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.

J And J LLC (NPI 1295186708)

Field	Value
Entity Type	Organization
Organization	J And J LLC
Address	8700 W 101st Ave
City	Westminster
State	CO
ZIP	80021
Taxonomy	Oral and Maxillofacial Surgery (Dentist)
NPI Enumerated	June 27, 2016

Payer Source	Total Paid
Medicaid	$9.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7230	N/A	9,660	$230	$2.2M
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	13,580	$150	$2.1M
D9243	N/A	8,370	$240	$2M
D9239	N/A	8,250	$110	$874.2K
D0330	N/A	12,290	$50	$638.8K
D7220	N/A	3,190	$180	$577.9K
D0140	Limited oral evaluation – problem focused	13,100	$40	$458.6K
D7240	N/A	1,540	$260	$405.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	3,150	$80	$258.1K
D7261	N/A	590	$420	$249.4K

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

J And J LLC — 7 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7240	N/A	20	80	430	$270	$348.6K
D7230	N/A	1	40	190	$230	$171K
D9243	N/A	1	30	160	$230	$151.4K
D7261	N/A	2	10	270	$430	$132.7K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	1	190	170	$150	$101.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	36	420	290	$90	$90.4K
D9239	N/A	1	30	160	$110	$73.4K
D7220	N/A	1	10	100	$180	$70.1K
D0330	N/A	1	640	190	$50	$36.6K
D0140	Limited oral evaluation – problem focused	1	780	160	$30	$22.8K

Nearby Providers

Other providers in the same ZIP code as J And J LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stellar Care And Services, LLC	CO	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$20.1M
Teamselect Home Care Of Colorado, LLC	CO	Home Health Agency	$0	$4.5M
Cher, LLC	CO	Diagnostic Radiology Physician	$194.4K	$703.4K
John Joyce	CO	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$127K	$0
Justin King	CO	Otolaryngology Physician	$101.1K	$0
Guy Zublin	CO	Physical Medicine & Rehabilitation Physician	$91.5K	$0
Joseph Rosenthal	CO	Physical Medicine & Rehabilitation Physician	$88.1K	$0
Jonathan Mills	CO	Otolaryngology Physician	$47.2K	$0
Danielle Tucker	CO	Nurse Practitioner	$29.5K	$0
Robert Wagner	CO	Optometrist	$27.4K	$0

J And J LLC — Billing Profile & Reimbursement Data

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J And J LLC — Billing Profile & Reimbursement Data

Sign up for J And J LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References