Physician
Sutter Valley Medical Foundation
Sutter Valley Medical Foundation was paid $3.92M by Medicaid between Jan 2018 and Nov 2024, across 158 billing codes. Its largest line is H1001, Prenatal care, at-risk enhanced service; antepartum management — 19% of everything it billed.
33Billing provider infoSUTTER VALLEY MEDICAL FOUNDATION
FAIRFIELD, CA 94534
FAIRFIELD, CA 94534
33aNPI1184859894assigned 05/26/2009
33bProvider typeOtolaryngology Physician
28Total paid$3.92M
24GClaims132,923
24DCodes billed158
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Otolaryngology Physician providers in California
Rank by total paid#5 of 168
Median peer was paid$67K
This provider vs. median58×
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 | 26,698 | $419K | |
| 2019 | 16,142 | $376K | |
| 2020 | 12,747 | $397K | |
| 2021 | 16,467 | $659K | |
| 2022 | 18,713 | $928K | |
| 2023 | 22,916 | $733K | |
| 2024incomplete | 19,240 | $405K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 19% | 6,959 | 4,538 | $739K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 13% | 35,650 | 33,517 | $506K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 7.4% | 317 | 294 | $292K |
| 59425 | 7.4% | 2,911 | 1,982 | $290K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.1% | 21,856 | 20,440 | $240K |
| S9083 | Global fee urgent care centers | 4.5% | 2,357 | 2,276 | $176K |
| H1000 | Prenatal care, at-risk assessment | 3.8% | 708 | 692 | $149K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 3.7% | 1,609 | 1,601 | $147K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.4% | 1,726 | 1,695 | $132K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 2.2% | 5,896 | 2,621 | $87K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.6% | 1,003 | 987 | $61K |
| 93000 | 1.3% | 1,999 | 1,986 | $52K |
146 more codes
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.3% | 465 | $51K |
| 59025 | Fetal non-stress test | 1.3% | 1,646 | $51K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.2% | 863 | $47K |
| 99203 | Doctor's office visit, new patient (routine) | 1.0% | 772 | $41K |
| 90686 | <1% | 3,556 | $39K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 948 | $38K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 3,640 | $38K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 540 | $37K |
| 73562 | <1% | 3,017 | $34K | |
| 76830 | Ultrasound, transvaginal | <1% | 701 | $29K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 453 | $28K |
| 20610 | <1% | 766 | $26K | |
| 59514 | <1% | 28 | $26K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 172 | $25K |
| Z1034 | <1% | 448 | $24K | |
| 73030 | <1% | 1,812 | $19K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 844 | $19K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 57 | $18K |
| 73630 | <1% | 1,433 | $18K | |
| 73610 | <1% | 1,139 | $17K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 363 | $16K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 228 | $16K |
| 73130 | <1% | 1,145 | $15K | |
| 94729 | <1% | 558 | $15K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 681 | $15K |
| 90715 | <1% | 332 | $14K | |
| 73110 | <1% | 886 | $14K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 357 | $13K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 335 | $13K |
| 94726 | <1% | 507 | $13K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 914 | $12K |
| 73502 | <1% | 775 | $12K | |
| 77080 | <1% | 427 | $12K | |
| 97139 | <1% | 501 | $11K | |
| 76642 | <1% | 263 | $10K | |
| 95117 | <1% | 801 | $10K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 95 | $10K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 269 | $10K |
| 94060 | <1% | 381 | $9K | |
| 59430 | <1% | 81 | $9K | |
| 99223 | Prolong inpt eval add15 m | <1% | 604 | $9K |
| 0001A | <1% | 207 | $8K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 131 | $7K |
| 92557 | <1% | 171 | $7K | |
| 0011A | <1% | 168 | $7K | |
| 0012A | <1% | 161 | $6K | |
| 73564 | <1% | 559 | $6K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 25 | $6K |
| 72100 | <1% | 389 | $5K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 203 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 438 | $5K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 38 | $5K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 204 | $4K |
| 90651 | <1% | 72 | $4K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 72 | $4K |
| 92504 | <1% | 156 | $4K | |
| 76770 | <1% | 103 | $3K | |
| 90656 | <1% | 247 | $3K | |
| 90677 | <1% | 39 | $3K | |
| 0002A | <1% | 77 | $3K | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 186 | $3K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 288 | $3K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 488 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 61 | $2K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 293 | $2K |
| 0071A | <1% | 57 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 581 | $2K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 15 | $2K |
| 99152 | <1% | 25 | $2K | |
| 76536 | <1% | 65 | $2K | |
| 92567 | <1% | 89 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 319 | $2K |
| 90671 | <1% | 27 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 720 | $2K |
| 0072A | <1% | 42 | $2K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 292 | $2K |
| 71250 | <1% | 42 | $2K | |
| 92133 | <1% | 70 | $2K | |
| 92551 | <1% | 1,463 | $1K | |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 81 | $1K |
| Z1032 | <1% | 12 | $1K | |
| 99243 | <1% | 12 | $1K | |
| 73560 | <1% | 131 | $1K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 104 | $1K |
| 90670 | <1% | 139 | $1K | |
| 31231 | <1% | 12 | $1K | |
| 92588 | <1% | 21 | $1K | |
| A9585 | Injection, gadobutrol, 0.1 ml | <1% | 24 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 533 | $1K |
| 93320 | <1% | 24 | $1K | |
| 72110 | <1% | 65 | $975.31 | |
| 90461 | <1% | 66 | $969.84 | |
| 97163 | <1% | 15 | $969.80 | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,542 | $886.23 |
| 95115 | <1% | 92 | $852.62 | |
| 97750 | <1% | 20 | $831.43 | |
| 97799 | <1% | 30 | $703.87 | |
| 76801 | <1% | 15 | $698.48 | |
| 92134 | <1% | 73 | $679.96 | |
| 90698 | <1% | 75 | $675.00 | |
| 99496 | <1% | 24 | $641.92 | |
| 69210 | <1% | 14 | $612.69 | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 72 | $554.57 |
| 0064A | <1% | 12 | $480.00 | |
| 96127 | <1% | 92 | $476.19 | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 160 | $456.57 |
| 99205 | Prolong outpt/office vis | <1% | 41 | $446.83 |
| 97010 | <1% | 23 | $444.38 | |
| 90734 | <1% | 41 | $360.00 | |
| 90619 | <1% | 40 | $351.00 | |
| G9920 | Screening performed and negative | <1% | 12 | $348.00 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 26 | $321.32 |
| 90744 | <1% | 24 | $216.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 452 | $193.76 |
| 73140 | <1% | 13 | $160.16 | |
| 72040 | <1% | 14 | $156.69 | |
| 90680 | <1% | 16 | $144.00 | |
| 90633 | <1% | 15 | $135.00 | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 270 | $130.79 |
| 73080 | <1% | 13 | $113.82 | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 82 | $97.57 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 485 | $96.12 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 177 | $93.66 |
| 81025 | <1% | 16 | $87.68 | |
| 93325 | <1% | 24 | $77.39 | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 91 | $73.21 |
| 85018 | <1% | 229 | $64.44 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 100 | $57.20 |
| 71045 | Radiologic examination, chest; single view | <1% | 860 | $22.25 |
| 86580 | <1% | 45 | $13.44 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 12 | $4.56 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 266 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 126 | $0.00 |
| 71275 | Computed tomographic angiography, chest, with contrast material | 0% | 30 | $0.00 |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 0% | 109 | $0.00 |
| 97162 | 0% | 14 | $0.00 | |
| 99255 | 0% | 13 | $0.00 | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | 0% | 14 | $0.00 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 0% | 43 | $0.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 27 | $0.00 |
| 99222 | Initial hospital care, per day, moderate complexity | 0% | 64 | $0.00 |
| 72125 | Computed tomography, cervical spine; without contrast material | 0% | 15 | $0.00 |
| 99254 | 0% | 17 | $0.00 | |
| 74018 | 0% | 50 | $0.00 | |
| 90662 | 0% | 164 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 13 | $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 | 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 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.