Cow Creek Band of Umpqua Tribe of Indians

Cow Creek Band of Umpqua Tribe of Indians was paid $3.41M by Medicaid between Jan 2018 and Aug 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.

33Billing provider infoCOW CREEK BAND OF UMPQUA TRIBE OF INDIANS
ROSEBURG, OR 97471

33aNPI1063502714assigned 10/13/2006

33bProvider typeFederally Qualified Health Center (FQHC)

28Total paid$3.41M

24GClaims18,685

24DCodes billed29

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Oregon

Rank by total paid#15 of 90

Median peer was paid$254K

This provider vs. median13×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	1,811	$335K
2019	2,393	$387K
2020	3,193	$407K
2021	4,459	$498K
2022	2,234	$281K
2023	2,697	$365K
2024incomplete	1,898	$1.13M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	40%	8,311	7,508	$1.35M
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	17%	2,040	1,924	$589K
H0005	Alcohol and/or drug services; group counseling by a clinician	13%	1,351	413	$452K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	12%	2,194	1,432	$408K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	9.4%	1,323	861	$321K
H0004	Behavioral health counseling and therapy, per 15 minutes	2.1%	148	72	$70K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	1.4%	517	472	$48K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	266	232	$23K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	500	461	$22K
0011A		<1%	156	150	$20K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	28	16	$19K
90792	Psychiatric diagnostic evaluation with medical services	<1%	94	91	$18K

17 more codes

90832	Psychotherapy session, about 30 minutes	<1%	98	$16K
99442		<1%	107	$11K
97803		<1%	235	$9K
99443		<1%	34	$5K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	42	$5K
99203	Doctor's office visit, new patient (routine)	<1%	33	$4K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	16	$3K
90791	Psychiatric diagnostic evaluation	<1%	12	$3K
0064A		<1%	14	$2K
99215	Doctor's office visit, returning patient (complex)	<1%	12	$2K
0012A		<1%	55	$2K
36415	Collection of venous blood by venipuncture	<1%	970	$2K
97802		<1%	12	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	12	$138.84
90686		<1%	66	$114.18
96127		<1%	19	$9.23
90785		0%	20	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSTANPHILL, SHARON (CHIEF HEALTH OFFICER)