Medicaid Provider Spending

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

SUTTER BAY MEDICAL FOUNDATION

NPI: 1013950807 · PALO ALTO, CA 94301 · Clinical Medical Laboratory · NPI assigned 06/13/2006

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

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

$19.65M
Total Medicaid Paid
838,751
Total Claims
781,074
Beneficiaries
309
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPES, KRISTA (SH VP, QUALITY, SAFETY, PATIENT EDU)
NPI Enumeration Date06/13/2006

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 SACRAMENTO CA $18.88M
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 119,813 $2.89M
2019 110,638 $2.67M
2020 99,656 $2.20M
2021 139,679 $3.34M
2022 130,467 $3.06M
2023 148,189 $3.22M
2024 90,309 $2.27M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 78,954 75,120 $3.66M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 44,665 42,600 $1.36M
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 15,590 14,629 $1.25M
99233 Prolong inpt eval add15 m 14,790 5,989 $743K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 9,978 8,692 $591K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 10,467 10,033 $448K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 10,227 9,803 $437K
90961 3,107 3,104 $433K
80053 Comprehensive metabolic panel 44,897 41,368 $399K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 15,440 15,311 $396K
86481 4,224 4,206 $375K
80061 Lipid panel 34,141 33,950 $369K
84443 Thyroid stimulating hormone (TSH) 23,597 23,146 $330K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 45,487 40,968 $301K
77067 Screening mammography, bilateral, including computer-aided detection 2,177 2,175 $295K
99215 Prolong outpt/office vis 5,145 4,674 $282K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,213 1,123 $270K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 1,728 1,728 $264K
83036 Hemoglobin; glycosylated (A1C) 33,413 33,171 $258K
67028 Intravitreal injection of a pharmacologic agent 2,150 2,024 $244K
86003 1,612 956 $221K
59425 2,930 2,074 $221K
88305 Level IV - Surgical pathology, gross and microscopic examination 5,023 4,930 $219K
99232 Subsequent hospital care, per day, moderate complexity 5,888 2,201 $218K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 6,216 6,151 $173K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 3,939 3,912 $166K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,380 517 $165K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 4,606 4,584 $152K
99223 Prolong inpt eval add15 m 1,782 1,717 $151K
90686 8,850 8,844 $146K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,126 2,019 $142K
87480 5,883 5,629 $137K
87510 5,804 5,555 $136K
87660 5,710 5,507 $133K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 813 807 $128K
90834 Psychotherapy, 45 minutes with patient 2,135 1,630 $122K
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 5,370 5,109 $117K
95117 9,207 7,067 $117K
86803 6,835 6,760 $116K
77063 Screening digital breast tomosynthesis, bilateral 3,824 2,087 $114K
87086 Culture, bacterial; quantitative colony count, urine 15,449 14,395 $113K
71046 Radiologic examination, chest; 2 views 4,891 4,834 $106K
93000 9,460 9,295 $106K
80048 Basic metabolic panel (calcium, ionized) 17,080 15,946 $101K
99239 Hospital discharge day management, more than 30 minutes 1,850 1,811 $99K
82728 8,051 7,864 $87K
99244 Office or other outpatient consultation, moderate to high complexity 423 423 $80K
0002A 1,953 1,949 $76K
90837 Psychotherapy, 53 minutes with patient 846 650 $75K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,392 1,367 $75K
91322 701 699 $75K
0001A 2,005 2,003 $72K
84439 8,104 7,793 $70K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,140 907 $67K
84153 4,082 3,991 $64K
92134 3,691 3,570 $62K
85027 12,181 11,861 $61K
83970 3,016 2,967 $55K
86480 775 773 $53K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5,260 4,380 $53K
82570 13,575 12,902 $52K
83550 7,502 7,382 $52K
87186 6,271 5,863 $51K
81001 19,804 18,518 $47K
83540 7,884 7,732 $45K
90791 Psychiatric diagnostic evaluation 479 478 $44K
J0178 Injection, aflibercept, 1 mg 59 55 $44K
80076 6,544 6,288 $43K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 837 810 $43K
86140 8,205 7,853 $43K
0012A 1,362 1,361 $42K
87081 5,358 5,263 $41K
87077 5,446 5,062 $41K
0011A 1,816 1,816 $40K
87070 3,928 3,750 $38K
82607 5,054 5,031 $37K
90480 1,088 1,087 $35K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 799 735 $33K
J0585 Injection, onabotulinumtoxina, 1 unit 48 39 $33K
82043 8,795 8,709 $33K
87340 2,728 2,697 $33K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,679 1,527 $29K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 165 107 $28K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 307 307 $27K
86592 5,088 5,024 $27K
93296 1,664 1,664 $27K
83735 4,168 3,550 $27K
82274 1,689 1,678 $26K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 459 454 $25K
86765 1,740 1,730 $25K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 336 241 $25K
82746 1,950 1,936 $25K
86038 1,982 1,891 $25K
80081 235 231 $25K
86160 920 773 $22K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 294 293 $22K
86706 1,641 1,634 $22K
83690 3,170 3,066 $21K
90832 Psychotherapy, 30 minutes with patient 475 381 $20K
83880 1,328 1,277 $20K
83525 1,241 1,234 $19K
85610 4,994 3,811 $19K
99152 879 825 $19K
82784 2,384 2,158 $19K
82785 812 692 $18K
93970 311 303 $18K
91321 169 167 $18K
82565 4,038 3,949 $17K
84481 915 873 $16K
84460 3,292 3,239 $16K
99243 132 132 $16K
85652 6,563 6,308 $16K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 157 157 $15K
78815 Positron emission tomography (PET) for limited area imaging 18 12 $15K
90656 792 792 $15K
84156 4,726 4,512 $15K
73630 646 581 $15K
84100 3,068 2,557 $14K
99000 2,903 2,792 $14K
82670 410 409 $14K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 407 400 $14K
83516 983 955 $13K
92557 463 463 $13K
90962 120 120 $13K
92550 1,006 1,004 $13K
99254 177 167 $13K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 380 359 $12K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 70 70 $12K
84550 3,626 3,500 $11K
0064A 284 284 $11K
86762 623 619 $11K
76700 Ultrasound, abdominal, real time with image documentation; complete 162 161 $10K
0071A 255 255 $10K
0124A 269 266 $10K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 90 82 $10K
82947 2,659 2,607 $10K
99308 Subsequent nursing facility care, per day, straightforward 516 399 $9K
82533 550 519 $9K
87400 852 744 $9K
84450 1,565 1,526 $9K
99238 Hospital discharge day management, 30 minutes or less 226 220 $9K
86735 535 533 $9K
0072A 213 213 $8K
87045 748 738 $8K
90662 770 770 $8K
81003 4,050 3,954 $8K
74177 Computed tomography, abdomen and pelvis; with contrast material 63 63 $8K
99173 1,243 1,242 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 611 446 $7K
82550 1,497 1,413 $7K
85651 1,718 1,661 $7K
87147 971 730 $7K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 98 95 $7K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 211 185 $7K
83001 286 284 $6K
93294 595 595 $6K
87634 72 72 $6K
99309 Subsequent nursing facility care, per day, low to moderate complexity 310 245 $6K
84165 964 941 $6K
97139 294 125 $6K
84403 322 317 $6K
97810 244 160 $6K
97811 242 159 $6K
87205 1,468 1,390 $6K
0134A 170 169 $6K
86376 331 324 $6K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 55 38 $6K
93750 81 25 $5K
93015 93 85 $5K
93248 195 195 $5K
86364 427 424 $5K
80069 1,997 1,822 $5K
99205 Prolong outpt/office vis 133 132 $5K
95115 505 401 $5K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 113 109 $5K
87046 770 651 $5K
93295 89 89 $5K
85007 1,592 1,504 $4K
84484 469 456 $4K
86431 761 738 $4K
80197 242 185 $4K
86787 260 258 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 87 87 $4K
86258 336 331 $4K
92551 421 421 $4K
0004A 100 100 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,087 1,087 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 44 44 $4K
83615 584 487 $4K
87088 525 515 $4K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 505 320 $3K
95144 26 26 $3K
90694 535 535 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 426 424 $3K
90792 Psychiatric diagnostic evaluation with medical services 26 26 $3K
73610 117 110 $3K
92015 Determination of refractive state 275 273 $3K
94010 77 76 $3K
93990 78 76 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 422 414 $3K
82951 152 152 $3K
20610 188 157 $2K
85730 306 296 $2K
86665 65 64 $2K
93246 158 158 $2K
95813 41 39 $2K
82105 141 132 $2K
93351 20 12 $2K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 13 13 $2K
92567 98 98 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 159 147 $2K
J2785 Injection, regadenoson, 0.1 mg 16 12 $2K
86704 135 135 $2K
59025 Fetal non-stress test 55 39 $2K
82248 340 309 $2K
90653 252 252 $2K
76642 45 26 $2K
81025 470 429 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 64 63 $2K
85018 738 726 $2K
87329 160 159 $2K
77014 32 12 $2K
85379 163 160 $2K
93971 84 84 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 12 12 $2K
84146 68 67 $2K
83721 139 139 $2K
64483 13 12 $1K
64615 13 13 $1K
86664 64 64 $1K
0031A 34 34 $1K
99310 Prolong nursin fac eval 15m 82 57 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 29 28 $1K
86663 64 64 $1K
96375 Therapeutic injection; each additional sequential IV push 61 48 $1K
76937 192 173 $1K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 114 68 $1K
45380 Colonoscopy, flexible; with biopsy, single or multiple 26 26 $1K
93793 193 160 $1K
36415 Collection of venous blood by venipuncture 14,336 12,878 $962.64
86225 56 56 $904.32
93922 38 38 $890.39
93325 113 81 $885.44
51705 14 13 $856.43
73030 72 60 $847.05
82150 136 131 $826.68
99222 Initial hospital care, per day, moderate complexity 38 38 $821.38
73564 44 39 $792.87
0112A 18 18 $720.00
0054A 23 23 $710.00
0074A 17 17 $680.00
72100 26 26 $671.21
86769 12 12 $670.85
87420 156 155 $656.43
87075 76 75 $644.98
99306 Prolong nursin fac eval 15m 44 40 $636.21
92587 13 13 $581.49
84702 31 27 $579.93
86696 28 27 $573.70
0003A 14 14 $560.00
20553 31 29 $559.68
83521 53 52 $549.24
31575 12 12 $490.40
87328 41 40 $448.04
92083 13 13 $447.92
84480 25 25 $419.30
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) 163 160 $397.64
86308 51 51 $390.68
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 133 105 $383.56
86334 25 25 $375.89
96127 51 51 $370.52
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 12 12 $362.89
82627 12 12 $349.37
82977 38 37 $332.59
95251 13 13 $330.21
0296T 24 24 $327.61
0298T 36 36 $312.32
86200 38 38 $302.70
85045 107 105 $300.98
99429 12 12 $300.00
92579 13 12 $292.44
90670 15 15 $270.00
81015 88 87 $247.90
J7050 Infusion, normal saline solution, 250 cc 70 64 $226.28
82950 38 37 $222.45
86695 13 12 $214.15
94060 12 12 $213.12
84132 156 147 $207.26
92133 12 12 $199.16
93298 12 12 $196.12
99307 72 72 $191.64
J1030 Injection, methylprednisolone acetate, 40 mg 38 38 $190.78
77080 29 29 $186.77
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 16 15 $151.55
87493 12 12 $143.27
83655 30 29 $135.04
87324 12 12 $113.05
87206 14 13 $103.86
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 53 53 $96.35
97014 27 12 $69.53
J1100 Injection, dexamethasone sodium phosphate, 1 mg 45 36 $61.61
82330 28 27 $60.84
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 28 28 $36.12
90785 43 39 $3.88
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 13 12 $0.74
G0008 Administration of influenza virus vaccine 797 797 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 52 52 $0.00
G0009 Administration of pneumococcal vaccine 50 50 $0.00
93307 12 12 $0.00