Clinic
Rogue Community Health
Rogue Community Health was paid $1.01M by Medicaid between Jan 2018 and Jul 2023, across 44 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 34% of everything it billed.
33Billing provider infoROGUE COMMUNITY HEALTH
MEFORD, OR 97504
MEFORD, OR 97504
33aNPI1285965798assigned 01/22/2010
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.01M
24GClaims16,454
24DCodes billed44
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Oregon
Rank by total paid#31 of 90
Median peer was paid$254K
This provider vs. median4.0×
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.
Entity ProliferationAuthorized official WARNKE, CALISA controls 11+ related entities in our dataset. Read more
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 | 6,675 | $364K | |
| 2019 | 3,899 | $277K | |
| 2020 | 1,896 | $114K | |
| 2021 | 1,447 | $109K | |
| 2022 | 1,725 | $96K | |
| 2023 | 812 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 34% | 2,360 | 2,191 | $340K |
| 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 | 26% | 2,648 | 2,311 | $264K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 3,263 | 3,051 | $251K |
| 92552 | 3.4% | 1,184 | 1,141 | $34K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.8% | 282 | 281 | $28K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 227 | 224 | $22K |
| 90688 | <1% | 474 | 473 | $10K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 228 | 222 | $9K |
| 90686 | <1% | 363 | 362 | $8K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 49 | 46 | $5K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 512 | 494 | $5K |
| 90700 | <1% | 214 | 206 | $5K |
32 more codes
| 99443 | <1% | 55 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 228 | $3K |
| 90713 | <1% | 118 | $3K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 31 | $2K |
| 99173 | <1% | 785 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 114 | $2K |
| 87070 | <1% | 228 | $2K | |
| 0071A | <1% | 36 | $1K | |
| 86710 | <1% | 111 | $1K | |
| 94760 | <1% | 486 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 86 | $1K |
| 0072A | <1% | 19 | $760.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,228 | $725.25 |
| 90670 | <1% | 32 | $702.72 | |
| 90648 | <1% | 32 | $702.72 | |
| 87081 | <1% | 98 | $581.19 | |
| 90633 | <1% | 26 | $549.00 | |
| 90651 | <1% | 18 | $373.32 | |
| 90685 | <1% | 16 | $351.36 | |
| 96160 | <1% | 105 | $350.51 | |
| 90707 | <1% | 15 | $329.40 | |
| 90734 | <1% | 14 | $285.48 | |
| 90716 | <1% | 13 | $285.48 | |
| 90715 | <1% | 13 | $263.52 | |
| 90723 | <1% | 12 | $263.52 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 18 | $258.30 |
| 97802 | <1% | 18 | $253.00 | |
| 81002 | <1% | 99 | $241.29 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 443 | $225.13 |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | <1% | 75 | $10.67 |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | <1% | 33 | $1.67 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 45 | $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 officialWARNKE, CALISA (CFO)
| Provider | Location | Paid |
|---|---|---|
| Rogue Community Health | Medford, OR | $3.30M |
| 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 | 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.