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.

Joshua Metzl (NPI 1417116351)

Field	Value
Entity Type	Individual
Organization	Joshua Metzl
Address	175 Inverness Dr W Ste 200
City	Englewood
State	CO
ZIP	80112
Taxonomy	Orthopaedic Foot and Ankle Surgery Physician
NPI Enumerated	June 5, 2008

Payer Source	Total Paid
Medicare	$29.7K
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
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	330	$30	$8.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	90	$70	$5.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	60	$100	$5.5K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	60	$80	$5K
73610	In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.	170	$30	$4.6K
76942	Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…	10	$50	$530
J1100	Injection, dexamethasone sodium phosphate, 1 mg	100	$0	$0

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. Colorado Distribution

Joshua Metzl — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	4,939	8,160	80	$80	$11.3K
99213	2,904	7,200	70	$60	$6.6K
99203	631	2,650	30	$70	$3.1K
73630	9	540	50	$20	$1.5K
76942	204	210	20	$40	$1.2K
73610	7	390	30	$20	$680
J1100	174	220	380	$1	$80

Related Providers

Other providers that share a Tax Identification Number (TIN) with Joshua Metzl, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ryan Koonce	CO	Adult Reconstructive Orthopaedic Surgery Physician	$260.7K	$0
Adam Seidl	CO	Sports Medicine (Orthopaedic Surgery) Physician	$241.5K	$0
Vikas Patel	CO	Orthopaedic Surgery of the Spine Physician	$238.2K	$0
Craig Hogan	CO	Adult Reconstructive Orthopaedic Surgery Physician	$220.2K	$0
Philip York	CO	Orthopaedic Surgery of the Spine Physician	$195.8K	$0
Aaron Kirkpatrick	CO	Diagnostic Radiology Physician	$176.7K	$0
Ryan Lanning	CO	Radiation Oncology Physician	$175.2K	$0
Austin Derosa	CO	Urology Physician	$162.7K	$0
Sameer Nath	CO	Radiation Oncology Physician	$152.8K	$0
Paul Maroni	CO	Urology Physician	$128.6K	$0

Joshua Metzl — Billing Profile & Reimbursement Data

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Joshua Metzl — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References