Lab
Sutter Bay Medical Foundation
Sutter Bay Medical Foundation was paid $77K by Medicaid between Aug 2024 and Nov 2024, across 54 billing codes. Its largest line is 87491, Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe — 8.5% of everything it billed.
33Billing provider infoSUTTER BAY MEDICAL FOUNDATION
SANTA CRUZ, CA 95062
SANTA CRUZ, CA 95062
33aNPI1184348302assigned 09/30/2022
33bProvider typeClinical Medical Laboratory
28Total paid$77K
24GClaims6,484
24DCodes billed54
24AFirst – last monthAug 2024 – Nov 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in California
Rank by total paid#340 of 561
Median peer was paid$222K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2024incomplete | 6,484 | $77K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 8.5% | 250 | 236 | $7K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 8.4% | 250 | 236 | $6K |
| 80053 | Comprehensive metabolic panel | 7.1% | 596 | 535 | $5K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 6.3% | 238 | 238 | $5K |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | 6.1% | 130 | 125 | $5K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 5.6% | 636 | 572 | $4K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 5.5% | 31 | 31 | $4K |
| 80061 | Lipid panel | 5.0% | 338 | 337 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | 4.4% | 417 | 415 | $3K |
| 86481 | 4.2% | 47 | 47 | $3K | |
| 84443 | Thyroid stimulating hormone (TSH) | 4.2% | 219 | 217 | $3K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 3.1% | 115 | 115 | $2K |
42 more codes
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 2.9% | 51 | $2K |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 2.8% | 68 | $2K |
| 82728 | 2.2% | 146 | $2K | |
| 86803 | 1.7% | 100 | $1K | |
| 83550 | 1.6% | 179 | $1K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 1.5% | 214 | $1K |
| 83540 | 1.4% | 184 | $1K | |
| 80048 | Basic metabolic panel (calcium, ionized) | 1.3% | 134 | $965.12 |
| 84439 | 1.1% | 106 | $854.47 | |
| 87081 | 1.1% | 146 | $827.97 | |
| 87186 | <1% | 88 | $741.97 | |
| 86140 | <1% | 162 | $738.27 | |
| 82570 | <1% | 159 | $720.64 | |
| 82670 | <1% | 31 | $679.79 | |
| 87077 | <1% | 80 | $637.31 | |
| 85027 | <1% | 106 | $588.24 | |
| 81001 | <1% | 216 | $576.64 | |
| 83735 | <1% | 69 | $419.52 | |
| 84153 | <1% | 26 | $417.00 | |
| 82043 | <1% | 78 | $376.92 | |
| 82784 | <1% | 56 | $347.20 | |
| 87070 | <1% | 46 | $336.14 | |
| 85652 | <1% | 138 | $327.14 | |
| 86038 | <1% | 30 | $323.93 | |
| 86592 | <1% | 99 | $320.76 | |
| 80076 | <1% | 47 | $298.69 | |
| 86258 | <1% | 26 | $294.00 | |
| 86364 | <1% | 27 | $294.00 | |
| 84100 | <1% | 65 | $278.85 | |
| 86160 | <1% | 12 | $257.28 | |
| 85610 | <1% | 66 | $234.96 | |
| 84156 | <1% | 71 | $233.13 | |
| 87340 | <1% | 24 | $223.20 | |
| 83690 | <1% | 31 | $177.61 | |
| 82746 | <1% | 13 | $173.29 | |
| 84550 | <1% | 43 | $167.69 | |
| 82607 | <1% | 14 | $149.60 | |
| 86706 | <1% | 15 | $145.50 | |
| 87147 | <1% | 13 | $77.78 | |
| 82565 | <1% | 13 | $57.20 | |
| 84460 | <1% | 12 | $56.04 | |
| 87205 | <1% | 13 | $38.83 |
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, PATIENT EDU)
Parent organizationSUTTER BAY 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 | 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 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.