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 Main Surgery Center Inc (NPI 1972528537)

Field	Value
Entity Type	Organization
Organization	South Main Surgery Center Inc
Address	754 S Main St
City	St George
State	UT
ZIP	84770
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	July 13, 2006

Payer Source	Total Paid
Medicare	$134.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
28285	The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.	40	$790	$32.4K
27600	In this procedure, the provider performs a decompression fasciotomy in the anterior and lateral compartment of the leg to reduce pain in the leg.	30	$1,040	$30.2K
28820	In this procedure, the provider amputates the toe at the metatarsophalangeal joint. The metatarsophalangeal joint is the joint between the first metatarsal of the foot and the first phalanx of the…	20	$980	$21.6K
64708	In this procedure, the provider uses an open approach to incise scar tissue or other sources of pressure to relieve tension on a major peripheral nerve in an arm or leg, and at a location other than…	50	$350	$18.8K
28825	In this procedure, the provider amputates the toe at an interphalangeal joint. An interphalangeal joint is a joint between the two bones, called phalanges, in a toe.	10	$1,080	$13K
64704	In this procedure, the provider uses an open approach to incise scar tissue or other sources of pressure to relieve tension on a nerve in a hand or foot. The nerves of the hand or foot include both…	30	$360	$9.8K
27687	The provider releases the tendon of the gastrocnemius muscle, or outer calf muscle, to treat stiffness, tightness, or pain that prevents normal ankle movement.	20	$580	$8.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

South Main Surgery Center Inc — 2 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
28820	1	10	20	$980	$21.6K
64708	2	10	30	$310	$17.1K
27600	1	10	20	$710	$16.4K
28285	1	10	20	$560	$13.9K
28825	1	10	10	$1,080	$13K
64704	2	10	30	$240	$6.9K
27687	3	10	20	$270	$4.6K

Nearby Providers

Other providers in the same ZIP code as South Main Surgery Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Logistics, LLC.	UT	Transportation Broker	$0	$299.6M
Southwest Center	UT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$58.3M
Red Rock Healthcare, Inc.	UT	Home Health Agency	$0	$27.3M
Virgin River Healthcare, Inc.	UT	In Home Supportive Care Agency	$0	$13.3M
Crimson Heights LLC	UT	Community/Behavioral Health Agency	$0	$7.8M
Southwest Center	UT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$7.7M
Crimson Heights LLC	UT	Behavior Analyst	$0	$6.8M
Washington County School District	UT	Local Education Agency (LEA)	$0	$6.8M
Red Mesa Home Care	UT	Home Health Agency	$0	$4M
The Learning Center For Families	UT	Developmentally Disabled Services Day Training Agency	$0	$3.9M

South Main Surgery Center Inc — Billing Profile & Reimbursement Data

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South Main Surgery Center Inc — 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