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NPI 1326512070 · Richfield, UT · Ambulatory Surgical Clinic/Center
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Richfield Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Richfield, Utah. This profile covers 9 Medicare and 1 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 | Richfield Surgery Center, LLC |
| Address | 860 N Main St Ste A |
| City | Richfield |
| State | UT |
| ZIP | 84701 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | January 16, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.6M |
| Medicaid | $34.1K |
RICHFIELD SURGERY CENTER, LLC bills predominantly for interventional spine and pain-management procedures and neuromodulation, consistent with its Ambulatory Surgical Clinic/Center taxonomy. Its top Medicare codes are 63685 (spinal neurostimulator pulse generator/receiver implantation), 63650 (epidural electrode placement), and 62323 (lumbar/sacral spine injections), and the broader CPT mix includes image-guided injections (62321, 64493, 64483, 64490) and radiofrequency/denervation (64635), indicating an outpatient spine/pain procedural practice that performs both implantable device procedures and frequent image-guided injections.
Medicare revenue is highly concentrated: the provider’s top 3 Medicare codes account for 90.6% of its total Medicare revenue. Those three codes individually contributed $709K (44.8%) for 63685, $614.2K (38.8%) for 63650, and $110.2K (7.0%) for 62323, showing reliance on a small set of high-revenue procedures.
Medicaid activity is effectively single-code concentrated: the top 3 Medicaid codes account for 100.0% of Medicaid revenue, and all reported Medicaid revenue is from 62323 (274 claims, $34K, 100.0% of Medicaid revenue). This means Medicaid billing for this entity is narrowly focused on lumbar/sacral image-guided injections.
The provider’s overall payer mix is heavily Medicare-dominant in scale: total Medicare revenue is $1.6M versus total Medicaid revenue of $34.1K, indicating Medicare drives the vast majority of reported public-payer revenue. From an analysis or contract perspective, the practice is functionally Medicare-oriented rather than balanced across these public payers.
Competitive standing varies by code: 63650 ranks #44 of 1371 nationally (97th percentile; notably above typical national volume), and 62323 ranks #93 of 7397 nationally (99th percentile; extreme outlier), signaling unusually high national volume for epidural electrode placement and lumbar injections. By contrast, 63685 ranks #114 of 1281 nationally (91th percentile; typical, unremarkable volume), suggesting implant procedures are important revenue drivers but not as extreme versus national peers.
In-state Medicaid competitiveness for 62323 is modest: the code ranks #3 of 12 providers in-state (82th percentile; typical, unremarkable volume), so while the practice is a high-volume national outlier on Medicare for 62323, its Medicaid share within the state is not exceptionally dominant. This divergence suggests different referral or payer patterns between Medicare and Medicaid populations.
Volume signals for specific codes corroborate the procedural profile: the provider reported 473 Medicare claims for 62323 (avg paid/claim $233, $110.2K revenue) and 274 Medicaid claims for 62323 (avg paid/claim $124, $34K revenue), indicating frequent repeatable injection procedures across payers. Together with higher-cost implant procedures (39 Medicare claims for 63685 at $18,179 avg paid/claim), the mix reflects a combination of high-frequency low-unit-revenue injections and lower-frequency high-unit-revenue device implants.
The entity’s NPI was enumerated on 2019-01-16 (~7 years ago), indicating it has several years of operational history but is a relatively recent entrant compared with long-established surgical centers; its strong national percentiles on select codes suggest rapid consolidation of procedure volume in a short operational window.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 63685 | The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection… | 40 | $18,180 | $709K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 170 | $3,610 | $614.2K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 470 | $230 | $110.2K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 80 | $610 | $51.4K |
| 62321 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)… | 130 | $230 | $30.8K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 120 | $190 | $23.9K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 80 | $240 | $17.7K |
| 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). | 50 | $320 | $16.5K |
| 64490 | The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging… | 40 | $240 | $8.8K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 270 | $120 | $34K |
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
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 3 | 10 | 40 | $120 | $29.4K |
Other providers in the same ZIP code as Richfield 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 | $3.9M |
| County Of Sevier | UT | Land Ambulance | $408.6K | $1.7M |
| Central Utah Public Health Department | UT | Public Health or Welfare Agency | $135.1K | $1.3M |
| Mountain Utah Family Medicine | UT | Rural Health Clinic/Center | $0 | $1.1M |
| Ihc Health Services Inc | UT | Family Medicine Physician | $0 | $1.1M |
| Richfield Kids Dental, PLLC | UT | Pediatric Dentistry | $0 | $576.7K |
| Kevin Kirk | UT | Ophthalmology Physician | $557.5K | $0 |
| Ihc Health Services Inc | UT | Multi-Specialty Clinic/Center | $0 | $505.5K |
| Sevier School District | UT | Local Education Agency (LEA) | $0 | $370.6K |
| Sealtiel Tinajero | UT | MOHS-Micrographic Surgery Physician | $338.8K | $0 |
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