Medicaid Provider Spending

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

SUTTER VALLEY MEDICAL FOUNDATION

NPI: 1285009035 · MODESTO, CA 95355 · Clinical Medical Laboratory · NPI assigned 12/04/2015

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

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

$303K
Total Medicaid Paid
22,762
Total Claims
20,934
Beneficiaries
51
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLOPES, KRISTA (SH VP, QUALITY, SAFETY AND PATIENT)
NPI Enumeration Date12/04/2015

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 5,511 $39K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 1,447 1,382 $117K
80053 Comprehensive metabolic panel 4,318 3,769 $31K
80061 Lipid panel 2,032 1,999 $25K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,094 3,613 $22K
87086 Culture, bacterial; quantitative colony count, urine 1,755 1,664 $17K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 309 298 $15K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 111 110 $13K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 360 357 $9K
86803 426 398 $6K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 23 23 $6K
87634 27 27 $5K
83036 Hemoglobin; glycosylated (A1C) 460 440 $5K
80048 Basic metabolic panel (calcium, ionized) 767 731 $5K
81001 1,070 1,024 $4K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 131 130 $3K
84443 Thyroid stimulating hormone (TSH) 339 331 $3K
87081 194 194 $2K
86481 12 12 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 40 39 $2K
87186 193 189 $2K
86140 324 300 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 27 27 $2K
87077 115 112 $869.67
80074 12 12 $673.48
87400 37 37 $565.88
82607 85 84 $550.72
82728 95 94 $540.02
36415 Collection of venous blood by venipuncture 2,173 1,894 $407.62
85652 323 311 $355.25
81003 128 126 $326.87
82570 154 153 $173.67
86038 15 13 $145.81
86762 13 13 $104.18
86735 13 13 $93.35
86765 13 13 $92.20
82043 76 75 $90.71
87070 56 56 $89.41
83735 20 17 $76.43
83550 41 40 $73.18
83540 42 41 $60.99
85027 16 15 $43.93
71046 Radiologic examination, chest; 2 views 199 197 $0.00
70450 Computed tomography, head or brain; without contrast material 72 69 $0.00
99233 Prolong inpt eval add15 m 149 84 $0.00
74177 Computed tomography, abdomen and pelvis; with contrast material 88 87 $0.00
99223 Prolong inpt eval add15 m 32 30 $0.00
76705 Ultrasound, abdominal, real time with image documentation; limited 17 14 $0.00
71045 Radiologic examination, chest; single view 197 172 $0.00
99239 Hospital discharge day management, more than 30 minutes 35 35 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 47 46 $0.00
99232 Subsequent hospital care, per day, moderate complexity 40 24 $0.00