Clinic
Umpqua Community Health Center, INC.
Umpqua Community Health Center, INC. was paid $9.88M by Medicaid between Jan 2018 and Nov 2024, across 149 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoUMPQUA COMMUNITY HEALTH CENTER, INC.
ROSEBURG, OR 97470
ROSEBURG, OR 97470
33aNPI1396751772assigned 07/31/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$9.88M
24GClaims305,961
24DCodes billed149
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Oregon
Rank by total paid#8 of 90
Median peer was paid$254K
This provider vs. median39×
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 | 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 | |
| 2024incomplete | 41,162 | $1.42M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 30% | 41,724 | 37,337 | $2.94M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 44,759 | 40,453 | $2.54M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 5.6% | 6,699 | 5,447 | $554K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.5% | 5,072 | 3,668 | $544K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.3% | 7,602 | 6,914 | $224K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 2,677 | 2,644 | $213K |
| D7140 | Extraction, erupted tooth or exposed root | 2.0% | 4,658 | 2,106 | $200K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.0% | 1,201 | 834 | $195K |
| D0140 | Limited oral evaluation - problem focused | 1.7% | 10,789 | 9,745 | $166K |
| D0603 | 1.6% | 20,127 | 17,844 | $160K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 2,033 | 1,992 | $148K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 2,460 | 2,219 | $129K |
137 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 1,538 | $116K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.1% | 5,450 | $107K |
| 96127 | 1.0% | 27,321 | $101K | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 1,198 | $91K |
| D1110 | Prophylaxis - adult | <1% | 5,317 | $82K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 1,844 | $80K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 10,567 | $62K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 3,032 | $61K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 715 | $59K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12,349 | $52K |
| D0120 | Dental checkup, returning patient | <1% | 5,553 | $51K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 2,611 | $51K |
| S4993 | Contraceptive pills for birth control | <1% | 5,192 | $50K |
| 90686 | <1% | 2,929 | $49K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 410 | $42K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 269 | $41K |
| D1354 | <1% | 4,571 | $39K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 5,016 | $36K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 379 | $32K |
| D1120 | Dental cleaning, child | <1% | 2,801 | $31K |
| 99385 | <1% | 212 | $31K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,383 | $28K |
| 90670 | <1% | 1,310 | $27K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 214 | $26K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,827 | $26K |
| D1206 | Topical application of fluoride varnish | <1% | 5,742 | $25K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,697 | $25K |
| 90723 | <1% | 1,203 | $25K | |
| D0274 | Bitewings - four radiographic images | <1% | 3,305 | $24K |
| G0467 | Community health center visit, returning patient | <1% | 2,831 | $23K |
| 90647 | <1% | 1,108 | $22K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 166 | $18K |
| 0011A | <1% | 416 | $18K | |
| S9443 | Lactation classes, non-physician provider, per session | <1% | 448 | $17K |
| 97803 | <1% | 722 | $17K | |
| 99401 | <1% | 577 | $16K | |
| 0012A | <1% | 387 | $15K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 172 | $15K |
| 90633 | <1% | 689 | $14K | |
| 0001A | <1% | 350 | $11K | |
| 90715 | <1% | 555 | $11K | |
| 0002A | <1% | 318 | $11K | |
| 97802 | <1% | 408 | $10K | |
| 80305 | <1% | 1,402 | $9K | |
| 99383 | <1% | 88 | $8K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,970 | $8K |
| 0013A | <1% | 224 | $6K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,234 | $6K |
| 98926 | <1% | 161 | $6K | |
| 81025 | <1% | 1,240 | $6K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,566 | $6K |
| 90677 | <1% | 266 | $5K | |
| D0330 | Panoramic radiographic image | <1% | 467 | $5K |
| 99381 | <1% | 84 | $5K | |
| 99403 | <1% | 90 | $5K | |
| D0170 | <1% | 487 | $5K | |
| S4930 | <1% | 533 | $5K | |
| 99173 | <1% | 2,328 | $5K | |
| 96160 | <1% | 1,473 | $4K | |
| 99417 | Prolong home eval add 15m | <1% | 65 | $4K |
| D4346 | <1% | 157 | $4K | |
| 90681 | <1% | 198 | $4K | |
| 0072A | <1% | 117 | $4K | |
| D0601 | <1% | 1,181 | $4K | |
| 0071A | <1% | 124 | $4K | |
| 90671 | <1% | 184 | $4K | |
| 90651 | <1% | 165 | $4K | |
| 98927 | <1% | 72 | $3K | |
| 0124A | <1% | 105 | $3K | |
| 0004A | <1% | 112 | $3K | |
| 0031A | <1% | 59 | $3K | |
| 0134A | <1% | 97 | $3K | |
| 90710 | <1% | 163 | $3K | |
| D2331 | <1% | 104 | $3K | |
| 90674 | <1% | 133 | $3K | |
| 99404 | <1% | 31 | $2K | |
| 90685 | <1% | 101 | $2K | |
| 90734 | <1% | 100 | $2K | |
| 90696 | <1% | 100 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 4,860 | $2K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 15 | $2K |
| 0064A | <1% | 68 | $2K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 31 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 25 | $1K |
| 90707 | <1% | 60 | $1K | |
| 90716 | <1% | 56 | $1K | |
| 90619 | <1% | 56 | $1K | |
| 99406 | <1% | 115 | $1K | |
| 90700 | <1% | 57 | $1K | |
| 99382 | <1% | 13 | $1K | |
| 99442 | <1% | 31 | $994.69 | |
| D0272 | Bitewings - two radiographic images | <1% | 330 | $949.26 |
| 0054A | <1% | 42 | $935.60 | |
| 99402 | <1% | 17 | $750.24 | |
| D9310 | <1% | 125 | $730.60 | |
| 90656 | <1% | 45 | $717.48 | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 54 | $704.60 |
| D1351 | Sealant - per tooth | <1% | 508 | $679.68 |
| 90653 | <1% | 33 | $675.00 | |
| 98968 | <1% | 41 | $641.54 | |
| A4267 | Contraceptive supply, condom, male, each | <1% | 174 | $639.42 |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 64 | $545.40 |
| 99407 | <1% | 29 | $491.15 | |
| 99349 | <1% | 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 | <1% | 74 | $465.36 |
| 90688 | <1% | 30 | $364.23 | |
| 81002 | <1% | 259 | $326.24 | |
| 98925 | <1% | 13 | $312.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 34 | $301.34 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,606 | $287.14 |
| 90713 | <1% | 12 | $241.56 | |
| G0008 | Administration of influenza virus vaccine | <1% | 47 | $213.05 |
| 98967 | <1% | 15 | $196.74 | |
| 86580 | <1% | 19 | $142.93 | |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | <1% | 24 | $101.12 |
| D0270 | <1% | 49 | $93.60 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 12 | $79.41 |
| 36416 | <1% | 26 | $68.76 | |
| J3490 | Unclassified drugs | <1% | 455 | $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 | <1% | 20 | $38.28 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 13 | $16.18 |
| 91301 | 0% | 69 | $0.00 | |
| D0602 | 0% | 285 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 58 | $0.00 |
| D9995 | 0% | 316 | $0.00 | |
| 90474 | 0% | 179 | $0.00 | |
| D2330 | 0% | 71 | $0.00 | |
| D1330 | 0% | 380 | $0.00 | |
| 99000 | 0% | 36 | $0.00 | |
| D1310 | 0% | 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 | 0% | 14 | $0.00 |
| D0191 | 0% | 1,828 | $0.00 | |
| 91313 | 0% | 89 | $0.00 | |
| 91312 | 0% | 101 | $0.00 | |
| 91300 | 0% | 14 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 12 | $0.00 |
| D2940 | 0% | 43 | $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 officialBOLTON, KC (CEO)
| Provider | Location | Paid |
|---|---|---|
| Umpqua Community Health Center, INC. | Myrtle Creek, OR | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.