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.

South Pointe Surgical Center (NPI 1528453396)

Field	Value
Entity Type	Organization
Organization	South Pointe Surgical Center
Address	810 S 100 W
City	Logan
State	UT
ZIP	84321
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	March 30, 2015

Payer Source	Total Paid
Medicare	$424.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 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…	340	$820	$276.5K
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	$2,470	$61.6K
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…	50	$830	$38K
66174	The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place.	20	$740	$17.1K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	90	$180	$16.1K
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	$510	$15.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

South Pointe Surgical Center — 0 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	16	150	90	$520	$80.3K
66991	8	20	30	$1,390	$43.2K
66174	4	10	20	$660	$27.5K
66982	12	50	30	$620	$22.2K
15823	11	20	30	$470	$21.9K
66821	17	100	40	$230	$13.1K

Nearby Providers

Other providers in the same ZIP code as South Pointe Surgical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bear River Mental Health Services Inc	UT	Mental Health Counselor	$0	$40.5M
Logan City Corporation	UT	Land Ambulance	$332.4K	$3M
Specialty Sales & Service	UT	Parenteral & Enteral Nutrition Supplies (DME)	$0	$2.6M
Cache County Emergency Medical Services Authority	UT	Land Ambulance	$0	$1.8M
Ihc Health Services Inc	UT	Emergency Medicine Physician	$0	$1.2M
Brandon Schvaneveldt	UT	General Practice Dentistry	$0	$1.1M
Logan City School District	UT	Local Education Agency (LEA)	$0	$1.1M
Bear River Association Of Governments	UT	Case Management Agency	$0	$842.1K
Logan Surgical Suites LLC	UT	Ambulatory Surgical Clinic/Center	$830.7K	$0
Sunshine Terrace Foundation, Inc.	UT	Assisted Living Facility	$0	$582.9K

South Pointe Surgical Center — Billing Profile & Reimbursement Data

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South Pointe Surgical Center — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References