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.

Rogue Community Health (NPI 1205998309)

Field	Value
Entity Type	Organization
Organization	Rogue Community Health
Address	99 Central Avenue
City	Ashland
State	OR
ZIP	97520
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	December 14, 2006

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

38 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…	11,660	$60	$699.7K
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…	4,890	$70	$357K
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…	530	$160	$82.8K
G0444	Annual depression screening, 5 to 15 minutes	3,520	$20	$59.8K
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,…	530	$60	$31.5K
99402	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	570	$40	$24.4K
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…	140	$80	$10.5K
99385	The provider performs a well–patient visit for a patient who is between the ages of 18 and 39.	70	$130	$8.3K
99442	N/A	220	$30	$6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	2,730	$1	$5.5K

Showing 1–10 of 38

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

Rogue Community Health — 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

38 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	698	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…	293	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…	145	1,590	590	$50	$236.5K
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…	533	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…	205	310	280	$70	$82K
99204	The provider sees a new 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 provider…	382	530	80	$120	$68.5K
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.	146	210	150	$60	$59.2K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	145	160	610	$10	$41.6K
99403	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	12	10	120	$70	$39.7K
99402	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	6	30	80	$50	$39.7K

Showing 1–10 of 38

Related Providers

Other providers that share a Tax Identification Number (TIN) with Rogue Community Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Center Of Fort Dodge Inc.	IA	Federally Qualified Health Center (FQHC)	$0	$23.6M
Rogue Community Health	OR	Federally Qualified Health Center (FQHC)	$0	$3.3M
Rogue Community Health	OR	Federally Qualified Health Center (FQHC)	$0	$1.9M
Rogue Community Health	OR	Federally Qualified Health Center (FQHC)	$0	$1M
Anne Graham	OR	Family Nurse Practitioner	$51.1K	$0

Nearby Providers

Other providers in the same ZIP code as Rogue Community Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Asante Ashland Community Hospital, LLC	OR	General Acute Care Hospital	$0	$9M
Southern Oregon Chiropractic-ashland LLC	OR	Rehabilitation Chiropractor	$0	$2.7M
Jeffrey Welder	OR	Ophthalmology Physician	$2.3M	$0
Christine Gonzales	OR	Ophthalmology Physician	$2.1M	$0
John Hyatt	OR	Retina Specialist (Ophthalmology) Physician	$1.6M	$0
City Of Ashland	OR	Land Ambulance	$401.3K	$1.1M
David Dryland	OR	Rheumatology Physician	$1.4M	$0
Bear Creek Physical Therapy	OR	Physical Therapist	$0	$1.3M
Ashland Surgery Center	OR	Ambulatory Surgical Clinic/Center	$1.2M	$3.2K
Robert Medeck	OR	Chiropractor	$8.2K	$1M

Rogue Community Health — Billing Profile & Reimbursement Data

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Rogue Community Health — 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