Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Castro Valley › NPI 1063812907
Hospital

Sutter Bay Hospitals

Sutter Bay Hospitals was paid $52.65M by Medicaid between Jan 2018 and Dec 2024, across 207 billing codes. Its largest line is 99284, emergency room visit (serious) — 27% of everything it billed.

33Billing provider infoSUTTER BAY HOSPITALS
CASTRO VALLEY, CA 94546
33aNPI1063812907assigned 08/28/2014
28Total paid$52.65M
24GClaims693,608
24DCodes billed207
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in California

Rank by total paid#58 of 410
Median peer was paid$6.90M
This provider vs. median7.6×

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

$0$500K$1.0M$1.5M2018201920202021202220232024
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
YearClaimsPaid
2018104,534$6.62M
2019102,537$6.64M
202079,109$5.10M
202184,183$7.02M
202289,371$7.46M
2023112,801$9.92M
2024incomplete121,073$9.89M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 27% 71,861 63,676 $14.34M
0450 Emergency room services 5.4% 11,288 10,129 $2.86M
74177 Computed tomography, abdomen and pelvis; with contrast material 5.2% 6,204 6,021 $2.74M
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5.2% 15,882 8,742 $2.71M
99199 Unlisted special service, procedure or report 4.5% 8,575 7,167 $2.36M
99070 4.1% 29,955 12,605 $2.18M
70450 Computed tomography, head or brain; without contrast material 4.1% 6,673 6,300 $2.17M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3.4% 18,158 16,627 $1.82M
72125 Computed tomography, cervical spine; without contrast material 2.6% 2,619 2,541 $1.36M
96375 Therapeutic injection; each additional sequential IV push 1.8% 13,849 12,152 $970K
71260 Computed tomography, thorax, diagnostic; with contrast material 1.7% 1,561 1,522 $914K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.7% 22,302 20,502 $883K
195 more codes
80053 Comprehensive metabolic panel 1.6% 45,034 $819K
J3490 Unclassified drugs 1.5% 29,915 $792K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1.4% 3,168 $736K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1.4% 3,180 $731K
80048 Basic metabolic panel (calcium, ionized) 1.3% 5,328 $678K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.2% 5,628 $636K
96361 Intravenous infusion, hydration; each additional hour 1.1% 8,429 $573K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.1% 4,598 $559K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 11,253 $500K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 54,014 $487K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 6,261 $446K
99218 <1% 3,083 $434K
71045 Radiologic examination, chest; single view <1% 15,033 $404K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,245 $341K
0250 <1% 4,434 $336K
82077 <1% 2,946 $330K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 1,898 $312K
71046 Radiologic examination, chest; 2 views <1% 7,763 $253K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 9,171 $247K
99285 Emergency room visit (most serious) <1% 1,888 $234K
J7030 Infusion, normal saline solution , 1000 cc <1% 13,016 $223K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 1,945 $219K
97139 <1% 5,326 $208K
84484 <1% 17,658 $197K
Z7502 <1% 5,086 $189K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,716 $189K
70496 <1% 696 $182K
70498 <1% 687 $179K
86850 <1% 2,754 $166K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,657 $165K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 2,928 $164K
81001 <1% 18,700 $163K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 2,927 $162K
93971 <1% 941 $155K
76801 <1% 1,719 $152K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,580 $141K
99221 <1% 998 $137K
83690 <1% 16,074 $136K
80143 <1% 1,170 $134K
76830 Ultrasound, transvaginal <1% 1,330 $134K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 533 $130K
80179 <1% 1,118 $127K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,336 $120K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 9,910 $118K
77067 Screening mammography, bilateral, including computer-aided detection <1% 789 $117K
86901 <1% 4,357 $114K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 881 $110K
99283 Emergency room visit (moderate) <1% 1,674 $109K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 1,040 $109K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" <1% 4,438 $109K
86900 <1% 4,615 $98K
97750 <1% 1,448 $97K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,847 $97K
85730 <1% 4,796 $93K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 3,472 $92K
85610 <1% 6,232 $91K
83880 <1% 2,686 $89K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,592 $75K
J2270 Injection, morphine sulfate, up to 10 mg <1% 5,406 $74K
73630 <1% 1,294 $74K
70486 <1% 206 $71K
84703 <1% 3,677 $64K
73030 <1% 1,324 $62K
73610 <1% 1,314 $58K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,628 $57K
73562 <1% 1,427 $57K
81025 <1% 8,783 $49K
71250 <1% 250 $49K
70551 Magnetic resonance imaging, brain; without contrast material <1% 95 $49K
87086 Culture, bacterial; quantitative colony count, urine <1% 4,647 $48K
72170 <1% 449 $48K
84702 <1% 2,688 $47K
82947 <1% 7,393 $47K
90715 <1% 720 $46K
J1170 Injection, hydromorphone, up to 4 mg <1% 2,721 $45K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 1,395 $45K
83605 <1% 3,619 $42K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 30 $41K
87040 <1% 3,667 $41K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 619 $41K
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% 459 $40K
0762 <1% 45 $40K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 792 $39K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 442 $37K
73130 <1% 763 $37K
96376 <1% 319 $36K
J7120 Ringers lactate infusion, up to 1000 cc <1% 2,626 $34K
97113 <1% 802 $33K
76981 <1% 276 $31K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 698 $31K
84443 Thyroid stimulating hormone (TSH) <1% 1,661 $31K
83735 <1% 3,996 $30K
77063 Screening digital breast tomosynthesis, bilateral <1% 788 $30K
J1815 Injection, insulin, per 5 units <1% 849 $30K
J1650 Injection, enoxaparin sodium, 10 mg <1% 982 $30K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 2,831 $27K
81003 <1% 8,016 $25K
74174 <1% 45 $24K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,540 $23K
87186 <1% 2,126 $20K
J2060 Injection, lorazepam, 2 mg <1% 1,973 $20K
87077 <1% 2,096 $20K
85379 <1% 1,595 $19K
82805 <1% 656 $19K
87430 <1% 1,438 $18K
A9585 Injection, gadobutrol, 0.1 ml <1% 469 $17K
86920 <1% 63 $14K
0270 <1% 586 $14K
94060 <1% 169 $13K
94644 <1% 425 $12K
72100 <1% 270 $12K
J1171 Injection, hydromorphone, 0.1 mg <1% 102 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 920 $10K
87634 <1% 111 $10K
83036 Hemoglobin; glycosylated (A1C) <1% 812 $10K
87210 <1% 1,594 $9K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 27 $8K
73110 <1% 204 $8K
94726 <1% 170 $8K
73560 <1% 214 $8K
94729 <1% 154 $8K
59025 Fetal non-stress test <1% 174 $8K
73502 <1% 193 $8K
76770 <1% 79 $8K
87400 <1% 990 $8K
93970 <1% 28 $8K
Z7610 <1% 662 $6K
J1644 Injection, heparin sodium, per 1000 units <1% 189 $5K
96367 <1% 99 $5K
P9016 Red blood cells, leukocytes reduced, each unit <1% 13 $5K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 91 $5K
J3475 Injection, magnesium sulfate, per 500 mg <1% 127 $4K
93975 <1% 14 $4K
95816 <1% 43 $4K
J7050 Infusion, normal saline solution, 250 cc <1% 159 $4K
J1940 Injection, furosemide, up to 20 mg <1% 280 $3K
J2560 Injection, phenobarbital sodium, up to 120 mg <1% 12 $3K
72131 <1% 13 $3K
73590 <1% 79 $3K
73080 <1% 50 $3K
36415 Collection of venous blood by venipuncture <1% 2,596 $3K
J0780 Injection, prochlorperazine, up to 10 mg <1% 116 $3K
82550 <1% 302 $2K
71020 <1% 63 $2K
76870 <1% 27 $2K
86140 <1% 282 $2K
G0378 Hospital observation service, per hour <1% 61 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 84 $2K
73090 <1% 26 $2K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 32 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 12 $2K
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 27 $2K
73140 <1% 40 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 14 $1K
84100 <1% 259 $1K
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg <1% 393 $1K
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% 669 $1K
76536 <1% 14 $1K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 104 $1K
71010 <1% 53 $1K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 71 $1K
97799 <1% 39 $1K
87081 <1% 96 $1K
72040 <1% 24 $972.10
S0164 Injection, pantoprazole sodium, 40 mg <1% 43 $842.24
85651 <1% 269 $823.63
80061 Lipid panel <1% 69 $787.54
80076 <1% 72 $773.76
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 101 $763.32
93017 <1% 12 $748.34
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg <1% 26 $737.06
99232 Hospital visit by a doctor, follow-up day <1% 20 $662.34
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 26 $635.31
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 33 $625.12
J3370 Injection, vancomycin hcl, 500 mg <1% 22 $607.14
S0028 Injection, famotidine, 20 mg <1% 20 $566.35
73552 <1% 12 $547.97
J1630 Injection, haloperidol, up to 5 mg <1% 64 $524.39
87420 <1% 61 $400.31
87899 <1% 41 $376.26
74018 <1% 12 $302.46
80047 <1% 27 $267.51
85027 <1% 29 $206.93
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 43 $189.04
84145 <1% 12 $175.00
82010 <1% 15 $163.28
86592 <1% 24 $144.43
J2470 Injection, pantoprazole sodium, 40 mg <1% 20 $137.21
87088 <1% 13 $105.59
J2550 Injection, promethazine hcl, up to 50 mg <1% 13 $100.10
84439 <1% 12 $99.76
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 71 $74.83
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 91 $56.44
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 84 $43.19
0250R 0% 228 $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 (CHIEF FINANCIAL OFFICER)
Parent organizationSUTTER HEALTH
Same official

Other billing entities under GATES, JOHN

Full network →
ProviderLocationPaid
Sutter Bay HospitalsOakland, CA$46.80M
Sutter Bay HospitalsBerkeley, CA$43.78M
Sutter Bay HospitalsLakeport, CA$39.50M
Sutter Bay HospitalsSanta Rosa, CA$35.23M
Sutter Bay HospitalsAntioch, CA$29.48M
Sutter Bay HospitalsSan Francisco, CA$19.99M
Sutter Bay HospitalsBurlingame, CA$17.15M
Sutter Bay HospitalsSan Francisco, CA$14.94M
Sutter Bay HospitalsNovato, CA$11.12M
Sutter Bay HospitalsSan Francisco, CA$6.79M
Sutter Bay HospitalsLakeport, CA$3.99M
Sutter East Bay HospitalsAntioch, CA$3.45M
Sutter Bay HospitalsBurlingame, CA$1.98M
Sutter Bay HospitalsLakeport, CA$1.72M
Sutter East Bay HospitalsOakland, CA$1.10M
Sutter Bay HospitalsSan Francisco, CA$1.08M
Sutter East Bay HospitalsBerkeley, CA$946K
Sutter West Bay HospitalsSan Francisco, CA$186K
Magnetic Imaging Affiliates, LLCOakland, CA$112K
Sutter Bay HospitalsBerkeley, CA$45K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.