Physician
Umpqua Health - Harvard, LLC
Umpqua Health - Harvard, LLC was paid $1.18M by Medicaid between Jan 2018 and Aug 2019, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoUMPQUA HEALTH - HARVARD, LLC
ROSEBURG, OR 97471
ROSEBURG, OR 97471
33aNPI1659519171assigned 01/22/2009
33bProvider typeFamily Medicine Physician
28Total paid$1.18M
24GClaims24,788
24DCodes billed31
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers
Next to other Family Medicine Physician providers in Oregon
Rank by total paid#21 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 | 17,542 | $800K | |
| 2019 | 7,246 | $379K |
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 | 53% | 12,835 | 10,968 | $621K |
| 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 | 17% | 3,025 | 2,628 | $206K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 12% | 2,401 | 1,509 | $143K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 4.4% | 479 | 425 | $52K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 3.7% | 554 | 510 | $44K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 827 | 734 | $30K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.7% | 193 | 190 | $20K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 134 | 129 | $13K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 57 | 57 | $6K |
| 96160 | <1% | 1,339 | 912 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 577 | 471 | $5K |
| 80305 | <1% | 519 | 459 | $5K |
19 more codes
| 90686 | <1% | 253 | $4K | |
| 90670 | <1% | 165 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 31 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 24 | $3K |
| 96127 | <1% | 608 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 155 | $2K |
| 90633 | <1% | 97 | $2K | |
| 99406 | <1% | 164 | $1K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 16 | $1K |
| 90685 | <1% | 52 | $955.26 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 97 | $898.00 |
| 90651 | <1% | 31 | $614.88 | |
| 90698 | <1% | 26 | $570.96 | |
| 90680 | <1% | 25 | $505.08 | |
| 90648 | <1% | 28 | $439.20 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 35 | $278.08 |
| 90716 | <1% | 12 | $263.52 | |
| 90700 | <1% | 15 | $214.11 | |
| 81002 | <1% | 14 | $29.28 |
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, SUE (VP, NETWORK & BUSINESS DEVELOPMENT)
| Provider | Location | Paid |
|---|---|---|
| Community Health Alliance | Roseburg, OR | $739K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.