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.

St George Endoscopy Center LLC (NPI 1457325573)

Field	Value
Entity Type	Organization
Organization	St George Endoscopy Center LLC
Address	368 E Riverside Dr Ste B
City	St George
State	UT
ZIP	84790
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	February 15, 2006

Payer Source	Total Paid
Medicare	$828.9K
Medicaid	$0

Key Findings

ST GEORGE ENDOSCOPY CENTER LLC is effectively a single-payer outpatient endoscopy operator: lifetime Medicare revenue is $828.9K and there is no Medicaid billing on file, indicating the practice’s publicly reported activity in this dataset is concentrated entirely in Medicare. The provider’s top procedure mix is consistent with an ambulatory endoscopy center focused on diagnostic and therapeutic gastrointestinal procedures.

Revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 66.7% of the provider’s total Medicare revenue, driven chiefly by 45385 (43.6% of Medicare revenue), followed by G0105 (12.2%) and 43239 (10.9%). This concentration means a small set of colonoscopy and upper endoscopy services generate the majority of billed Medicare dollars.

45385 is the dominant single revenue driver: 811 claims produced $360.9K (43.6% of Medicare revenue), and the provider ranks #116 of 16310 nationally (99th percentile) for that code — noted in the source as an extreme outlier. That standing signals substantially higher-than-typical national volume in polypectomy/therapeutic colonoscopy relative to peers.

G0105 (high-risk colorectal screening colonoscopy) is also unusually high-volume for the center with 246 claims and $101.4K revenue (12.2% of Medicare revenue), ranking #128 of 8773 providers nationally (99th percentile) and labeled an extreme outlier. The mix of 45385 and G0105 together suggests the site handles a large screening and therapeutic colonoscopy caseload, including high-risk screening populations.

43239 (EGD with biopsy) contributed 428 claims and $90.3K (10.9% of Medicare revenue) and ranks #392 of 17140 providers nationally (98th percentile), described as notably above typical national volume. The presence of multiple high-volume upper endoscopy codes (43239, plus dilation and other EGD codes in the top-25 list) indicates the center provides a balanced portfolio of both upper GI diagnostic/therapeutic and colonoscopy services.

Several additional GI procedure codes appear in the top-25 list at elevated national standings: G0121 (191 claims, $78.5K, 9.5% of revenue) ranks #59 of 7750 (99th percentile, extreme outlier) and 43450 (199 claims, $56.7K, 6.8% of revenue) ranks #39 of 1569 (98th percentile, notably above typical volume). These placements reinforce that the facility is a high-volume endoscopy center compared with national peers for multiple colorectal and esophageal service lines.

Operational exposure is concentrated in endoscopic procedures: the top CPT/HCPCS codes are primarily colonoscopy (therapeutic and screening) and upper endoscopy (diagnostic, biopsy, dilation). Because three codes account for 66.7% of Medicare revenue, fluctuations in reimbursements, referral patterns, or coding of those specific services could materially affect the practice’s Medicare revenue.

The provider has a long Medicare enrollment history, with NPI enumerated on 2006-02-15 (~20 years ago), which indicates an established presence in the market; combined with multiple extreme-outlier code rankings, this suggests the center has sustained a specialized, high-volume endoscopy practice over time rather than a recent surge in activity.

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	810	$450	$360.9K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	250	$410	$101.4K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	430	$210	$90.3K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	190	$410	$78.5K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	200	$340	$67.7K
43450	The provider passes long thin tubular devices of increasing diameter to dilate, or widen, a stricture in the patient’s esophagus to improve swallowing.	200	$290	$56.7K
43249	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter.	40	$570	$20.7K
43235	The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.	90	$210	$18.1K
43248	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the…	50	$260	$12.3K
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	40	$310	$11.9K

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

St George Endoscopy Center LLC — 5 of 11 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

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	1	100	50	$270	$23.3K
45380	11	120	50	$170	$13.8K
43249	34	60	40	$220	$11.7K
G0105	1	60	30	$260	$10.3K
G0121	1	70	30	$250	$9.5K
43239	2	110	60	$100	$9.2K
43450	1	20	40	$130	$7.4K
43251	3	10	30	$180	$5.9K
45378	10	50	30	$160	$4.6K
43248	2	10	30	$130	$4.5K

Showing 1–10 of 11

Related Providers

Other providers that share a Tax Identification Number (TIN) with St George Endoscopy Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aaron Thornton	WI	Certified Registered Nurse Anesthetist	$80.8K	$0
Micah Scott	ID	Certified Registered Nurse Anesthetist	$16K	$0

Nearby Providers

Other providers in the same ZIP code as St George Endoscopy 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	$65.8M
Southwest Utah Community Health Center	UT	Federally Qualified Health Center (FQHC)	$0	$7.3M
Zion Eye Institute, Inc	UT	Ambulatory Surgical Clinic/Center	$6.1M	$19.7K
Summit Behavior Services	UT	Counselor	$0	$5.4M
Ihc Health Services Inc	UT	Multi-Specialty Clinic/Center	$0	$4.4M
Ron Lord	UT	Ophthalmology Physician	$3.2M	$0
Joshua Carlson	UT	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
St George Surgical Center LP	UT	Ambulatory Surgical Clinic/Center	$2.5M	$0
Coral Desert Surgery Center LLC	UT	Ambulatory Surgical Clinic/Center	$2.5M	$17.8K
Ihc Health Services Inc	UT	Clinical Medical Laboratory	$2.4M	$42.7K

St George Endoscopy Center LLC — Billing Profile & Reimbursement Data

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St George Endoscopy Center LLC — 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