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 Colorado for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Colorado 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. Colorado (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.

Yah Ortho Inc (NPI 1114316627)

Field	Value
Entity Type	Organization
Organization	Yah Ortho Inc
Address	3821 W Pueblo Blvd
City	Pueblo
State	CO
ZIP	81005
Taxonomy	Orthodontics and Dentofacial Orthopedics Dentistry
NPI Enumerated	January 21, 2015

Payer Source	Total Paid
Medicaid	$5.7M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D8090	N/A	1,220	$2,640	$3.2M
D8660	N/A	7,010	$140	$981.7K
D8670	N/A	4,080	$130	$522K
D0330	N/A	5,580	$50	$290K
D0340	N/A	4,900	$60	$284K
D0350	N/A	5,320	$30	$170.3K
D8680	N/A	730	$230	$168.9K
D8080	N/A	10	$2,720	$35.3K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Colorado providers billing the same CPT/HCPCS codes.

Claims Volume vs. Colorado Distribution

Yah Ortho Inc — 5 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8080	N/A	14	20	60	$2,230	$467.8K
D8090	N/A	1	40	40	$2,640	$382.6K
D8660	N/A	3	150	290	$140	$143.6K
D8670	N/A	4	110	220	$130	$93.3K
D0350	N/A	22	280	300	$50	$68.2K
D0340	N/A	6	130	300	$60	$58.3K
D8680	N/A	4	30	70	$230	$45.2K
D0330	N/A	11	640	190	$50	$36.6K

Nearby Providers

Other providers in the same ZIP code as Yah Ortho Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ted Hernandez Inc	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$26.9M
Pueblo Diversified Industries, Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$17.8M
Abc Home Health Care Personal Services,inc	CO	Home Health Agency	$0	$15.1M
Boone Guest Home	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$11.8M
Pawel R Bielecki, Dds, PC	CO	General Practice Dentistry	$0	$11.5M
Yah Vision	CO	Optometrist	$0	$7M
Hv Pueblo South LLC	CO	Clinic/Center	$0	$6.3M
South Pueblo Dental Partners LLP	CO	General Practice Dentistry	$0	$5.8M
Adapthealth West, LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$4.5M
Pdsc PC	CO	General Practice Dentistry	$0	$4M

Yah Ortho Inc — Billing Profile & Reimbursement Data

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Yah Ortho Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References