Medicaid Provider Spending

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

SUTTER VALLEY MEDICAL FOUNDATION

NPI: 1063646446 · YUBA CITY, CA 95991 · Clinical Medical Laboratory · NPI assigned 05/13/2009

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

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

$2.45M
Total Medicaid Paid
114,039
Total Claims
108,291
Beneficiaries
107
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLOPES, KRISTA (SH VP, QUALITY, SAFETY AND PATIENT)
Parent OrganizationSUTTER MEDICAL FOUNDATION
NPI Enumeration Date05/13/2009

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 15,070 $468K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80081 3,555 3,363 $385K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 755 755 $252K
80053 Comprehensive metabolic panel 11,646 10,704 $152K
84443 Thyroid stimulating hormone (TSH) 6,531 6,422 $143K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 13,652 12,434 $130K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,773 1,693 $118K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,187 2,155 $115K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 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 1,203 1,166 $110K
83036 Hemoglobin; glycosylated (A1C) 8,072 7,964 $110K
80061 Lipid panel 5,998 5,944 $103K
87086 Culture, bacterial; quantitative colony count, urine 6,682 6,307 $72K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,683 1,656 $62K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 636 628 $60K
84439 3,103 3,038 $39K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 472 469 $38K
86803 1,489 1,465 $34K
87081 2,977 2,956 $31K
85027 3,293 3,215 $30K
80048 Basic metabolic panel (calcium, ionized) 2,601 2,446 $27K
82950 3,504 3,436 $24K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 529 529 $20K
82951 938 920 $17K
87077 1,174 1,126 $16K
86140 2,180 1,898 $15K
86592 2,103 2,090 $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 684 668 $14K
87186 950 915 $13K
81001 2,891 2,735 $12K
83540 1,308 1,279 $12K
83550 1,068 1,057 $12K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 60 57 $11K
84481 382 371 $10K
86235 59 59 $10K
82728 523 505 $10K
82043 1,331 1,311 $9K
85652 2,198 1,912 $8K
82570 1,120 1,061 $7K
86376 287 285 $6K
83880 133 124 $5K
84702 236 150 $5K
86038 249 242 $5K
87070 433 425 $5K
83690 473 461 $5K
83970 79 78 $4K
82952 734 721 $4K
83001 118 118 $4K
80076 393 373 $4K
81003 1,223 1,186 $4K
82607 165 164 $3K
86160 63 63 $3K
84550 554 542 $3K
82150 314 296 $3K
82746 111 111 $3K
85610 573 418 $2K
84403 67 67 $2K
84153 78 78 $2K
86225 61 61 $2K
87799 19 19 $2K
83735 207 169 $2K
80069 162 149 $2K
80055 16 16 $2K
86431 142 140 $1K
82670 27 27 $1K
83516 47 47 $1K
80074 12 12 $903.36
87512 16 16 $491.20
86762 29 29 $457.99
86364 12 12 $324.45
85007 74 74 $312.09
82784 24 24 $306.15
87205 50 49 $238.84
87147 13 13 $189.76
84484 14 13 $155.06
84460 13 13 $153.82
84450 12 12 $135.90
87088 15 15 $133.16
86850 27 27 $115.32
84156 20 17 $83.22
84100 16 13 $80.94
86901 28 26 $74.01
81015 16 16 $72.96
86900 25 25 $67.69
71045 Radiologic examination, chest; single view 412 343 $0.00
93000 254 248 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 298 285 $0.00
A9585 Injection, gadobutrol, 0.1 ml 22 22 $0.00
H1001 Prenatal care, at-risk enhanced service; antepartum management 672 496 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 153 151 $0.00
99232 Subsequent hospital care, per day, moderate complexity 60 31 $0.00
76830 Ultrasound, transvaginal 12 12 $0.00
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 166 84 $0.00
99239 Hospital discharge day management, more than 30 minutes 47 47 $0.00
93320 89 48 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16 14 $0.00
74177 Computed tomography, abdomen and pelvis; with contrast material 89 89 $0.00
99233 Prolong inpt eval add15 m 131 62 $0.00
93325 267 139 $0.00
77067 Screening mammography, bilateral, including computer-aided detection 64 64 $0.00
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 91 49 $0.00
70450 Computed tomography, head or brain; without contrast material 133 132 $0.00
99223 Prolong inpt eval add15 m 41 40 $0.00
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 14 14 $0.00
99244 Office or other outpatient consultation, moderate to high complexity 24 24 $0.00
71046 Radiologic examination, chest; 2 views 146 144 $0.00
93321 23 13 $0.00
76705 Ultrasound, abdominal, real time with image documentation; limited 14 14 $0.00