Clinic
NPI deactivated
Umpqua Health Newton Creek, LLC
Umpqua Health Newton Creek, LLC was paid $4.69M by Medicaid between Jan 2018 and Nov 2024, across 71 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoUMPQUA HEALTH NEWTON CREEK, LLC
ROSEBURG, OR 97470
ROSEBURG, OR 97470
33aNPI1174066278assigned 11/22/2016
33bProvider typeRural Health Clinic/Center
28Total paid$4.69M
24GClaims95,921
24DCodes billed71
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Oregon
Rank by total paid#2 of 65
Median peer was paid$295K
This provider vs. median16×
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 | 5,943 | $323K | |
| 2019 | 18,122 | $927K | |
| 2020 | 19,941 | $980K | |
| 2021 | 18,731 | $822K | |
| 2022 | 16,697 | $764K | |
| 2023 | 10,014 | $453K | |
| 2024incomplete | 6,473 | $425K |
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 | 54% | 47,098 | 40,494 | $2.51M |
| 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 | 22% | 14,329 | 11,892 | $1.03M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.7% | 4,228 | 3,815 | $317K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.6% | 3,090 | 1,806 | $169K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 2,103 | 1,885 | $84K |
| 99442 | 1.7% | 1,545 | 1,419 | $82K | |
| 99443 | 1.6% | 1,091 | 922 | $76K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.3% | 456 | 358 | $59K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.2% | 564 | 537 | $55K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 443 | 420 | $41K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 544 | 476 | $35K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,596 | 2,244 | $25K |
59 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 245 | $22K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 261 | $21K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 776 | $14K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 137 | $14K |
| 90686 | <1% | 743 | $14K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,330 | $11K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,153 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 482 | $9K |
| 80305 | <1% | 1,291 | $9K | |
| 96127 | <1% | 2,270 | $8K | |
| 90670 | <1% | 357 | $7K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 94 | $7K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 92 | $6K |
| 81002 | <1% | 2,174 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 47 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 872 | $4K |
| 0011A | <1% | 104 | $3K | |
| 96160 | <1% | 1,583 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 688 | $3K |
| 90837 | Psychotherapy session, about an hour | <1% | 17 | $3K |
| 0012A | <1% | 95 | $3K | |
| 90633 | <1% | 138 | $3K | |
| 99441 | <1% | 82 | $3K | |
| 98968 | <1% | 101 | $3K | |
| 90647 | <1% | 118 | $2K | |
| 90651 | <1% | 105 | $2K | |
| 90680 | <1% | 91 | $2K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 173 | $2K |
| 99381 | <1% | 14 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 50 | $2K |
| 90723 | <1% | 62 | $1K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 48 | $1K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 51 | $1K |
| 99406 | <1% | 102 | $856.14 | |
| 0064A | <1% | 41 | $855.80 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 657 | $760.48 |
| 90734 | <1% | 40 | $746.64 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 16 | $683.21 |
| 90674 | <1% | 25 | $489.16 | |
| 98961 | <1% | 44 | $308.43 | |
| 90716 | <1% | 13 | $285.48 | |
| 98967 | <1% | 20 | $270.77 | |
| 90710 | <1% | 13 | $241.56 | |
| 80061 | Lipid panel | <1% | 42 | $218.82 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 14 | $156.00 |
| 81003 | <1% | 100 | $128.32 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 44 | $127.33 |
| 36415 | Collection of venous blood by venipuncture | <1% | 31 | $120.00 |
| 96161 | <1% | 62 | $112.84 | |
| 87807 | <1% | 17 | $102.52 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 18 | $67.94 |
| 82947 | <1% | 41 | $64.26 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 13 | $35.86 |
| 82270 | <1% | 12 | $27.78 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 77 | $20.28 |
| 91301 | 0% | 350 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 174 | $0.00 |
| 91300 | 0% | 12 | $0.00 | |
| 99177 | 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.
From NPPES
Who's on the registration
Authorized officialGOLDBERG, SUZANNE (SENIOR DIRECTOR, DECISION SUPPORT A)