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.

Umpqua Community Health Center, Inc. (NPI 1396751772)

Umpqua Community Health Center, Inc. is a federally qualified health center (fqhc) provider located in Roseburg, Oregon. This profile covers 0 Medicare and 149 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Umpqua Community Health Center, Inc.
Address	150 Kenneth Ford Dr
City	Roseburg
State	OR
ZIP	97470
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 31, 2006

Payer Source	Total Paid
Medicaid	$9.9M
Medicare	$0

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

149 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	41,720	$70	$2.9M
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…	44,760	$60	$2.6M
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…	6,700	$80	$556K
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…	5,070	$110	$542.7K
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.	7,600	$30	$228.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,680	$80	$211.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	4,660	$40	$200.3K
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…	1,200	$160	$195.8K
D0140	Limited oral evaluation – problem focused	10,790	$20	$161.8K
D0603	Antigen testing for a public health-related pathogen, including coronavirus (COVID-19), using a high throughput technique, per day	20,130	$10	$161K

Showing 1–10 of 149

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

Umpqua Community Health Center, Inc. — 12 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

149 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	126	270	1,660	$90	$681K
S4993	Contraceptive pills for birth control	3	30	190	$110	$414.9K
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…	436	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…	32	1,500	650	$70	$312.4K
T1015	Clinic visit/encounter, all-inclusive	20	60	480	$120	$291K
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…	35	1,590	590	$50	$236.5K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	34	50	60	$80	$170.1K
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…	35	400	230	$90	$153.8K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	129	130	230	$110	$152K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	35	170	300	$80	$133.1K

Showing 1–10 of 149

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christopher Gessel	UT	Family Nurse Practitioner	$79K	$0
Deborah Koopman	OR	Family Nurse Practitioner	$43.6K	$0
Eve Traill	OR	Physician Assistant	$43.6K	$0
Mitzi Thompson	OR	Women's Health Nurse Practitioner	$20.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adapt	OR	Addiction (Substance Use Disorder) Counselor	$0	$11.6M
Advantage Home Care Of Douglas County, Inc.	OR	In Home Supportive Care Agency	$0	$7.5M
Umpqua Valley Ambulance Service Inc.	OR	Land Ambulance	$1.7M	$5.4M
Adapt	OR	Community/Behavioral Health Agency	$0	$6.6M
Umpqua Health Newton Creek, LLC	OR	Rural Health Clinic/Center	$0	$4.7M
Lincare Inc.	OR	Durable Medical Equipment & Medical Supplies	$0	$2.9M
United Community Action Network	OR	Case Management Agency	$0	$2.4M
Juniper Tree Counseling, LLC	OR	Mental Health Counselor	$0	$2.1M
Douglas County Childrens Center, Inc	OR	Clinic/Center	$0	$1.9M
Douglas Education Service District	OR	Local Education Agency (LEA)	$0	$1M

Umpqua Community Health Center, Inc. — Billing Profile & Reimbursement Data

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Umpqua Community Health Center, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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