Lab
Sutter East Bay Hospitals
Sutter East Bay Hospitals was paid $946K by Medicaid between Jan 2018 and Feb 2018, across 127 billing codes. Its largest line is 80053, Comprehensive metabolic panel — 14% of everything it billed.
33Billing provider infoSUTTER EAST BAY HOSPITALS
BERKELEY, CA 94705
BERKELEY, CA 94705
33aNPI1013906221assigned 10/19/2005
33bProvider typeClinical Medical Laboratory
28Total paid$946K
24GClaims18,547
24DCodes billed127
24AFirst – last monthJan 2018 – Feb 2018
Compared with peers
Next to other Clinical Medical Laboratory providers in California
Rank by total paid#192 of 561
Median peer was paid$222K
This provider vs. median4.3×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official GATES, JOHN controls 20+ related entities in our dataset. Read more
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 | 18,547 | $946K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80053 | Comprehensive metabolic panel | 14% | 1,336 | 967 | $128K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 8.7% | 1,074 | 842 | $82K |
| J3490 | Unclassified drugs | 8.5% | 1,147 | 632 | $80K |
| 0450 | Emergency room services | 5.0% | 560 | 504 | $48K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 4.5% | 507 | 284 | $43K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 3.5% | 124 | 101 | $33K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 3.0% | 548 | 360 | $28K |
| 70450 | Computed tomography, head or brain; without contrast material | 2.6% | 86 | 70 | $25K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 2.5% | 283 | 247 | $24K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 2.4% | 62 | 57 | $23K |
| 59025 | Fetal non-stress test | 2.0% | 387 | 141 | $19K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.9% | 45 | 41 | $18K |
115 more codes
| 77334 | 1.8% | 53 | $17K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 1.7% | 379 | $17K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 1.7% | 182 | $16K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 1.6% | 153 | $15K |
| 77412 | 1.6% | 157 | $15K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.5% | 111 | $14K |
| 96375 | Therapeutic injection; each additional sequential IV push | 1.4% | 319 | $13K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.4% | 1,450 | $13K |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | 1.4% | 370 | $13K |
| 0510 | 1.4% | 231 | $13K | |
| 96361 | Intravenous infusion, hydration; each additional hour | 1.3% | 330 | $13K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 1.3% | 102 | $12K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | 1.1% | 121 | $11K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 1.0% | 106 | $10K |
| 99283 | Emergency room visit (moderate) | <1% | 97 | $9K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 75 | $9K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 250 | $9K |
| 76801 | <1% | 98 | $9K | |
| 76830 | Ultrasound, transvaginal | <1% | 93 | $8K |
| 77336 | <1% | 109 | $7K | |
| 77300 | <1% | 16 | $7K | |
| 93971 | <1% | 33 | $7K | |
| J0131 | Injection, acetaminophen, not otherwise specified,10 mg | <1% | 80 | $6K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 78 | $6K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 80 | $6K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 35 | $6K |
| 86803 | <1% | 255 | $5K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 83 | $5K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 83 | $5K |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 213 | $5K |
| 86703 | <1% | 236 | $4K | |
| 84484 | <1% | 231 | $4K | |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 96 | $4K |
| 71045 | Radiologic examination, chest; single view | <1% | 181 | $3K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 290 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 178 | $3K |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | <1% | 74 | $3K |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 224 | $3K |
| 96367 | <1% | 62 | $3K | |
| 83690 | <1% | 263 | $3K | |
| Z7500 | <1% | 75 | $3K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 52 | $2K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 205 | $2K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 35 | $2K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 89 | $2K |
| 83605 | <1% | 135 | $2K | |
| 84702 | <1% | 144 | $2K | |
| 81001 | <1% | 416 | $2K | |
| 94060 | <1% | 20 | $2K | |
| 0250 | <1% | 20 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 60 | $2K |
| 71020 | <1% | 44 | $2K | |
| 83735 | <1% | 212 | $2K | |
| 82731 | <1% | 28 | $2K | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 146 | $2K |
| J2704 | Injection, propofol, 10 mg | <1% | 57 | $2K |
| 72100 | <1% | 39 | $2K | |
| 87040 | <1% | 112 | $1K | |
| 94729 | <1% | 16 | $1K | |
| 94726 | <1% | 17 | $1K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 60 | $1K |
| J2270 | Injection, morphine sulfate, up to 10 mg | <1% | 95 | $1K |
| 96415 | <1% | 26 | $952.45 | |
| 84703 | <1% | 100 | $919.76 | |
| 87400 | <1% | 107 | $902.30 | |
| 86900 | <1% | 153 | $821.13 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 27 | $814.46 |
| 80047 | <1% | 44 | $785.93 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 30 | $762.18 |
| 83880 | <1% | 17 | $735.73 | |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 31 | $713.96 |
| 81025 | <1% | 127 | $710.26 | |
| 73030 | <1% | 15 | $701.39 | |
| 72040 | <1% | 17 | $697.92 | |
| 73630 | <1% | 18 | $674.61 | |
| 81003 | <1% | 152 | $670.83 | |
| 90715 | <1% | 14 | $652.09 | |
| 86850 | <1% | 81 | $651.49 | |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 95 | $568.34 |
| 86901 | <1% | 122 | $545.49 | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 51 | $540.86 |
| 85610 | <1% | 103 | $533.72 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 103 | $533.36 |
| 87081 | <1% | 50 | $524.80 | |
| Z7502 | <1% | 13 | $520.80 | |
| 82947 | <1% | 66 | $483.07 | |
| 73562 | <1% | 12 | $478.10 | |
| 85730 | <1% | 58 | $466.38 | |
| 85379 | <1% | 28 | $448.00 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 61 | $408.28 |
| 87210 | <1% | 63 | $396.83 | |
| 83615 | <1% | 46 | $394.50 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 19 | $359.00 |
| J1170 | Injection, hydromorphone, up to 4 mg | <1% | 33 | $348.66 |
| 87077 | <1% | 42 | $333.20 | |
| 71010 | <1% | 22 | $285.16 | |
| 87186 | <1% | 38 | $282.41 | |
| J2765 | Injection, metoclopramide hcl, up to 10 mg | <1% | 30 | $251.96 |
| J2060 | Injection, lorazepam, 2 mg | <1% | 30 | $229.23 |
| 0710 | <1% | 15 | $188.16 | |
| 82570 | <1% | 21 | $165.42 | |
| 87147 | <1% | 24 | $160.23 | |
| 85027 | <1% | 15 | $153.76 | |
| 85014 | <1% | 50 | $151.99 | |
| 84550 | <1% | 20 | $144.90 | |
| 84100 | <1% | 25 | $132.14 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 88 | $130.20 |
| 82565 | <1% | 14 | $125.30 | |
| J0690 | Injection, cefazolin sodium, 500 mg | <1% | 14 | $124.25 |
| 84156 | <1% | 22 | $122.37 | |
| J2550 | Injection, promethazine hcl, up to 50 mg | <1% | 13 | $120.24 |
| 84450 | <1% | 14 | $109.87 | |
| 84460 | <1% | 13 | $102.31 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 71 | $0.00 |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 0% | 271 | $0.00 |
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 officialGATES, JOHN (VP SHBA)
| Provider | Location | Paid |
|---|---|---|
| Sutter Bay Hospitals | Castro Valley, CA | $52.65M |
| Sutter Bay Hospitals | Oakland, CA | $46.80M |
| Sutter Bay Hospitals | Berkeley, CA | $43.78M |
| Sutter Bay Hospitals | Lakeport, CA | $39.50M |
| Sutter Bay Hospitals | Santa Rosa, CA | $35.23M |
| Sutter Bay Hospitals | Antioch, CA | $29.48M |
| Sutter Bay Hospitals | San Francisco, CA | $19.99M |
| Sutter Bay Hospitals | Burlingame, CA | $17.15M |
| Sutter Bay Hospitals | San Francisco, CA | $14.94M |
| Sutter Bay Hospitals | Novato, CA | $11.12M |
| Sutter Bay Hospitals | San Francisco, CA | $6.79M |
| Sutter Bay Hospitals | Lakeport, CA | $3.99M |
| Sutter East Bay Hospitals | Antioch, CA | $3.45M |
| Sutter Bay Hospitals | Burlingame, CA | $1.98M |
| Sutter Bay Hospitals | Lakeport, CA | $1.72M |
| Sutter East Bay Hospitals | Oakland, CA | $1.10M |
| Sutter Bay Hospitals | San Francisco, CA | $1.08M |
| Sutter West Bay Hospitals | San Francisco, CA | $186K |
| Magnetic Imaging Affiliates, LLC | Oakland, CA | $112K |
| Sutter Bay Hospitals | Berkeley, CA | $45K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.