Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SUTTER BAY MEDICAL FOUNDATION

NPI: 1003267196 · SACRAMENTO, CA 95816 · Obstetrics & Gynecology Physician · NPI assigned 06/29/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LOPES, KRISTA controls 20+ related entities in our dataset. Read more

$18.88M
Total Medicaid Paid
437,823
Total Claims
334,414
Beneficiaries
205
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLOPES, KRISTA (SH VP, QUALITY, SAFETY, PATIENT EDU)
NPI Enumeration Date06/29/2016

Related Entities

Other providers sharing the same authorized official: LOPES, KRISTA

ProviderCityStateTotal Paid
SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA $41.25M
SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA $19.65M
SUTTER VALLEY MEDICAL FOUNDATION MODESTO CA $18.22M
SUTTER VALLEY MEDICAL FOUNDATION YUBA CITY CA $12.47M
SUTTER BAY MEDICAL FOUNDATION ORINDA CA $6.77M
SUTTER VALLEY MEDICAL FOUNDATION FAIRFIELD CA $3.92M
SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA $3.85M
SUTTER VALLEY MEDICAL FOUNDATION YUBA CITY CA $2.45M
SUTTER VALLEY MEDICAL FOUNDATION BROWNSVILLE CA $1.37M
SUTTER VALLEY MEDICAL FOUNDATION PLYMOUTH CA $407K
SUTTER VALLEY MEDICAL FOUNDATION MODESTO CA $303K
SUTTER VALLEY MEDICAL FOUNDATION YUBA CITY CA $272K
SUTTER VALLEY MEDICAL FOUNDATION YUBA CITY CA $93K
SUTTER BAY MEDICAL FOUNDATION SANTA CRUZ CA $77K
SUTTER MEDICAL FOUNDATION YUBA CITY CA $31K
SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA $29K
SUTTER BAY MEDICAL FOUNDATION MOUNTAIN VIEW CA $22K
SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA $11K
SUTTER BAY MEDICAL FOUNDATION LOS GATOS CA $10K
SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 63,397 $2.28M
2019 47,438 $1.93M
2020 46,989 $2.03M
2021 65,579 $2.86M
2022 70,095 $3.00M
2023 75,167 $3.54M
2024 69,158 $3.24M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 35,892 11,825 $1.91M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 56,437 54,021 $1.75M
74177 Computed tomography, abdomen and pelvis; with contrast material 12,833 11,685 $1.48M
77067 Screening mammography, bilateral, including computer-aided detection 14,903 9,135 $1.31M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 31,928 19,966 $1.08M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 13,095 11,561 $1.02M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 9,199 5,889 $1.01M
99215 Prolong outpt/office vis 17,508 16,248 $927K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 11,373 7,693 $743K
76813 8,567 6,079 $682K
77063 Screening digital breast tomosynthesis, bilateral 12,515 7,361 $462K
J0585 Injection, onabotulinumtoxina, 1 unit 693 429 $397K
76801 6,972 4,929 $397K
70450 Computed tomography, head or brain; without contrast material 7,980 7,710 $362K
76642 7,130 3,223 $358K
77066 Tomosynthesis, mammo 3,281 1,826 $310K
71045 Radiologic examination, chest; single view 28,247 24,795 $290K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,111 1,109 $278K
99223 Prolong inpt eval add15 m 3,070 2,894 $257K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,400 20,196 $252K
99232 Subsequent hospital care, per day, moderate complexity 4,670 2,115 $193K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 5,614 3,073 $185K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 18,351 13,426 $166K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 2,318 2,232 $159K
90792 Psychiatric diagnostic evaluation with medical services 837 751 $158K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,688 2,460 $152K
93000 7,735 7,539 $147K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,516 2,502 $144K
71275 Computed tomographic angiography, chest, with contrast material 1,481 1,437 $142K
71046 Radiologic examination, chest; 2 views 8,989 7,435 $131K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,355 1,285 $128K
76830 Ultrasound, transvaginal 2,797 1,820 $118K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,155 1,295 $116K
76700 Ultrasound, abdominal, real time with image documentation; complete 2,344 1,710 $111K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 578 573 $105K
76705 Ultrasound, abdominal, real time with image documentation; limited 3,105 2,600 $103K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 5,065 3,728 $87K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 2,068 1,439 $81K
59025 Fetal non-stress test 13,878 10,084 $80K
77065 Tomosynthesis, mammo 718 386 $51K
99238 Hospital discharge day management, 30 minutes or less 1,075 1,051 $49K
99239 Hospital discharge day management, more than 30 minutes 852 829 $49K
99222 Initial hospital care, per day, moderate complexity 579 559 $44K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 389 242 $41K
0001A 1,055 1,053 $37K
S0265 Genetic counseling, under physician supervision, each 15 minutes 1,030 1,007 $37K
71260 Computed tomography, thorax, diagnostic; with contrast material 482 382 $37K
0002A 925 922 $36K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 200 143 $33K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 687 487 $31K
99152 653 631 $30K
99231 Subsequent hospital care, per day, straightforward or low complexity 629 102 $26K
99205 Prolong outpt/office vis 424 409 $22K
91322 162 162 $21K
70551 Magnetic resonance imaging, brain; without contrast material 133 122 $21K
99244 Office or other outpatient consultation, moderate to high complexity 136 136 $21K
97010 684 146 $18K
99242 467 461 $18K
70496 192 179 $16K
90686 2,660 2,654 $16K
70498 184 174 $16K
99245 161 156 $15K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 295 279 $15K
96375 Therapeutic injection; each additional sequential IV push 256 151 $14K
0012A 375 374 $14K
0011A 407 406 $14K
43259 104 101 $13K
64615 103 103 $13K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 409 409 $12K
80053 Comprehensive metabolic panel 1,994 1,801 $12K
71250 226 174 $12K
45380 Colonoscopy, flexible; with biopsy, single or multiple 79 78 $11K
73630 779 496 $11K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 78 57 $9K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 102 86 $9K
76770 224 171 $9K
97803 427 323 $9K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 420 141 $8K
90460 Immunization administration through 18 years of age via any route, first or only component 1,141 977 $7K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,016 1,769 $7K
94729 236 233 $7K
93296 294 290 $7K
95720 22 12 $7K
90480 201 201 $7K
94060 147 143 $6K
97165 164 37 $6K
97530 Therapeutic activities, direct patient contact, each 15 minutes 125 58 $6K
73030 409 327 $6K
83036 Hemoglobin; glycosylated (A1C) 1,646 1,638 $5K
99255 53 50 $5K
95806 16 14 $5K
94727 111 109 $5K
99308 Subsequent nursing facility care, per day, straightforward 122 38 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,660 1,639 $5K
76536 125 79 $4K
74328 156 147 $4K
80061 Lipid panel 1,153 1,146 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 368 363 $4K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 327 321 $4K
73221 31 16 $4K
72141 21 18 $4K
90653 45 45 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 331 280 $3K
59425 30 16 $3K
92551 1,534 1,533 $3K
73562 232 137 $3K
0071A 77 77 $3K
43264 14 12 $3K
93015 26 26 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 337 337 $3K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 56 24 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 137 83 $3K
93248 87 87 $3K
84443 Thyroid stimulating hormone (TSH) 411 407 $3K
72125 Computed tomography, cervical spine; without contrast material 42 41 $3K
93971 101 97 $3K
43274 13 12 $2K
51798 45 43 $2K
73610 172 142 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 252 250 $2K
93244 54 52 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 520 520 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 100 94 $2K
96415 20 12 $2K
0072A 41 41 $2K
A9585 Injection, gadobutrol, 0.1 ml 55 51 $2K
94726 120 120 $1K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 17 12 $1K
73130 90 50 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 28 28 $1K
0134A 87 62 $1K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 395 364 $1K
76937 100 99 $1K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 396 365 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 503 503 $1K
77001 67 66 $1K
74174 12 12 $1K
96367 16 13 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 325 323 $967.91
76820 39 25 $936.24
97802 13 13 $934.86
88305 Level IV - Surgical pathology, gross and microscopic examination 30 30 $885.39
90651 13 13 $867.48
95251 25 25 $810.32
82565 100 98 $765.56
82728 218 214 $737.96
90656 126 126 $706.12
93295 13 13 $702.38
77012 13 12 $687.41
96411 19 13 $664.59
74018 56 51 $601.56
73110 41 24 $593.96
73502 31 27 $524.72
0064A 14 14 $520.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 133 133 $448.11
83550 169 168 $447.24
93294 16 16 $429.91
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 339 325 $396.57
85027 134 133 $377.75
83540 172 171 $367.06
J2405 Injection, ondansetron hydrochloride, per 1 mg 32 26 $351.18
90715 12 12 $350.98
99153 Mod sedat endo service >5yrs 13 12 $329.98
86803 201 201 $327.53
96127 41 40 $295.16
72100 18 14 $282.71
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 144 139 $250.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 17 17 $231.94
93246 12 12 $230.52
90670 29 29 $177.75
81002 155 141 $167.69
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 339 330 $157.61
73564 12 12 $153.54
82607 75 75 $149.97
90698 15 15 $135.00
90680 14 14 $126.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 26 26 $118.20
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 12 12 $112.96
93325 16 14 $98.33
99173 886 884 $87.86
80048 Basic metabolic panel (calcium, ionized) 40 40 $76.81
99422 17 16 $76.28
87086 Culture, bacterial; quantitative colony count, urine 28 27 $69.16
11056 12 12 $68.86
86592 156 154 $55.84
99070 14 13 $51.51
81001 90 87 $50.78
90688 65 65 $38.00
84439 13 13 $30.31
81003 39 38 $21.19
91200 86 86 $21.02
90658 13 13 $18.00
85018 25 25 $4.52
86706 26 26 $3.68
G9012 Other specified case management service not elsewhere classified 153 79 $0.00
G0008 Administration of influenza virus vaccine 93 93 $0.00
80050 General health panel 70 70 $0.00
90694 44 44 $0.00
99000 42 41 $0.00
36415 Collection of venous blood by venipuncture 13 12 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $0.00
98968 56 29 $0.00
99221 14 14 $0.00
90662 41 41 $0.00
90461 13 13 $0.00