Lab
Sutter Valley Medical Foundation
Sutter Valley Medical Foundation was paid $2.45M by Medicaid between Jan 2018 and Nov 2024, across 107 billing codes. Its largest line is 80081, — 16% of everything it billed.
33Billing provider infoSUTTER VALLEY MEDICAL FOUNDATION
YUBA CITY, CA 95991
YUBA CITY, CA 95991
33aNPI1063646446assigned 05/13/2009
33bProvider typeClinical Medical Laboratory
28Total paid$2.45M
24GClaims114,039
24DCodes billed107
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in California
Rank by total paid#136 of 561
Median peer was paid$222K
This provider vs. median11×
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 LOPES, KRISTA 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 | 11,244 | $168K | |
| 2019 | 8,355 | $139K | |
| 2020 | 13,303 | $213K | |
| 2021 | 19,300 | $395K | |
| 2022 | 22,240 | $552K | |
| 2023 | 24,527 | $512K | |
| 2024incomplete | 15,070 | $468K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80081 | 16% | 3,555 | 3,363 | $385K | |
| 81220 | CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants | 10% | 755 | 755 | $252K |
| 80053 | Comprehensive metabolic panel | 6.2% | 11,646 | 10,704 | $152K |
| 84443 | Thyroid stimulating hormone (TSH) | 5.9% | 6,531 | 6,422 | $143K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 5.3% | 13,652 | 12,434 | $130K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.8% | 1,773 | 1,693 | $118K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 4.7% | 2,187 | 2,155 | $115K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 4.5% | 2,111 | 2,081 | $111K |
| 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 | 4.5% | 1,203 | 1,166 | $110K |
| 83036 | Hemoglobin; glycosylated (A1C) | 4.5% | 8,072 | 7,964 | $110K |
| 80061 | Lipid panel | 4.2% | 5,998 | 5,944 | $103K |
| 87086 | Culture, bacterial; quantitative colony count, urine | 3.0% | 6,682 | 6,307 | $72K |
95 more codes
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 2.5% | 1,683 | $62K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 2.5% | 636 | $60K |
| 84439 | 1.6% | 3,103 | $39K | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | 1.5% | 472 | $38K |
| 86803 | 1.4% | 1,489 | $34K | |
| 87081 | 1.3% | 2,977 | $31K | |
| 85027 | 1.2% | 3,293 | $30K | |
| 80048 | Basic metabolic panel (calcium, ionized) | 1.1% | 2,601 | $27K |
| 82950 | <1% | 3,504 | $24K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 529 | $20K |
| 82951 | <1% | 938 | $17K | |
| 87077 | <1% | 1,174 | $16K | |
| 86140 | <1% | 2,180 | $15K | |
| 86592 | <1% | 2,103 | $14K | |
| 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 | <1% | 684 | $14K |
| 87186 | <1% | 950 | $13K | |
| 81001 | <1% | 2,891 | $12K | |
| 83540 | <1% | 1,308 | $12K | |
| 83550 | <1% | 1,068 | $12K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 60 | $11K |
| 84481 | <1% | 382 | $10K | |
| 86235 | <1% | 59 | $10K | |
| 82728 | <1% | 523 | $10K | |
| 82043 | <1% | 1,331 | $9K | |
| 85652 | <1% | 2,198 | $8K | |
| 82570 | <1% | 1,120 | $7K | |
| 86376 | <1% | 287 | $6K | |
| 83880 | <1% | 133 | $5K | |
| 84702 | <1% | 236 | $5K | |
| 86038 | <1% | 249 | $5K | |
| 87070 | <1% | 433 | $5K | |
| 83690 | <1% | 473 | $5K | |
| 83970 | <1% | 79 | $4K | |
| 82952 | <1% | 734 | $4K | |
| 83001 | <1% | 118 | $4K | |
| 80076 | <1% | 393 | $4K | |
| 81003 | <1% | 1,223 | $4K | |
| 82607 | <1% | 165 | $3K | |
| 86160 | <1% | 63 | $3K | |
| 84550 | <1% | 554 | $3K | |
| 82150 | <1% | 314 | $3K | |
| 82746 | <1% | 111 | $3K | |
| 85610 | <1% | 573 | $2K | |
| 84403 | <1% | 67 | $2K | |
| 84153 | <1% | 78 | $2K | |
| 86225 | <1% | 61 | $2K | |
| 87799 | <1% | 19 | $2K | |
| 83735 | <1% | 207 | $2K | |
| 80069 | <1% | 162 | $2K | |
| 80055 | <1% | 16 | $2K | |
| 86431 | <1% | 142 | $1K | |
| 82670 | <1% | 27 | $1K | |
| 83516 | <1% | 47 | $1K | |
| 80074 | <1% | 12 | $903.36 | |
| 87512 | <1% | 16 | $491.20 | |
| 86762 | <1% | 29 | $457.99 | |
| 86364 | <1% | 12 | $324.45 | |
| 85007 | <1% | 74 | $312.09 | |
| 82784 | <1% | 24 | $306.15 | |
| 87205 | <1% | 50 | $238.84 | |
| 87147 | <1% | 13 | $189.76 | |
| 84484 | <1% | 14 | $155.06 | |
| 84460 | <1% | 13 | $153.82 | |
| 84450 | <1% | 12 | $135.90 | |
| 87088 | <1% | 15 | $133.16 | |
| 86850 | <1% | 27 | $115.32 | |
| 84156 | <1% | 20 | $83.22 | |
| 84100 | <1% | 16 | $80.94 | |
| 86901 | <1% | 28 | $74.01 | |
| 81015 | <1% | 16 | $72.96 | |
| 86900 | <1% | 25 | $67.69 | |
| 71045 | Radiologic examination, chest; single view | 0% | 412 | $0.00 |
| 93000 | 0% | 254 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 298 | $0.00 |
| A9585 | Injection, gadobutrol, 0.1 ml | 0% | 22 | $0.00 |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 0% | 672 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 153 | $0.00 |
| 99232 | Hospital visit by a doctor, follow-up day | 0% | 60 | $0.00 |
| 76830 | Ultrasound, transvaginal | 0% | 12 | $0.00 |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 0% | 166 | $0.00 |
| 99239 | Hospital discharge day management, more than 30 minutes | 0% | 47 | $0.00 |
| 93320 | 0% | 89 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 16 | $0.00 |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 0% | 89 | $0.00 |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 0% | 131 | $0.00 |
| 93325 | 0% | 267 | $0.00 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 0% | 64 | $0.00 |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 0% | 91 | $0.00 |
| 70450 | Computed tomography, head or brain; without contrast material | 0% | 133 | $0.00 |
| 99223 | Prolong inpt eval add15 m | 0% | 41 | $0.00 |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 0% | 14 | $0.00 |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 0% | 24 | $0.00 |
| 71046 | Radiologic examination, chest; 2 views | 0% | 146 | $0.00 |
| 93321 | 0% | 23 | $0.00 | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | 0% | 14 | $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 officialLOPES, KRISTA (SH VP, QUALITY, SAFETY AND PATIENT)
Parent organizationSUTTER MEDICAL FOUNDATION
| Provider | Location | Paid |
|---|---|---|
| Sutter Valley Medical Foundation | Sacramento, CA | $41.25M |
| Sutter Bay Medical Foundation | Palo Alto, CA | $19.65M |
| 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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.