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.

Cedar Orthopaedic Surgery Center, LLC (NPI 1194815639)

Field	Value
Entity Type	Organization
Organization	Cedar Orthopaedic Surgery Center, LLC
Address	1335 Northfield Rd
City	Cedar City
State	UT
ZIP	84721
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	October 13, 2006

Payer Source	Total Paid
Medicare	$726K
Medicaid	$0

Key Findings

Primary service line appears to be orthopedic joint arthroplasty and related knee/hip surgery, driven by the facility-level concentration in replacement and synovial procedures. The top procedures reported are 27447 (70 claims, $6729 avg paid/claim, $471K revenue), 27130 (18 claims, $6987 avg paid/claim, $125.8K revenue), and 27335 (69 claims, $1154 avg paid/claim, $79.6K revenue), which together indicate routine performance of both high-revenue implant arthroplasty and joint-preserving knee operations at this ambulatory surgical clinic/center.

Revenue concentration is very high: the precomputed top-three share is 93.2% of the provider's total Medicare revenue, with the three codes 27447 ($471K, 64.9%), 27130 ($125.8K, 17.3%), and 27335 ($79.6K, 11.0%) dominating the reported $726K in Medicare receipts.

Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $726K and Medicaid revenue is none (no Medicaid billing on file), so Medicaid does not appear in this facility's recorded public-payer activity.

Competitive standing on total knee arthroplasty (27447) is above median but not top-tier: the provider ranks #1912 of 12089 (84th percentile) nationally and the dataset labels this as "typical, unremarkable volume for this code", signaling an above-median national presence without being among the highest-volume centers.

Competitive standing on hip arthroplasty (27130) is modest nationally: the provider ranks #5463 of 8062 (29th percentile) and is described as "typical, unremarkable volume for this code", indicating a smaller footprint in hip replacements compared with national peers.

For knee arthrotomy/synovectomy (27335) the provider ranks #9 of 39 (79th percentile) and is also labeled "typical, unremarkable volume for this code"; given the small number of providers reporting this code nationally, the ranking suggests the center is one of relatively few with measurable synovectomy volume, consistent with a specialized orthopedic case mix.

The presence of lower-revenue but complementary procedures confirms a broader orthopedic scope beyond arthroplasty: examples include 64721 (19 claims, $607 avg paid/claim, $11.5K revenue, 1.6%), 23130 (15 claims, $729 avg paid/claim, $10.9K revenue, 1.5%), and 23120 (16 claims, $585 avg paid/claim, $9.4K revenue, 1.3%), which point to hand and shoulder procedures alongside knee and hip surgery.

Revenue-per-case concentration is notable for implant procedures: average paid/claim values are $6729 for 27447 and $6987 for 27130, indicating that a large portion of the facility's revenue derives from relatively high allowed amounts per arthroplasty case rather than large claim volumes.

The provider has a long-standing Medicare presence with an NPI enumerated on 2006-10-13 (~20 years ago), which suggests institutional tenure and continuity in the Medicare data stream.

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	$6,730	$471K
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	$6,990	$125.8K
27335	In this procedure, the provider performs arthrotomy of the knee joint along with anterior and posterior synovectomy that includes the popliteal area to relieve pain and improve gait.	70	$1,150	$79.6K
29881	The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral…	10	$1,040	$12.5K
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…	20	$610	$11.5K
23130	The provider reshapes the acromion, the bony projection at the end of the shoulder blade, to restore motion to the shoulder and protect the rotator cuff. He may partially remove the acromion and or…	20	$730	$10.9K
23120	In a partial claviculectomy, or Mumford procedure, the provider incises the shoulder and removes part of the collarbone to relieve pain from chronic joint conditions, like arthritis and arthrosis.	20	$590	$9.4K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	20	$330	$5.2K

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

Cedar Orthopaedic Surgery Center, 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
27335	1	10	70	$740	$49K
27447	22	150	30	$1,060	$42.3K
27130	61	80	30	$960	$28.8K
64483	93	100	50	$190	$16K
29881	12	10	10	$760	$14.4K
64721	17	30	30	$420	$11.9K
23130	1	10	20	$530	$7.9K
23120	2	10	20	$400	$6.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$20.4M
Paiute Indian Tribe Of Utah	UT	Clinic/Center	$0	$16.4M
Cedar View Pediatric Dentistry	UT	Pediatric Dentistry	$0	$2.5M
Paiute Indian Tribe Of Utah	UT	Dental Clinic/Center	$0	$1.4M
Nathan Call	UT	Pediatric Dentistry	$0	$1.4M
Ihc Health Services Inc	UT	Family Medicine Physician	$0	$525K
Brett Robbins Msn Rn Cs Fnp Inc	UT	Family Nurse Practitioner	$0	$475.1K
Ihc Health Services Inc	UT	Family Medicine Physician	$0	$431.9K
Ihc Health Services Inc	UT	Durable Medical Equipment & Medical Supplies	$0	$384.7K
Cedar Dermatology PLLC	UT	Dermatology Physician	$0	$337.8K

Cedar Orthopaedic Surgery Center, LLC — Billing Profile & Reimbursement Data

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Cedar Orthopaedic 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