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NPI 1235715996 · Orem, UT · Ambulatory Surgical Clinic/Center
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Central Utah Surgicenter, LLC is a ambulatory surgical clinic/center provider located in Orem, Utah. This profile covers 55 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Central Utah Surgicenter, LLC |
| Address | 640 West 800 North |
| City | Orem |
| State | UT |
| ZIP | 84057 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | March 23, 2021 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.1M |
| Medicaid | $28K |
Central Utah Surgicenter is an ambulatory surgical clinic with a broad procedural mix concentrated in ophthalmology, orthopedic arthroscopy, and GI endoscopy; its Medicare billing totals $2.1M and include high-volume cataract, rotator cuff, and colonoscopic resection procedures. The presence of numerous eye surgery codes (e.g., 66984, 66982, 67041, 67042) alongside shoulder arthroscopy codes (29827, 29828) and endoscopy codes (43235, 45385, 45380) indicates a multi-specialty ASC model that supports both ophthalmic and musculoskeletal surgical workflows as well as digestive endoscopy.
Medicare revenue is concentrated: the top three Medicare codes account for 41.6% of the provider's Medicare revenue, with 66984 alone representing $489K (28.3% of Medicare revenue). This concentration shows that cataract surgery is the single largest revenue driver on Medicare while 29827 and 45385 provide the next material contributions to the $2.1M Medicare total.
On Medicaid the revenue picture is much smaller and more concentrated: total Medicaid revenue is $28K and the top three Medicaid codes account for 69.2% of that amount. Those leading Medicaid codes are 43235 ($7.5K, 26.7%), 66984 ($6.3K, 22.3%), and 45378 ($5.6K, 20.1%), which signals that Medicaid volume is narrowly focused on endoscopy and cataract procedures rather than a broad payer mix.
The provider is effectively Medicare-dominant: Medicare revenue ($2.1M) far exceeds Medicaid revenue ($28K), so payer mix is heavily weighted toward Medicare patients and reimbursement. This suggests contractual and operational priorities are likely aligned to Medicare case flows and capacity rather than to Medicaid populations.
Competitive standing is mixed by service line: the practice is a national high-volume outlier for rotator cuff repair (29827 ranks #47 of 3445, 99th percentile; extreme outlier, far above typical national volume) and is similarly an outlier in oculoplastic eyebrow repair (67900 ranks #5 of 444, 99th percentile; extreme outlier). By contrast, many of its GI and other procedural codes fall in typical or unremarkable national volume percentiles (for example 45385 ranks in the 91st percentile and is described as typical, unremarkable volume), so dominance is concentrated in a few specific procedures rather than across all specialties.
Several individual codes show statistically elevated volumes that imply specialized capacity: 29827 is labeled an "extreme outlier, far above typical national volume," while 67900 and 67904 are high-percentile oculoplastic procedures (99th and 97th percentile respectively), and 43235 and 68815 are described as "notably above typical national volume." These labels indicate the ASC maintains particular expertise and throughput for shoulder arthroscopy and certain eye/ocular procedures.
Operational timeline: the NPI was enumerated on 2021-03-23 (~5 years ago), so the center has established measurable Medicare and Medicaid activity within a relatively recent operating window. Given the short tenure and the presence of high-volume outlier codes, the facility appears to have built focused surgical volume quickly in select specialties.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
55 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… | 600 | $810 | $489K |
| 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… | 80 | $1,860 | $143.1K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 200 | $450 | $88.3K |
| 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… | 40 | $2,350 | $84.5K |
| 67900 | The provider repairs a drooping eyebrow due to muscle weakness or paralysis, to improve cosmetic appearance or remove the obstruction to a patient’s vision. He makes an incision immediately above the… | 210 | $380 | $79.5K |
| 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… | 170 | $450 | $78.1K |
| 43249 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter. | 130 | $560 | $70.7K |
| 67041 | In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical… | 50 | $1,470 | $67.4K |
| 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… | 110 | $610 | $63.5K |
| V2785 | Processing, preserving and transporting corneal tissue | 20 | $3,300 | $59.4K |
Showing 1–10 of 55
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 55 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
55 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 7 | 150 | 90 | $520 | $80.3K |
| V2785 | 3 | 10 | 20 | $3,360 | $63.9K |
| 67904 | 1 | 10 | 40 | $530 | $32K |
| 67041 | 2 | 10 | 20 | $1,040 | $28.2K |
| 67042 | 5 | 20 | 20 | $1,100 | $26.3K |
| 67036 | 11 | 20 | 20 | $1,010 | $24.2K |
| 45385 | 10 | 100 | 50 | $270 | $23.3K |
| 66982 | 4 | 50 | 30 | $620 | $22.2K |
| 15823 | 2 | 20 | 30 | $470 | $21.9K |
| 30465 | 1 | 10 | 10 | $1,750 | $21K |
Showing 1–10 of 55
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
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 |
|---|---|---|---|---|
| 43235 | The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing. | 40 | $170 | $7.5K |
| 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… | 20 | $330 | $6.3K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 60 | $90 | $5.6K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 20 | $220 | $4.5K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 50 | $80 | $4.1K |
How this provider's Medicaid billing volume and revenue compare to other Utah providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Utah median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 34 | 50 | 250 | $80 | $40.9K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 23 | 30 | 120 | $70 | $24.9K |
| 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… | 8 | 10 | 120 | $80 | $19.7K |
| 43235 | The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing. | 9 | 10 | 100 | $90 | $17.8K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 6 | 10 | 60 | $110 | $17.4K |
Other providers in the same ZIP code as Central Utah Surgicenter, LLC, ranked by combined Medicare and Medicaid revenue.
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