Medicaid Provider Spending

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

SUTTER VALLEY MEDICAL FOUNDATION

NPI: 1184859894 · FAIRFIELD, CA 94534 · Otolaryngology Physician · NPI assigned 05/26/2009

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

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

$3.92M
Total Medicaid Paid
132,923
Total Claims
116,379
Beneficiaries
158
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 Date05/26/2009

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 19,240 $405K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H1001 Prenatal care, at-risk enhanced service; antepartum management 6,959 4,538 $739K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 35,650 33,517 $506K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 317 294 $292K
59425 2,911 1,982 $290K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,856 20,440 $240K
S9083 Global fee urgent care centers 2,357 2,276 $176K
H1000 Prenatal care, at-risk assessment 708 692 $149K
77067 Screening mammography, bilateral, including computer-aided detection 1,609 1,601 $147K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,726 1,695 $132K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5,896 2,621 $87K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,003 987 $61K
93000 1,999 1,986 $52K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 465 406 $51K
59025 Fetal non-stress test 1,646 869 $51K
99215 Prolong outpt/office vis 863 831 $47K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 772 765 $41K
90686 3,556 3,509 $39K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 948 943 $38K
71046 Radiologic examination, chest; 2 views 3,640 3,563 $38K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 540 454 $37K
73562 3,017 2,455 $34K
76830 Ultrasound, transvaginal 701 699 $29K
99238 Hospital discharge day management, 30 minutes or less 453 427 $28K
20610 766 616 $26K
59514 28 25 $26K
99244 Office or other outpatient consultation, moderate to high complexity 172 166 $25K
Z1034 448 263 $24K
73030 1,812 1,624 $19K
77063 Screening digital breast tomosynthesis, bilateral 844 837 $19K
45380 Colonoscopy, flexible; with biopsy, single or multiple 57 55 $18K
73630 1,433 1,196 $18K
73610 1,139 1,042 $17K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 363 355 $16K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 228 228 $16K
73130 1,145 916 $15K
94729 558 558 $15K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 681 680 $15K
90715 332 320 $14K
73110 886 767 $14K
76700 Ultrasound, abdominal, real time with image documentation; complete 357 356 $13K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 335 326 $13K
94726 507 507 $13K
99232 Subsequent hospital care, per day, moderate complexity 914 491 $12K
73502 775 766 $12K
77080 427 411 $12K
97139 501 191 $11K
76642 263 223 $10K
95117 801 544 $10K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 95 84 $10K
90460 Immunization administration through 18 years of age via any route, first or only component 269 244 $10K
94060 381 381 $9K
59430 81 79 $9K
99223 Prolong inpt eval add15 m 604 553 $9K
0001A 207 207 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 131 126 $7K
92557 171 165 $7K
0011A 168 168 $7K
0012A 161 161 $6K
73564 559 453 $6K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 25 25 $6K
72100 389 388 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 203 199 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 438 339 $5K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 38 36 $5K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 204 193 $4K
90651 72 72 $4K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 72 72 $4K
92504 156 154 $4K
76770 103 103 $3K
90656 247 247 $3K
90677 39 39 $3K
0002A 77 77 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 186 184 $3K
97530 Therapeutic activities, direct patient contact, each 15 minutes 288 120 $3K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 488 207 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 61 59 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 293 285 $2K
0071A 57 57 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 581 581 $2K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 15 12 $2K
99152 25 25 $2K
76536 65 65 $2K
92567 89 84 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 319 303 $2K
90671 27 24 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 720 707 $2K
0072A 42 42 $2K
74177 Computed tomography, abdomen and pelvis; with contrast material 292 285 $2K
71250 42 41 $2K
92133 70 70 $2K
92551 1,463 1,454 $1K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 81 80 $1K
Z1032 12 12 $1K
99243 12 12 $1K
73560 131 115 $1K
J1030 Injection, methylprednisolone acetate, 40 mg 104 102 $1K
90670 139 125 $1K
31231 12 12 $1K
92588 21 18 $1K
A9585 Injection, gadobutrol, 0.1 ml 24 24 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 533 531 $1K
93320 24 24 $1K
72110 65 65 $975.31
90461 66 66 $969.84
97163 15 15 $969.80
99233 Prolong inpt eval add15 m 1,542 686 $886.23
95115 92 49 $852.62
97750 20 12 $831.43
97799 30 30 $703.87
76801 15 14 $698.48
92134 73 73 $679.96
90698 75 70 $675.00
99496 24 24 $641.92
69210 14 12 $612.69
97535 Self-care/home management training, each 15 minutes 72 67 $554.57
0064A 12 12 $480.00
96127 92 89 $476.19
76705 Ultrasound, abdominal, real time with image documentation; limited 160 158 $456.57
99205 Prolong outpt/office vis 41 41 $446.83
97010 23 13 $444.38
90734 41 41 $360.00
90619 40 40 $351.00
G9920 Screening performed and negative 12 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 26 25 $321.32
90744 24 24 $216.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 452 440 $193.76
73140 13 13 $160.16
72040 14 13 $156.69
90680 16 16 $144.00
90633 15 12 $135.00
70450 Computed tomography, head or brain; without contrast material 270 261 $130.79
73080 13 12 $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) 82 80 $97.57
99239 Hospital discharge day management, more than 30 minutes 485 473 $96.12
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 177 167 $93.66
81025 16 16 $87.68
93325 24 24 $77.39
74176 Computed tomography, abdomen and pelvis; without contrast material 91 85 $73.21
85018 229 220 $64.44
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 100 97 $57.20
71045 Radiologic examination, chest; single view 860 618 $22.25
86580 45 44 $13.44
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 12 12 $4.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 266 266 $0.00
G0008 Administration of influenza virus vaccine 126 126 $0.00
71275 Computed tomographic angiography, chest, with contrast material 30 30 $0.00
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 109 58 $0.00
97162 14 14 $0.00
99255 13 13 $0.00
71260 Computed tomography, thorax, diagnostic; with contrast material 14 13 $0.00
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 43 38 $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) 27 27 $0.00
99222 Initial hospital care, per day, moderate complexity 64 63 $0.00
72125 Computed tomography, cervical spine; without contrast material 15 15 $0.00
99254 17 17 $0.00
74018 50 43 $0.00
90662 164 164 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 13 13 $0.00