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NPI 1447267554 · Cedar City, UT · Ambulatory Surgical Clinic/Center
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Cedar Surgical Associates Lc is a ambulatory surgical clinic/center provider located in Cedar City, 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 | Cedar Surgical Associates Lc |
| Address | 1811 W Royal Hunte Dr Ste 3 |
| City | Cedar City |
| State | UT |
| ZIP | 84720 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 2, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $538.6K |
| Medicaid | $12.9K |
CEDAR SURGICAL ASSOCIATES LC presents as an ambulatory surgical clinic/center with a clear ophthalmic surgery focus: Medicare top codes are led by 66984, 66991, and 66982 which describe cataract extraction and intraocular lens insertion procedures. The code mix also includes ocular laser capsulotomy (66821) and eyelid skin excision (15823), indicating the ASC performs both routine cataract workflows and a smaller volume of oculoplastic cases.
Revenue is highly concentrated within a few cataract-related codes: the precomputed top 3 Medicare codes account for 78.1% of the provider’s Medicare revenue, and 66984 alone generated $307.6K (57.1% of Medicare revenue). This concentration means the practice’s Medicare financial performance is tightly coupled to cataract surgery volumes and reimbursement for those specific codes.
Payer mix is effectively Medicare-dominant: lifetime Medicare revenue totals $538.6K versus $12.9K from Medicaid, so the provider relies almost entirely on Medicare dollars for scale. Medicaid engagement is minimal and appears to be practically a secondary or incidental payer for this entity.
On competitive standing for the largest Medicare code, 66984 (cataract extraction with lens insertion), the provider ranks #3442 of 15965 nationally (78th percentile) and is described as “typical, unremarkable volume for this code.” This indicates a solid, above-median cataract volume relative to national peers but not a dominant national market share.
There is at least one Medicare statistical outlier: code 66711 (cyclodestruction of ciliary body) generated $13.6K and is ranked #1 of 12 nationally (100th percentile) with the label “notably above typical national volume for this code.” While its absolute revenue is small, the top rank suggests this provider performs that less-common ophthalmic procedure at a comparatively high rate versus peers.
Medicaid activity is concentrated entirely in code 41899 (procedures on teeth and adjoining alveolar structures), which produced $12.9K and accounts for 100.0% of the provider’s Medicaid revenue. That code ranks #22 of 23 in-state (0th percentile) and the combination of a single Medicaid code plus low in-state rank signals minimal and idiosyncratic Medicaid business rather than a developed state-facing service line.
The practice performs a small but diversified set of ambulatory procedures beyond ophthalmology: hand/wrist and trigger finger procedures such as 29848 (wrist endoscopy) and 26055 (trigger finger release) together contributed modest Medicare revenue ($14.9K and $12.6K respectively). These ancillary musculoskeletal codes indicate the ASC supports additional outpatient surgical lines that can supplement ophthalmic throughput.
The NPI was enumerated on 2006-08-02 (~20 years ago), indicating long tenure as an enrolled provider. Combined with the concentrated Medicare revenue profile and the code mix, this suggests a stable, Medicare-oriented ASC that has operated a consistent cataract surgery program over an extended period.
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 |
|---|---|---|---|---|
| 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… | 380 | $800 | $307.6K |
| 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 | $2,390 | $59.8K |
| 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… | 70 | $800 | $53K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 240 | $180 | $44.2K |
| 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… | 60 | $490 | $27.2K |
| 29848 | The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness. | 30 | $480 | $14.9K |
| 66711 | The provider destroys a portion of the ciliary body using a laser beam. This procedure decreases the production of fluid in the eye, thereby decreasing intraocular pressure. The procedure is… | 30 | $410 | $13.6K |
| 26055 | Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may… | 30 | $470 | $12.6K |
| 65855 | In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma. | 60 | $100 | $5.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
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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 |
|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 10 | $1,070 | $12.9K |
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 |
|---|---|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 22 | 20 | 630 | $750 | $1.2M |
Other providers in the same ZIP code as Cedar Surgical Associates Lc, ranked by combined Medicare and Medicaid revenue.
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