Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Oregon for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Oregon only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Oregon (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Cow Creek Band Of Umpqua Tribe Of Indians (NPI 1063502714)

Field	Value
Entity Type	Organization
Organization	Cow Creek Band Of Umpqua Tribe Of Indians
Address	2589 Nw Edenbower Blvd
City	Roseburg
State	OR
ZIP	97471
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	October 13, 2006

Payer Source	Total Paid
Medicaid	$3.4M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	8,310	$160	$1.4M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	2,040	$290	$589.6K
H0005	Alcohol and/or drug services; group counseling by a clinician	1,350	$340	$452.6K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	2,190	$190	$408.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,320	$240	$321.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	150	$470	$69.9K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	520	$90	$48.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	270	$90	$23.4K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	500	$40	$22K
0011A	N/A	160	$130	$20.4K

Showing 1–10 of 29

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.

Claims Volume vs. Oregon Distribution

Cow Creek Band Of Umpqua Tribe Of Indians — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. Oregon median

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0005	Alcohol and/or drug services; group counseling by a clinician	111	180	3,250	$40	$783.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	213	270	1,660	$90	$681K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	401	1,380	540	$140	$363.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	472	1,500	650	$70	$312.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	185	1,590	590	$50	$236.5K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	61	400	230	$90	$153.8K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	129	140	310	$60	$113.6K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	463	600	120	$80	$83.3K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	220	310	280	$70	$82K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	149	170	170	$90	$78.3K

Showing 1–10 of 29

Related Providers

Other providers that share a Tax Identification Number (TIN) with Cow Creek Band Of Umpqua Tribe Of Indians, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jennifer Schenk	OR	Family Nurse Practitioner	$710	$0

Nearby Providers

Other providers in the same ZIP code as Cow Creek Band Of Umpqua Tribe Of Indians, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonspirit Oregon	OR	General Acute Care Hospital	$0	$29.3M
Centennial Medical Group East, LLC	OR	Rural Health Clinic/Center	$0	$15.3M
Roseburg Therapy LLC	OR	Mental Health Counselor	$0	$14.2M
Rick's Medical Supply, LLC	OR	Durable Medical Equipment & Medical Supplies	$0	$9.6M
Cep America LLC	OR	Emergency Medicine Physician	$0	$4.5M
Humberto Villalvazo	OR	Family Medicine Physician	$4.3M	$0
Liann W Drechsel Dmd PC	OR	Pediatric Dentistry	$0	$3.9M
Centennial Medical Group Inc.	OR	Surgery Physician	$0	$3.8M
Valley View Mental Health Services, Inc	OR	Professional Counselor	$0	$3.1M
Paul D. Reicherter, Md, PC	OR	Clinical & Laboratory Dermatological Immunology Physician	$0	$2.5M

Cow Creek Band Of Umpqua Tribe Of Indians — Billing Profile & Reimbursement Data

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Cow Creek Band Of Umpqua Tribe Of Indians — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References