Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UMPQUA COMMUNITY HEALTH CENTER, INC.

NPI: 1396751772 · ROSEBURG, OR 97470 · Federally Qualified Health Center (FQHC) · NPI assigned 07/31/2006

$9.88M
Total Medicaid Paid
305,961
Total Claims
259,711
Beneficiaries
149
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBOLTON, KC (CEO)
NPI Enumeration Date07/31/2006

Related Entities

Other providers sharing the same authorized official: BOLTON, KC

ProviderCityStateTotal Paid
UMPQUA COMMUNITY HEALTH CENTER, INC. MYRTLE CREEK OR $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 36,816 $1.12M
2019 46,393 $1.36M
2020 33,971 $1.04M
2021 41,219 $1.35M
2022 50,985 $1.78M
2023 55,415 $1.81M
2024 41,162 $1.42M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 41,724 37,337 $2.94M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 44,759 40,453 $2.54M
90832 Psychotherapy, 30 minutes with patient 6,699 5,447 $554K
90834 Psychotherapy, 45 minutes with patient 5,072 3,668 $544K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 7,602 6,914 $224K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,677 2,644 $213K
D7140 Extraction, erupted tooth or exposed root 4,658 2,106 $200K
90837 Psychotherapy, 53 minutes with patient 1,201 834 $195K
D0140 Limited oral evaluation - problem focused 10,789 9,745 $166K
D0603 20,127 17,844 $160K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,033 1,992 $148K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,460 2,219 $129K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,538 1,512 $116K
D0150 Comprehensive oral evaluation - new or established patient 5,450 4,799 $107K
96127 27,321 15,218 $101K
T1015 Clinic visit/encounter, all-inclusive 1,198 1,155 $91K
D1110 Prophylaxis - adult 5,317 4,735 $82K
H0004 Behavioral health counseling and therapy, per 15 minutes 1,844 1,773 $80K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 10,567 10,346 $62K
D0210 Intraoral - complete series of radiographic images 3,032 2,613 $61K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 715 694 $59K
D0220 Intraoral - periapical first radiographic image 12,349 10,978 $52K
D0120 Periodic oral evaluation - established patient 5,553 4,989 $51K
J1050 Injection, medroxyprogesterone acetate, 1 mg 2,611 2,545 $51K
S4993 Contraceptive pills for birth control 5,192 3,878 $50K
90686 2,929 2,814 $49K
90791 Psychiatric diagnostic evaluation 410 392 $42K
99215 Prolong outpt/office vis 269 248 $41K
D1354 4,571 1,199 $39K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,016 4,622 $36K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 379 372 $32K
D1120 Prophylaxis - child 2,801 2,580 $31K
99385 212 201 $31K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,383 1,078 $28K
90670 1,310 1,295 $27K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 214 197 $26K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,827 1,700 $26K
D1206 Topical application of fluoride varnish 5,742 5,280 $25K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,697 1,171 $25K
90723 1,203 1,187 $25K
D0274 Bitewings - four radiographic images 3,305 2,960 $24K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 2,831 1,828 $23K
90647 1,108 1,096 $22K
90792 Psychiatric diagnostic evaluation with medical services 166 140 $18K
0011A 416 405 $18K
S9443 Lactation classes, non-physician provider, per session 448 271 $17K
97803 722 694 $17K
99401 577 383 $16K
0012A 387 379 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 172 160 $15K
90633 689 680 $14K
0001A 350 332 $11K
90715 555 538 $11K
0002A 318 313 $11K
97802 408 395 $10K
80305 1,402 1,096 $9K
99383 88 87 $8K
83036 Hemoglobin; glycosylated (A1C) 1,970 1,779 $8K
0013A 224 221 $6K
36415 Collection of venous blood by venipuncture 2,234 2,053 $6K
98926 161 153 $6K
81025 1,240 1,170 $6K
D0230 Intraoral - periapical each additional radiographic image 1,566 1,028 $6K
90677 266 263 $5K
D0330 Panoramic radiographic image 467 464 $5K
99381 84 78 $5K
99403 90 66 $5K
D0170 487 471 $5K
S4930 533 525 $5K
99173 2,328 2,291 $5K
96160 1,473 1,249 $4K
99417 Prolong home eval add 15m 65 65 $4K
D4346 157 116 $4K
90681 198 194 $4K
0072A 117 117 $4K
D0601 1,181 1,131 $4K
0071A 124 123 $4K
90671 184 180 $4K
90651 165 162 $4K
98927 72 68 $3K
0124A 105 103 $3K
0004A 112 108 $3K
0031A 59 55 $3K
0134A 97 89 $3K
90710 163 156 $3K
D2331 104 66 $3K
90674 133 131 $3K
99404 31 25 $2K
90685 101 100 $2K
90734 100 97 $2K
90696 100 95 $2K
90472 Immunization administration, each additional vaccine (list separately) 4,860 4,785 $2K
90847 Family psychotherapy with the patient present, 50 minutes 15 13 $2K
0064A 68 66 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 31 26 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 25 25 $1K
90707 60 60 $1K
90716 56 56 $1K
90619 56 56 $1K
99406 115 111 $1K
90700 57 57 $1K
99382 13 13 $1K
99442 31 26 $994.69
D0272 Bitewings - two radiographic images 330 313 $949.26
0054A 42 41 $935.60
99402 17 15 $750.24
D9310 125 125 $730.60
90656 45 45 $717.48
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 54 54 $704.60
D1351 Sealant - per tooth 508 169 $679.68
90653 33 33 $675.00
98968 41 31 $641.54
A4267 Contraceptive supply, condom, male, each 174 168 $639.42
D2150 Silver amalgam - two surfaces, primary or permanent 64 51 $545.40
99407 29 25 $491.15
99349 12 12 $475.25
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 74 57 $465.36
90688 30 29 $364.23
81002 259 225 $326.24
98925 13 12 $312.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 34 31 $301.34
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,606 1,517 $287.14
90713 12 12 $241.56
G0008 Administration of influenza virus vaccine 47 42 $213.05
98967 15 12 $196.74
86580 19 18 $142.93
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 24 18 $101.12
D0270 49 49 $93.60
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 12 12 $79.41
36416 26 24 $68.76
J3490 Unclassified drugs 455 321 $53.83
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 20 12 $38.28
J1885 Injection, ketorolac tromethamine, per 15 mg 13 12 $16.18
91301 69 68 $0.00
D0602 285 279 $0.00
D1208 Topical application of fluoride, excluding varnish 58 58 $0.00
D9995 316 315 $0.00
90474 179 175 $0.00
D2330 71 52 $0.00
D1330 380 364 $0.00
99000 36 33 $0.00
D1310 13 13 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 14 12 $0.00
D0191 1,828 1,806 $0.00
91313 89 81 $0.00
91312 101 99 $0.00
91300 14 14 $0.00
D0145 Oral evaluation for a patient under three years of age 12 12 $0.00
D2940 43 28 $0.00