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

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

Sun Valley Surgery Center, LLC (NPI 1114266970)

Field	Value
Entity Type	Organization
Organization	Sun Valley Surgery Center, LLC
Address	4090 N Mlk Blvd
City	North Las Vegas
State	NV
ZIP	89032
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	February 13, 2013

Payer Source	Total Paid
Medicaid	$16.8M
Medicare	$0

Key Findings

SUN VALLEY SURGERY CENTER, LLC reports no Medicare billing on file, making its commercial/public payer footprint effectively single-payer with Medicaid only; total reported Medicaid revenue is $16.8M, and there is no Medicare revenue to compare at scale.

Revenue at this provider is extremely concentrated in a single procedure: code 41899 accounts for $16.6M in Medicaid receipts, which is 99.1% of the provider’s total Medicaid revenue, and the precomputed top-3 codes together represent 99.9% of Medicaid revenue. This indicates the business is highly dependent on a single billing line for near-total revenue.

Code-level mix and taxonomy (Ambulatory Surgical Clinic/Center) point to an oral/dental surgical operating model: 41899 is used to report a procedure on the teeth and adjoining alveolar structures when no specific code exists, and the provider’s use of that code for 20K claims at an $833 avg paid/claim suggests repeat delivery of higher-cost dental/oral surgical procedures in an ambulatory setting.

Competitive standing within Nevada for 41899 is dominant: SUN VALLEY SURGERY CENTER ranks #1 of 24 providers in-state for that code and sits at the 100th percentile, labeled an extreme outlier far above typical state volume for this code. In contrast, its secondary codes do not indicate statewide dominance and contribute only marginally to revenue.

Secondary Medicaid codes are small relative revenue drivers: D2930 accounts for $121.4K (0.7% of Medicaid revenue) with 1.4K claims and ranks #28 of 104 providers (74th percentile), while D9420 accounts for $19.5K (0.1%) with 513 claims and ranks #7 of 51 providers (88th percentile). Both are described as typical, unremarkable volume for the state, underscoring that the provider’s Medicaid profile is not diversified beyond 41899.

The extreme concentration in one code creates operational and reimbursement risk: because $16.6M of the $16.8M Medicaid revenue is tied to 41899, any payer policy change or audit focus on that code could materially affect the center’s topline. This is a business-profile risk rather than a statement of intent or compliance status.

Tenure and market presence are established: the NPI was enumerated on 2013-02-13 (~13 years ago), indicating more than a decade of operation under this billing pattern and suggesting the facility has been delivering its current mix of services for an extended period.

Clinical coding patterns imply the center functions primarily as a dental/oral surgery ambulatory center rather than a general multispecialty ambulatory surgical center—its Medicaid revenue profile overwhelmingly reflects dental/oral procedures billed under 41899, with negligible activity outside that line on Medicaid.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	19,960	$830	$16.6M
D2930	N/A	1,400	$90	$121.4K
D9420	N/A	510	$40	$19.5K
D0230	Intraoral - periapical each additional radiographic image	1,140	$10	$10.3K
D2933	N/A	40	$110	$4.2K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.

Claims Volume vs. Nevada Distribution

Sun Valley Surgery Center, LLC — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. Nevada median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	1	20	470	$640	$1.5M
D2930	N/A	28	100	560	$70	$110.6K
D2933	N/A	14	20	150	$90	$33.8K
D0230	Intraoral - periapical each additional radiographic image	196	480	730	$10	$20.1K
D9420	N/A	7	50	80	$30	$12.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gentle Touch Behavioral Health LLC	NV	Community/Behavioral Health Agency	$0	$16.4M
De Craig Ranch, LLC	NV	General Acute Care Hospital	$0	$13.9M
Elsube LLC	NV	Home Health Agency	$0	$12.1M
Jaren Jensen	NV	Pediatric Dentistry	$0	$9.8M
North Las Vegas Behavioral Health	NV	Psychiatry Physician	$0	$8.1M
Steven Delisle Dds P.C.	NV	General Practice Dentistry	$0	$6.8M
State Of Nevada - Sncas Case Management	NV	Community/Behavioral Health Agency	$0	$6.2M
Just Like Family	NV	Preferred Provider Organization	$0	$4.3M
Advanced Psychiatry Inc	NV	Psychiatry Physician	$0	$4.2M
North Las Vegas Behavioral Health	NV	Community/Behavioral Health Agency	$0	$3.7M

Sun Valley Surgery Center, LLC — Billing Profile & Reimbursement Data

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Sun Valley Surgery Center, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References