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NPI 1346205176 · St George, UT · Ambulatory Surgical Clinic/Center
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Coral Desert Surgery Center LLC is a ambulatory surgical clinic/center provider located in St George, Utah. This profile covers 46 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 | Coral Desert Surgery Center LLC |
| Address | 1490 E Foremaster Dr |
| City | St George |
| State | UT |
| ZIP | 84790 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 17, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.5M |
| Medicaid | $17.8K |
CORAL DESERT SURGERY CENTER LLC is heavily Medicare-focused: lifetime Medicare revenue is $2.5M compared with Medicaid revenue of $17.8K, indicating Medicare dominates this facility’s payer mix and scale. Medicaid activity is effectively peripheral to the center’s business, representing a very small share of reported lifetime revenue.
Revenue concentration on Medicare is pronounced: the precomputed top 3 Medicare codes by revenue account for 60.2% of this provider's total Medicare revenue, with a single code 27447 generating $805.6K (35.5% of Medicare revenue). This concentration indicates that a small set of high-value orthopedic procedures drive the majority of Medicare receipts.
Service-line profile points to an orthopedic and spine-oriented ambulatory surgical practice: the largest Medicare revenue generators are 27447 (total knee arthroplasty), 27130 (hip replacement), and 64628 (basivertebral nerve ablation), suggesting a mix of joint arthroplasty and spine pain/interventional procedures performed in an ambulatory surgical center setting. These codes together reflect both major joint replacement and minimally invasive spine interventions as core service lines.
Competitive standing for the top Medicare joint procedure is strong: 27447 ranks #644 of 12089 providers nationally (95th percentile; notably above typical national volume for this code), signaling the center is a high-volume performer for knee arthroplasty relative to peers. By contrast, 27130 (hip replacement) ranks #1809 of 8062 (77th percentile; typical, unremarkable volume), so hip replacement activity is solid but not exceptional nationally.
The provider shows several statistical outliers and above-typical volumes across disparate procedure types, indicating diversified high-volume services: 29881 (arthroscopic meniscectomy) is an extreme outlier (63 claims, $67.2K revenue; 99th percentile), and codes such as 50590 (ESWL) and 30140 (submucous inferior turbinate resection) are described as notably above typical national volume. Together these patterns suggest the center attracts both high-volume orthopedic caseloads and notable volumes in select ENT and urology procedures.
Medicaid billing is narrowly concentrated: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and all reported Medicaid revenue ($17.8K) is from 69436 (tympanostomy with tube placement) with 80 claims. The Medicaid footprint is small and concentrated on a single pediatric/ENT procedure, and the in-state rank (#9 of 12, 27th percentile) indicates modest relative activity among Utah peers.
Tenure and stability: the NPI was enumerated on 2006-04-17 (~20 years ago), indicating the center has been an established billing entity for approximately two decades. That tenure supports the interpretation that observed high-volume Medicare procedures reflect an ongoing, established service mix rather than a short-term variation.
From a business perspective, the mix of high-revenue joint arthroplasty codes (27447, 27130) together with spine ablation (64628) and high-volume arthroscopy (29881) implies this ambulatory surgical center competes as a multi-specialty surgical site with a strong orthopedic orientation, leveraging both major joint cases and ancillary high-throughput procedures to drive Medicare revenue.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
46 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… | 110 | $7,070 | $805.6K |
| 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… | 50 | $7,250 | $326.4K |
| 64628 | The provider uses a thermal (heat) method under imaging guidance to destroy an intraosseous basivertebral nerve. Use this code for the first two lumbar or sacral vertebral bodies treated at a session. | 30 | $7,540 | $233.8K |
| 27446 | In this procedure, the provider reconstructs the diseased or damaged medial or lateral compartment of the knee along with the femoral condyles and tibial plateaus to relieve pain and improve the… | 20 | $7,010 | $112.2K |
| 55875 | The provider, a urologist or oncologist, places needles or catheters into the prostate for separate placement of radioactive "seeds" to treat prostate cancer; needle or catheter placement may be done… | 50 | $1,730 | $84.7K |
| 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… | 40 | $1,950 | $78.1K |
| 50590 | Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters. | 70 | $990 | $71.2K |
| 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… | 60 | $1,070 | $67.2K |
| 23412 | In this procedure, the provider performs an open surgical repair of a chronic, or persistent, tear of the rotator cuff in the shoulder. A rotator cuff is a group of four muscles that stabilizes the… | 30 | $2,150 | $62.3K |
| 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… | 20 | $2,290 | $41.1K |
Showing 1–10 of 46
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 46 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
46 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 64628 | 2 | 20 | 20 | $3,880 | $93.1K |
| 55875 | 1 | 10 | 40 | $1,210 | $47.1K |
| 27446 | 3 | 10 | 20 | $2,420 | $43.6K |
| 27447 | 7 | 150 | 30 | $1,060 | $42.3K |
| 27130 | 14 | 80 | 30 | $960 | $28.8K |
| 23412 | 1 | 10 | 10 | $1,500 | $25.5K |
| 31276 | 1 | 10 | 20 | $1,160 | $24.3K |
| 45385 | 89 | 100 | 50 | $270 | $23.3K |
| 15823 | 17 | 20 | 30 | $470 | $21.9K |
| 64635 | 37 | 80 | 50 | $350 | $20.1K |
Showing 1–10 of 46
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 |
|---|---|---|---|---|
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 80 | $220 | $17.8K |
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 |
|---|---|---|---|---|---|---|
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 9 | 10 | 90 | $80 | $26.8K |
Other providers in the same ZIP code as Coral Desert Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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