Managed care
Sutter Valley Hospitals
Sutter Valley Hospitals was paid $71.31 by Medicaid between Jan 2019 and Dec 2023, across 75 billing codes. Its largest line is 96372, Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular — 100% of everything it billed.
33Billing provider infoSUTTER VALLEY HOSPITALS
SACRAMENTO, CA 95823
SACRAMENTO, CA 95823
33aNPI1053654434assigned 04/03/2013
33bProvider typeHealth Maintenance Organization
28Total paid$71.31
24GClaims226,534
24DCodes billed75
24AFirst – last monthJan 2019 – Dec 2023
Compared with peers
Next to other Health Maintenance Organization providers in California
Rank by total paid#127 of 151
Median peer was paid$59K
This provider vs. median0.0×
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.
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 | |
|---|---|---|---|
| 2019 | 34,156 | $0.00 | |
| 2020 | 37,340 | $0.00 | |
| 2021 | 44,872 | $23.77 | |
| 2022 | 52,909 | $23.77 | |
| 2023 | 57,257 | $23.77 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 100% | 21,663 | 2,135 | $71.31 |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 0% | 1,028 | 1,001 | $0.00 |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 0% | 841 | 733 | $0.00 |
| 97803 | 0% | 1,164 | 1,160 | $0.00 | |
| G0154 | Direct skilled nursing services of a licensed nurse (lpn or rn) in the home health or hospice setting, each 15 minutes | 0% | 6,190 | 1,585 | $0.00 |
| G0495 | Skilled services of a registered nurse (rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes | 0% | 4,805 | 2,406 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 526 | 416 | $0.00 |
| T1001 | Nursing assessment / evaluation | 0% | 9,197 | 2,769 | $0.00 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 0% | 1,791 | 878 | $0.00 |
| 98968 | 0% | 50 | 42 | $0.00 | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 0% | 3,886 | 2,744 | $0.00 |
| T1003 | Lpn/lvn services, up to 15 minutes | 0% | 17,209 | 5,181 | $0.00 |
63 more codes
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 612 | $0.00 |
| 97161 | 0% | 363 | $0.00 | |
| 97799 | 0% | 166 | $0.00 | |
| 97602 | 0% | 12,719 | $0.00 | |
| 97168 | 0% | 13 | $0.00 | |
| G0162 | Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting) | 0% | 726 | $0.00 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 280 | $0.00 |
| T2003 | Non-emergency transportation, per trip | 0% | 4,982 | $0.00 |
| S5170 | Home delivered meals, including preparation; per meal | 0% | 7,861 | $0.00 |
| A0130 | Non-emergency transportation: wheelchair van | 0% | 11,547 | $0.00 |
| 97116 | 0% | 30 | $0.00 | |
| 99600 | Unlisted home visit service or procedure | 0% | 3,575 | $0.00 |
| 97542 | 0% | 16 | $0.00 | |
| 98960 | 0% | 600 | $0.00 | |
| 97163 | 0% | 42 | $0.00 | |
| 97164 | 0% | 172 | $0.00 | |
| 99397 | 0% | 45 | $0.00 | |
| T1022 | Contracted home health agency services, all services provided under contract, per day | 0% | 108 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 25 | $0.00 |
| A9901 | Dme delivery, set up, and/or dispensing service component of another hcpcs code | 0% | 19 | $0.00 |
| 29580 | 0% | 29 | $0.00 | |
| 98966 | 0% | 21 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 23 | $0.00 |
| 96152 | 0% | 56 | $0.00 | |
| 99071 | 0% | 30 | $0.00 | |
| 99503 | 0% | 131 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 12 | $0.00 |
| T1028 | Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs | 0% | 8,308 | $0.00 |
| 86580 | 0% | 1,076 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 2,736 | $0.00 |
| T1016 | Case management, each 15 minutes | 0% | 21,557 | $0.00 |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | 0% | 8,792 | $0.00 |
| G0493 | Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) | 0% | 11,336 | $0.00 |
| S5101 | Day care services, adult; per half day | 0% | 586 | $0.00 |
| S5102 | Adult day care, billed per day | 0% | 10,107 | $0.00 |
| T1002 | Rn services, up to 15 minutes | 0% | 5,540 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 781 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 2,694 | $0.00 |
| 96156 | 0% | 509 | $0.00 | |
| 97162 | 0% | 67 | $0.00 | |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | 0% | 11,952 | $0.00 |
| 0012A | 0% | 223 | $0.00 | |
| 97165 | 0% | 554 | $0.00 | |
| J1815 | Injection, insulin, per 5 units | 0% | 1,289 | $0.00 |
| G0152 | Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes | 0% | 229 | $0.00 |
| 82962 | 0% | 20,609 | $0.00 | |
| T2001 | Non-emergency transportation; patient attendant/escort | 0% | 813 | $0.00 |
| S9097 | Home visit for wound care | 0% | 208 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 1,284 | $0.00 |
| 97535 | Self-care/home management training, each 15 minutes | 0% | 265 | $0.00 |
| 99506 | 0% | 291 | $0.00 | |
| 96151 | 0% | 156 | $0.00 | |
| 94760 | 0% | 1,015 | $0.00 | |
| 0011A | 0% | 237 | $0.00 | |
| 97802 | 0% | 26 | $0.00 | |
| G0494 | Skilled services of a licensed practical nurse (lpn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) | 0% | 225 | $0.00 |
| 97597 | 0% | 77 | $0.00 | |
| G0496 | Skilled services of a licensed practical nurse (lpn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes | 0% | 107 | $0.00 |
| G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | 0% | 39 | $0.00 |
| 94761 | 0% | 174 | $0.00 | |
| S9977 | Meals, per diem, not otherwise specified | 0% | 35 | $0.00 |
| 99509 | Home visit for assistance with activities of daily living and personal care | 0% | 57 | $0.00 |
| 99443 | 0% | 27 | $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 officialCONFORTI, JAMES (PRESIDENT)
Parent organizationSUTTER HEALTH SACRAMENTO SIERRA REGION
| Provider | Location | Paid |
|---|---|---|
| Sutter Valley Hospitals | Roseville, CA | $81.16M |
| Sutter Valley Hospitals | Vallejo, CA | $33.28M |
| Sutter Valley Hospitals | Davis, CA | $20.04M |
| Sutter Valley Hospitals | Auburn, CA | $15.54M |
| Sutter Valley Hospitals | Jackson, CA | $11.20M |
| Sutter Valley Hospitals | Sacramento, CA | $3.16M |
| Sutter Valley Hospitals | Auburn, CA | $165K |
| Sutter Valley Hospitals | Auburn, CA | $25K |
| Sutter Valley Hospitals | Roseville, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.