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.

St. George Surgery Center, LLC (NPI 1104401561)

Field	Value
Entity Type	Organization
Organization	St. George Surgery Center, LLC
Address	652 S Medical Center Dr Ste 200
City	St George
State	UT
ZIP	84790
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	March 16, 2021

Payer Source	Total Paid
Medicare	$980.2K
Medicaid	$0

Key Findings

This facility is effectively a Medicare-only outpatient surgical provider by the available claims data: total Medicare revenue is $980.2K and there is no Medicaid billing on file, indicating no recorded Medicaid payer mix to date. Analysts should treat the provider as single‑payer (Medicare) for purposes of utilization and revenue benchmarking unless additional payer data is provided.

Revenue is highly concentrated in a small set of major procedures: the top 3 Medicare codes account for 58.8% of the provider's total Medicare revenue, with 27447 contributing 33.4%, 27130 contributing 19.3%, and 29827 contributing 6.1%. This concentration means a small number of high-dollar orthopedic procedures drive most of the center’s Medicare receipts.

The code mix and descriptions indicate the center operates primarily as an orthopedic ambulatory surgical clinic with a focus on major joint procedures and arthroscopy: 27447 (knee arthroplasty) and 27130 (hip arthroplasty) are the leading revenue drivers, and 29827 (shoulder rotator cuff repair) is a meaningful contributor. Secondary service lines appear to include hand/wrist procedures (e.g., 25447 intercarpal/carpometacarpal arthroplasty and 29848 carpal tunnel endoscopy), spine decompressions, and intermittent urology stone management (52356), suggesting a multi-specialty orthopedic emphasis with some procedural breadth.

Competitive standing by procedure is mixed: for the top revenue code 27447 the provider ranks #3726 of 12089 (68th percentile) and is characterized in the data as "typical, unremarkable volume," indicating a modest national presence for knee arthroplasty; 27130 ranks #3859 of 8062 (50th percentile) and likewise appears midrange for hip replacement; 29827 ranks #465 of 3445 (86th percentile) and represents a relatively stronger position in shoulder arthroscopy compared with national peers.

There are notable procedure-level outliers relative to peers that could signal specialized competency areas: 25447 (intercarpal/carpometacarpal arthroplasty) is flagged as "notably above typical national volume" despite contributing 3.7% of revenue, and 52356 (ureteroscopy with lithotripsy and stent) is listed at the 89th percentile (data label: "typical, unremarkable volume"), suggesting pockets of above-average volume in wrist arthroplasty and endoscopic stone management. These should be examined when comparing specialty mix to regional competitors.

Payment mix dynamics amplify the impact of major joint cases: 27447 posts a high average paid/claim ($7118) and 46 claims, producing $327.4K (33.4% of Medicare revenue), whereas higher-count, lower-paid procedures (for example 29848 with 93 claims at $507 avg paid/claim) generate much smaller shares of revenue. This pattern indicates that a relatively small number of high‑value arthroplasty cases underlie most revenue, while routine soft‑tissue and endoscopic procedures contribute volume but less revenue per claim.

The provider’s administrative tenure is relatively short: NPI enumeration occurred on 2021-03-16 (~5 years ago), so the clinic is a recent entrant compared with longer-established competitors. Given the condensed time in the market combined with concentrated revenue in a few high-value orthopedic codes, analysts should monitor growth in case mix and any future addition of payers (notably Medicaid) to assess how scale and payer diversification evolve.

Medicare: Complete Services Breakdown

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

19 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…	50	$7,120	$327.4K
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…	30	$7,260	$188.8K
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…	30	$1,760	$59.9K
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…	30	$1,700	$57.9K
63047	The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…	20	$2,400	$50.3K
29848	The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness.	90	$510	$47.2K
29828	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…	20	$2,400	$40.7K
25607	The provider surgically repairs a fracture of the lower radius, the larger of the two lower arm bones, beyond the joint or a separation of the radius from the joint through an incision and fixes the…	10	$3,360	$37K
25447	The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…	50	$800	$36.7K
63030	This procedure is laminotomy of one lumbar interspace with decompression of the nerve root(s), and includes a partial facetectomy, foraminotomy, and/or the excision of a herniated intervertebral…	10	$2,300	$29.9K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

St. George Surgery Center, LLC — 3 of 19 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

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	44	150	30	$1,060	$42.3K
25607	1	10	10	$3,360	$37K
27130	38	80	30	$960	$28.8K
29827	7	50	20	$910	$20K
29828	14	20	20	$950	$18.9K
63030	3	10	10	$1,260	$17.7K
29848	2	20	30	$410	$16K
25447	1	10	20	$630	$15.1K
63047	22	50	20	$530	$12.8K
26055	8	30	30	$350	$11.9K

Showing 1–10 of 19

Related Providers

Other providers that share a Tax Identification Number (TIN) with St. George Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services, Inc.	UT	Children's Hospital	$0	$129.5M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$68.7M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$65.8M
Ihc Health Services Inc	UT	General Acute Care Hospital	$0	$54.1M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$44.3M
Ihc Health Services Inc	UT	Home Infusion Therapy Pharmacy	$0	$38.1M
Ihc Health Services Inc	UT	Durable Medical Equipment & Medical Supplies	$0	$26.9M
Ihc Health Services Inc	UT	General Acute Care Hospital	$0	$25.3M
Ihc Health Services, Inc.	UT	Clinical Medical Laboratory	$2.7M	$17.9M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$20.4M

Nearby Providers

Other providers in the same ZIP code as St. George Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Utah Community Health Center	UT	Federally Qualified Health Center (FQHC)	$0	$7.3M
Zion Eye Institute, Inc	UT	Ambulatory Surgical Clinic/Center	$6.1M	$19.7K
Summit Behavior Services	UT	Counselor	$0	$5.4M
Ihc Health Services Inc	UT	Multi-Specialty Clinic/Center	$0	$4.4M
Ron Lord	UT	Ophthalmology Physician	$3.2M	$0
Joshua Carlson	UT	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
St George Surgical Center LP	UT	Ambulatory Surgical Clinic/Center	$2.5M	$0
Coral Desert Surgery Center LLC	UT	Ambulatory Surgical Clinic/Center	$2.5M	$17.8K
Ihc Health Services Inc	UT	Clinical Medical Laboratory	$2.4M	$42.7K
Jerry D Twiggs Md PC	UT	Pediatric Adolescent Medicine Physician	$0	$2.2M

St. George 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

Related Providers

Nearby Providers

Frequently Asked Questions

References