Physician
Lower Umpqua Hospital District
Lower Umpqua Hospital District was paid $1.19M by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoLOWER UMPQUA HOSPITAL DISTRICT
REEDSPORT, OR 97467
REEDSPORT, OR 97467
33aNPI1619900370assigned 07/08/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.19M
24GClaims22,943
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Oregon
Rank by total paid#20 of 208
Median peer was paid$49K
This provider vs. median24×
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 | 4,307 | $230K | |
| 2019 | 3,923 | $219K | |
| 2020 | 2,951 | $162K | |
| 2021 | 2,919 | $131K | |
| 2022 | 3,271 | $149K | |
| 2023 | 3,043 | $157K | |
| 2024incomplete | 2,529 | $144K |
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 | 50% | 10,705 | 8,038 | $592K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 9,216 | 7,448 | $422K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.9% | 853 | 621 | $58K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.2% | 887 | 644 | $50K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.9% | 553 | 420 | $46K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 94 | 88 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 151 | 115 | $5K |
| 90686 | <1% | 235 | 228 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 107 | 98 | $2K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 12 | 12 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 13 | 12 | $2K |
| 0071A | <1% | 12 | 12 | $461.40 |
4 more codes
| 99417 | Prolong home eval add 15m | <1% | 33 | $433.96 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 13 | $308.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 33 | $263.46 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 26 | $23.57 |
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 officialCHIVERS, JOHNATHON (CEO)
| Provider | Location | Paid |
|---|---|---|
| Lower Umpqua Hospital District | Reedsport, OR | $3.33M |
| Lower Umpqua Hospital District | Reedsport, OR | $437K |
| Lower Umpqua Hospital District | Reedsport, OR | $146K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.