3K (4.5%), 29827 $20.1K (2.4%), 64721 $15.2K (1.8%), 26055 $8.8K (1.1%), and C9290 $7.6K (0.9%). These figures show occasional shoulder, hand, and local anesthetic-product use but none approach the revenue weight of the three primary codes.

The payment profile shows high per-case reimbursement for the three revenue-driving procedures — 27447 avg paid/claim $7032, 27130 avg paid/claim $7174, and 64628 avg paid/claim $7452 — reinforcing that case mix (high-value orthopedic and spine procedures) rather than high claim counts is the principal revenue engine. Operational and capacity planning should therefore prioritize scheduling, implants, and perioperative pathways for these high-dollar procedures.

The concentrated Medicare dependence (Total Medicare revenue $830.7K and no Medicaid billing) and the fact that 89.3% of Medicare revenue comes from three codes creates both upside and vulnerability: favorable reimbursement or referral patterns for those procedures will materially affect financial performance, while reductions in referrals, reimbursement, or changes in coverage policy for those specific codes could disproportionately reduce revenue. This profile recommends attention to payer contracting and diversification strategies if the organization seeks to reduce single-payer and single-procedure risk.

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	70	$7,030	$478.2K
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	20	$7,170	$136.3K
64628	The provider uses a thermal (heat) method under imaging guidance to destroy an intraosseous basivertebral nerve. Use this code for the first two lumbar or sacral vertebral bodies treated at a session.	20	$7,450	$126.7K
23430	In this procedure, the provider surgically cleans the long tendon of the biceps from its damaged fragment and fixes the tendon to the upper end of the humerus to improve the stability of the joint.…	10	$3,110	$37.3K
29827	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…	10	$1,550	$20.1K
64721	Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…	30	$560	$15.2K
26055	Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…	20	$380	$8.8K
C9290	Injection, bupivacaine liposome, 1 mg	7,580	$1	$7.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Logan Surgical Suites LLC — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
64628	10	20	20	$3,880	$93.1K
27447	23	150	30	$1,060	$42.3K
27130	57	80	30	$960	$28.8K
29827	43	50	20	$910	$20K
23430	3	10	20	$820	$14.8K
26055	21	30	30	$350	$11.9K
64721	13	30	30	$420	$11.9K
C9290	3	10	4,330	$1	$11K

Nearby Providers

Other providers in the same ZIP code as Logan Surgical Suites LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bear River Mental Health Services Inc	UT	Mental Health Counselor	$0	$40.5M
Logan City Corporation	UT	Land Ambulance	$332.4K	$3M
Specialty Sales & Service	UT	Parenteral & Enteral Nutrition Supplies (DME)	$0	$2.6M
Cache County Emergency Medical Services Authority	UT	Land Ambulance	$0	$1.8M
Ihc Health Services Inc	UT	Emergency Medicine Physician	$0	$1.2M
Brandon Schvaneveldt	UT	General Practice Dentistry	$0	$1.1M
Logan City School District	UT	Local Education Agency (LEA)	$0	$1.1M
Bear River Association Of Governments	UT	Case Management Agency	$0	$842.1K
Sunshine Terrace Foundation, Inc.	UT	Assisted Living Facility	$0	$582.9K
South Pointe Surgical Center	UT	Ambulatory Surgical Clinic/Center	$424.5K	$0

Logan Surgical Suites LLC — Billing Profile & Reimbursement Data

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Logan Surgical Suites 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