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

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

Sunnyside Surgery Center, LLC (NPI 1285825075)

Field	Value
Entity Type	Organization
Organization	Sunnyside Surgery Center, LLC
Address	3345 S Holmes Ave Ste B
City	Idaho Falls
State	ID
ZIP	83404
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	August 6, 2007

Payer Source	Total Paid
Medicare	$89.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
28299	The provider removes bone from a bunion, a foot deformity that causes a bump near where the big toe joins the foot. The procedure includes double osteotomy, cutting and realigning one or more toe…	20	$2,840	$51K
28285	The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.	50	$600	$28.1K
28270	The provider incises the capsule of a metatarsophalangeal joints of the toes to restore range of motion and relieve pain from a contracture. He may suture the tendon to strengthen it.	20	$510	$10.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Idaho Distribution

Sunnyside Surgery Center, LLC — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
28299	1	10	20	$1,620	$29.1K
28285	4	10	50	$440	$20.5K
28270	3	10	40	$330	$13.1K

Sunnyside Surgery Center, LLC — Billing Profile & Reimbursement Data

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Sunnyside 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

Frequently Asked Questions

References