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 Surgical Center LP (NPI 1881770592)

Field	Value
Entity Type	Organization
Organization	St George Surgical Center LP
Address	585 E Riverside Dr Ste 101
City	St George
State	UT
ZIP	84790
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	October 27, 2006

Payer Source	Total Paid
Medicare	$2.5M
Medicaid	$0

Key Findings

Service-line profile is strongly ophthalmology‑focused: the largest single revenue code is 66984 (cataract extraction with intraocular lens) at $1M revenue and $815 avg paid/claim, and multiple other high‑revenue codes (66991, 66174, 67042, 67036, 66982, 66986) relate to cataract, glaucoma, vitrectomy, and other anterior/posterior segment procedures. This mix indicates the facility operates primarily as an ambulatory surgical center specializing in eye surgery rather than a general multispecialty ASC.

Revenue is highly concentrated: the precomputed top 3 Medicare codes account for 56.2% of the provider's total Medicare revenue, with 66984 alone representing $1M or 40.0% of Medicare receipts. That level of concentration signals the business is substantially dependent on a small set of ophthalmic procedures for its Medicare topline.

Payer mix is effectively single‑payer Medicare: lifetime Medicare revenue is $2.5M while there is no Medicaid billing on file, so the center is functionally Medicare‑dependent and has no recorded Medicaid revenue stream to diversify payer exposure. Analysts should treat Medicaid competitive and access assumptions as not applicable based on the available billing data.

Competitive standing across ophthalmic codes is mixed but shows clear specialization: the provider ranks in the top national percentiles for several advanced eye procedures (66174 ranks #12 of 741, 99th percentile and labeled an extreme outlier; 66986 ranks #3 of 205, 99th percentile and also an extreme outlier), indicating a regional or national leadership position for select glaucoma/complex lens procedures. By contrast, high‑volume cataract work measured by 66984 ranks #1728 of 15965 at the 89th percentile and is described as typical, so the center is not unprecedented in basic cataract volume despite it being the largest single revenue source.

Several posterior segment and retinal procedures show above‑typical national volumes, reinforcing a specialty profile: 67042 (vitrectomy with membrane peel) ranks #41 of 1087 (96th percentile, notably above typical), 67036 ranks #29 of 832 (97th percentile, notably above typical), and 67108 ranks #95 of 706 (85th percentile, typical). These rankings suggest the center performs a substantial number of complex retinal surgeries relative to peers.

The facility also bills non‑ophthalmic procedures at smaller scale, indicating some service breadth: 27447 (total knee arthroplasty) generated $177.8K (7.0% of Medicare revenue) and 58552 (laparoscopic hysterectomy) generated $35.9K (1.4% of Medicare revenue). These codes are much lower in national rank or share compared with core ophthalmic codes, implying orthopedics and gynecology are occasional services rather than primary business lines.

Tenure and stability: the NPI was enumerated on 2006-10-27 (~20 years ago), which indicates the center has operated under its current enumeration for approximately two decades. That longevity supports the interpretation that observed specialty billing patterns are established rather than transient.

Statistical outlier signals point to areas of specialization and potential operational focus: codes labeled as "extreme outlier" or "notably above typical" include 66174 (99th percentile, extreme outlier), 66986 (99th percentile, extreme outlier), and several vitrectomy/retinal codes at the 96th–97th percentiles. These outlier designations corroborate that the center concentrates on advanced glaucoma and posterior‑segment procedures beyond what typical ASCs report.

Medicare: Complete Services Breakdown

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

24 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…	1,250	$820	$1M
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…	90	$2,500	$232K
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…	30	$7,110	$177.8K
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.	150	$1,020	$149.5K
67042	In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…	80	$1,500	$121.2K
67036	The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.	80	$1,470	$110K
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…	130	$810	$103.3K
66183	The provider inserts a small device into the anterior chamber of the eye that helps to reduce the intraocular pressure of the eye in patients with glaucoma.	40	$2,210	$88.4K
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…	160	$530	$82K
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…	180	$380	$67.8K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

St George Surgical Center LP — 10 of 24 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

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	1	150	90	$520	$80.3K
V2785	1	10	20	$3,360	$63.9K
66991	1	20	30	$1,390	$43.2K
27447	87	150	30	$1,060	$42.3K
66183	1	10	20	$1,500	$39K
58552	1	10	10	$3,270	$35.9K
67904	2	10	40	$530	$32K
65820	5	10	30	$780	$28.9K
66174	1	10	20	$660	$27.5K
67042	1	20	20	$1,100	$26.3K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joshua Carlson	UT	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
Alexey Ryskin	WA	Pain Medicine (Anesthesiology) Physician	$2.3M	$990
David Slade	UT	Ophthalmology Physician	$651.1K	$0
Marcos Reyes	UT	Glaucoma Specialist (Ophthalmology) Physician	$403.1K	$0
Nicholas Behunin	MI	Ophthalmology Physician	$309.1K	$0
Jason Hendrix	UT	Ophthalmology Physician	$288.1K	$0
Jerry Hadlock	UT	Certified Registered Nurse Anesthetist	$72K	$0
James Fountain	UT	Certified Registered Nurse Anesthetist	$29.3K	$0
Samuel Hadlock	UT	Certified Registered Nurse Anesthetist	$8.5K	$0
Shawn Kinross	UT	Certified Registered Nurse Anesthetist	$5.6K	$0

Nearby Providers

Other providers in the same ZIP code as St George Surgical Center LP, 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
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
Jerry D Twiggs Md PC	UT	Pediatric Adolescent Medicine Physician	$0	$2.2M
Ihc Health Services Inc	UT	Pediatrics Physician	$0	$2.1M

St George Surgical Center LP — Billing Profile & Reimbursement Data

Sign up for St George Surgical Center LP — Billing Profile & Reimbursement Data policy alerts

St George Surgical Center LP — Billing Profile & Reimbursement Data

Sign up for St George Surgical Center LP — Billing Profile & Reimbursement Data policy alerts

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