Lab
Sutter Valley Medical Foundation
Sutter Valley Medical Foundation was paid $303K by Medicaid between Jan 2018 and Nov 2024, across 51 billing codes. Its largest line is 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 — 39% of everything it billed.
33Billing provider infoSUTTER VALLEY MEDICAL FOUNDATION
MODESTO, CA 95355
MODESTO, CA 95355
33aNPI1285009035assigned 12/04/2015
33bProvider typeClinical Medical Laboratory
28Total paid$303K
24GClaims22,762
24DCodes billed51
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in California
Rank by total paid#264 of 561
Median peer was paid$222K
This provider vs. median1.4×
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 | 2,308 | $8K | |
| 2019 | 1,924 | $6K | |
| 2020 | 1,727 | $47K | |
| 2021 | 3,864 | $105K | |
| 2022 | 2,314 | $51K | |
| 2023 | 5,114 | $47K | |
| 2024incomplete | 5,511 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 39% | 1,447 | 1,382 | $117K |
| 80053 | Comprehensive metabolic panel | 10% | 4,318 | 3,769 | $31K |
| 80061 | Lipid panel | 8.1% | 2,032 | 1,999 | $25K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 7.4% | 4,094 | 3,613 | $22K |
| 87086 | Culture, bacterial; quantitative colony count, urine | 5.7% | 1,755 | 1,664 | $17K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.0% | 309 | 298 | $15K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 4.3% | 111 | 110 | $13K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 2.9% | 360 | 357 | $9K |
| 86803 | 2.1% | 426 | 398 | $6K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.8% | 23 | 23 | $6K |
| 87634 | 1.7% | 27 | 27 | $5K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.7% | 460 | 440 | $5K |
39 more codes
| 80048 | Basic metabolic panel (calcium, ionized) | 1.6% | 767 | $5K |
| 81001 | 1.2% | 1,070 | $4K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 131 | $3K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 339 | $3K |
| 87081 | <1% | 194 | $2K | |
| 86481 | <1% | 12 | $2K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 40 | $2K |
| 87186 | <1% | 193 | $2K | |
| 86140 | <1% | 324 | $2K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 27 | $2K |
| 87077 | <1% | 115 | $869.67 | |
| 80074 | <1% | 12 | $673.48 | |
| 87400 | <1% | 37 | $565.88 | |
| 82607 | <1% | 85 | $550.72 | |
| 82728 | <1% | 95 | $540.02 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,173 | $407.62 |
| 85652 | <1% | 323 | $355.25 | |
| 81003 | <1% | 128 | $326.87 | |
| 82570 | <1% | 154 | $173.67 | |
| 86038 | <1% | 15 | $145.81 | |
| 86762 | <1% | 13 | $104.18 | |
| 86735 | <1% | 13 | $93.35 | |
| 86765 | <1% | 13 | $92.20 | |
| 82043 | <1% | 76 | $90.71 | |
| 87070 | <1% | 56 | $89.41 | |
| 83735 | <1% | 20 | $76.43 | |
| 83550 | <1% | 41 | $73.18 | |
| 83540 | <1% | 42 | $60.99 | |
| 85027 | <1% | 16 | $43.93 | |
| 71046 | Radiologic examination, chest; 2 views | 0% | 199 | $0.00 |
| 70450 | Computed tomography, head or brain; without contrast material | 0% | 72 | $0.00 |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 0% | 149 | $0.00 |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 0% | 88 | $0.00 |
| 99223 | Prolong inpt eval add15 m | 0% | 32 | $0.00 |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | 0% | 17 | $0.00 |
| 71045 | Radiologic examination, chest; single view | 0% | 197 | $0.00 |
| 99239 | Hospital discharge day management, more than 30 minutes | 0% | 35 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 47 | $0.00 |
| 99232 | Hospital visit by a doctor, follow-up day | 0% | 40 | $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)
| 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 | 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.