Rogue Community Health
Rogue Community Health was paid $3.30M by Medicaid between Jan 2018 and Dec 2024, across 79 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
MEDFORD, OR 97504
Next to other Federally Qualified Health Center (FQHC) providers in Oregon
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 11,274 | $476K | |
| 2019 | 13,010 | $454K | |
| 2020 | 9,905 | $428K | |
| 2021 | 10,127 | $506K | |
| 2022 | 12,075 | $576K | |
| 2023 | 13,231 | $536K | |
| 2024incomplete | 11,967 | $321K |
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 | 54% | 33,547 | 29,370 | $1.79M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 11% | 1,804 | 837 | $348K |
| 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 | 9.9% | 5,099 | 4,606 | $326K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.3% | 744 | 402 | $107K |
| G0444 | Annual depression screening, 5 to 15 minutes | 2.1% | 4,387 | 4,154 | $69K |
| D1206 | Topical application of fluoride varnish | 1.6% | 3,945 | 3,920 | $54K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 1,106 | 1,041 | $53K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 1,322 | 1,314 | $51K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 559 | 512 | $48K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 603 | 579 | $46K |
| D1110 | Prophylaxis - adult | 1.3% | 996 | 984 | $43K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 361 | 150 | $29K |
67 more codes
| 97803 | <1% | 427 | $24K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 555 | $22K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 525 | $20K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,105 | $18K |
| D0191 | <1% | 1,429 | $16K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,489 | $16K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 238 | $16K |
| 36415 | Collection of venous blood by venipuncture | <1% | 8,096 | $14K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 212 | $14K |
| 99442 | <1% | 480 | $11K | |
| D0603 | <1% | 2,699 | $10K | |
| 97802 | <1% | 85 | $10K | |
| D4342 | <1% | 123 | $8K | |
| 0012A | <1% | 177 | $8K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,445 | $7K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 187 | $7K |
| 98968 | <1% | 194 | $7K | |
| 90686 | <1% | 359 | $7K | |
| D0120 | Dental checkup, returning patient | <1% | 243 | $7K |
| D0274 | Bitewings - four radiographic images | <1% | 242 | $6K |
| 0011A | <1% | 141 | $6K | |
| D4341 | <1% | 64 | $5K | |
| 90688 | <1% | 261 | $4K | |
| 0064A | <1% | 128 | $4K | |
| 99409 | <1% | 100 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 39 | $3K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 27 | $3K |
| 90732 | <1% | 37 | $3K | |
| 90715 | <1% | 111 | $3K | |
| D1351 | Sealant - per tooth | <1% | 145 | $3K |
| 0031A | <1% | 49 | $3K | |
| 99385 | <1% | 27 | $3K | |
| 99443 | <1% | 57 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 29 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 45 | $2K |
| D4910 | <1% | 40 | $2K | |
| 99401 | <1% | 56 | $2K | |
| 99402 | <1% | 40 | $2K | |
| 99422 | <1% | 51 | $2K | |
| 96158 | <1% | 39 | $2K | |
| G0467 | Community health center visit, returning patient | <1% | 1,134 | $2K |
| 90836 | <1% | 14 | $2K | |
| 99408 | <1% | 48 | $2K | |
| 0134A | <1% | 41 | $1K | |
| 98967 | <1% | 43 | $1K | |
| 99441 | <1% | 79 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 12 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 67 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 190 | $870.96 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 500 | $855.53 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 244 | $684.98 |
| D4346 | <1% | 15 | $628.00 | |
| D1120 | Dental cleaning, child | <1% | 13 | $520.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 96 | $504.11 |
| 90651 | <1% | 12 | $482.35 | |
| 94010 | <1% | 14 | $476.48 | |
| 90661 | <1% | 17 | $390.36 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 24 | $360.72 |
| 99384 | <1% | 17 | $250.58 | |
| 81003 | <1% | 151 | $247.42 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 22 | $225.66 |
| 96160 | <1% | 1,430 | $170.18 | |
| D0270 | <1% | 12 | $108.00 | |
| 81002 | <1% | 26 | $53.68 | |
| 36416 | <1% | 72 | $49.77 | |
| D0602 | <1% | 15 | $15.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 12 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Rogue Community Health | White City, OR | $1.90M |
| Rogue Community Health | Medford, OR | $1.80M |
| Rogue Community Health | Ashland, OR | $1.31M |
| Rogue Community Health | Meford, OR | $1.01M |
| Rogue Community Health | Medford, OR | $480K |
| Rogue Community Health | White City, OR | $125K |
| Rogue Community Health | Butte Falls, OR | $108K |
| Rogue Community Health | Eagle Point, OR | $10K |
| Rogue Community Health | White City, OR | $4K |
| Rogue Community Health | Medford, OR | $139.83 |
| Rogue Community Health | Medford, OR | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.