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.

The Surgicare Center Of Utah (NPI 1366550170)

Field	Value
Entity Type	Organization
Organization	The Surgicare Center Of Utah
Address	755 E 3900 S
City	Salt Lake City
State	UT
ZIP	84107
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	August 29, 2006

Payer Source	Total Paid
Medicare	$881.6K
Medicaid	$0

Key Findings

This facility is effectively single-payer in the datasets provided: total Medicare revenue is $881.6K while there is no Medicaid billing on file, so payers and analysts should treat Medicare as the provider’s primary (and only reported) public revenue source. The lack of any Medicaid activity suggests limited exposure to that program’s patient population and reimbursement dynamics.

Revenue is highly concentrated in a very small set of cataract and intraocular lens procedures: the precomputed top-3 Medicare codes account for 90.8% of total Medicare revenue. The three highest-revenue codes are 66984 ($676.5K, 76.7% of Medicare revenue), 66991 ($77.3K, 8.8%), and 65820 ($47.4K, 5.4%), indicating a narrow revenue base tied to these specific services.

The provider’s taxonomy as an Ambulatory Surgical Clinic/Center and the CPT mix point to a surgical eye-care specialty focused on cataract extraction and intraocular lens implantation; the prominence of 66984, 66991, 66982, and 66986 shows the center’s operational emphasis on same-session lens procedures and related complex cataract cases. Smaller but present codes for eyelid and periocular reconstruction (15823, 67904, 15576) plus lacrimal punctum plug placement (68761) indicate adjunct oculoplastic services that complement the core cataract surgery volume.

Competitive standing on the dominant cataract code 66984 is reasonably strong by volume: the center’s 66984 activity is ranked #2194 of 15965 providers (86th percentile) but is characterized in the source as “typical, unremarkable volume for this code,” implying the center performs above-average volume nationally without being an extreme outlier. That one code alone generates $676.5K (76.7% of Medicare revenue), so performance on 66984 largely determines the provider’s Medicare footprint.

Other leading codes show modest national positioning rather than dominance: 66991 ranks #672 of 1445 (51th percentile) and 65820 ranks #494 of 1249 (58th percentile), both described as “typical, unremarkable volume for this code.” Even 66982 and 66986—additional lens/cataract codes—are labeled “typical, unremarkable volume,” with 66986 showing a concentrated peer set (rank #62 of 205, 67th percentile) that suggests meaningful activity within a smaller national cohort. This pattern points to a specialist center with respectable but not market-leading breadth beyond its flagship cataract work.

The center has a long-standing NPI: enumerated 2006-08-29 (~20 years ago), which supports an interpretation of stable, established operations focused on a narrow surgical specialty. Longevity combined with a concentrated procedural mix suggests entrenched referral patterns and operational workflows optimized for high-throughput cataract cases.

Concentration risk is material: because 90.8% of Medicare revenue comes from the top three codes and 76.7% from a single code (66984), the provider’s revenue is highly sensitive to changes in reimbursement, coding practices, or referral volume for cataract and intraocular lens services. Analysts and payers should treat shifts in cataract demand or payment policy as primary drivers of this entity’s financial variability.

While cataract and intraocular lens procedures dominate, the practice shows modest ancillary revenue lines that expand clinical scope: 15823 ($10.9K, 1.2%), 67904 ($8.8K, 1.0%), and 15576 ($7.6K, 0.9%) reflect oculoplastic/reconstructive activity, and 68761 ($1.7K, 0.2%) reflects minor lacrimal procedures. These smaller streams are unlikely to offset volatility in the core cataract business but do indicate some diversification of clinical services within the ambulatory surgical center model.

Medicare: Complete Services Breakdown

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

10 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…	830	$820	$676.5K
66991	The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…	30	$2,500	$77.3K
65820	The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.	30	$1,480	$47.4K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	40	$820	$32.7K
66986	The provider removes a previously placed intraocular lens and places a new one.	20	$730	$16K
15823	In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…	30	$400	$10.9K
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…	20	$460	$8.8K
15576	The provider prepares a direct or tubed pedicle skin flap with the patient’s healthy skin and tissue to cover an injury or wound on the body. The provider may or may not transfer the flap to the…	20	$340	$7.6K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	20	$170	$3.2K
68761	The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.	50	$40	$1.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

The Surgicare Center Of Utah — 1 of 10 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

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	3	150	90	$520	$80.3K
66991	6	20	30	$1,390	$43.2K
67904	12	10	40	$530	$32K
65820	3	10	30	$780	$28.9K
66982	19	50	30	$620	$22.2K
15823	13	20	30	$470	$21.9K
15576	2	10	50	$320	$16.3K
66986	3	10	20	$670	$16.1K
66821	83	100	40	$230	$13.1K
68761	10	20	40	$100	$11K

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Surgicare Center Of Utah, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rebekah Gensure	UT	Retina Specialist (Ophthalmology) Physician	$969.8K	$0

Nearby Providers

Other providers in the same ZIP code as The Surgicare Center Of Utah, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$68.7M
Ihc Health Services, Inc.	UT	Clinical Medical Laboratory	$2.7M	$17.9M
Alpine Home Medical Equipment LLC	UT	Oxygen Equipment & Supplies (DME)	$0	$18.6M
Ddi Vantage	UT	Developmentally Disabled Services Day Training Agency	$0	$18.4M
Utah Emergency Physicians	UT	Emergency Medicine Physician	$0	$14.5M
Home Caregivers Partnership, LLC	UT	Home Health Agency	$0	$10.4M
Gcs Foundation	UT	Supports Brokerage Agency	$0	$6.2M
Ihc Health Services Inc	UT	Diagnostic Radiology Physician	$0	$6.1M
Joel Herring	UT	Retina Specialist (Ophthalmology) Physician	$5.6M	$23.7K
Project Reality	UT	Mental Health Counselor	$0	$5.1M

The Surgicare Center Of Utah — Billing Profile & Reimbursement Data

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The Surgicare Center Of Utah — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References