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.

Avenues Surgery Center, LLC (NPI 1164647707)

Field	Value
Entity Type	Organization
Organization	Avenues Surgery Center, LLC
Address	359 E 8th Ave
City	Salt Lake City
State	UT
ZIP	84103
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	April 17, 2007

Payer Source	Total Paid
Medicare	$236K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	190	$830	$156.1K
15823	In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…	60	$400	$23K
67904	The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…	50	$480	$22.8K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	30	$800	$22.3K
67917	During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of…	20	$530	$11K
42975	After the patient receives sedation and is asleep, the provider uses an endoscope to assess the throat and check the palate and tongue areas. The goal is to determine where airway obstruction is…	10	$70	$750

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Avenues Surgery Center, LLC — 0 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	40	150	90	$520	$80.3K
67904	7	10	40	$530	$32K
66982	30	50	30	$620	$22.2K
15823	6	20	30	$470	$21.9K
67917	10	10	30	$410	$15.3K
42975	6	10	10	$70	$860

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dr John Foley LLC	UT	Neurology Physician	$0	$3.9M
Ihc Health Services Inc	UT	Rehabilitation Clinic/Center	$0	$2.5M
Diana Banks	UT	Neurology Physician	$1.6M	$0
John Foley	UT	Neurology Physician	$789.8K	$608K
April Erwin	UT	Neurology Physician	$1.2M	$0
Ihc Health Services Inc	UT	Psychiatry Physician	$0	$830.1K
Timothy West	UT	Neurology Physician	$664.5K	$0
Shriners Hospitals For Children	UT	Children's Hospital	$0	$605.5K
Viktoria Kaplan	UT	Neurology Physician	$517.8K	$0
Daniel Preece	UT	Foot & Ankle Surgery Podiatrist	$267.1K	$0

Avenues Surgery Center, LLC — Billing Profile & Reimbursement Data

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Avenues Surgery Center, LLC — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References