Lab
Sutter Bay Medical Foundation
Sutter Bay Medical Foundation was paid $11K by Medicaid between Aug 2024 and Nov 2024, across 27 billing codes. Its largest line is 80061, Lipid panel — 13% of everything it billed.
33Billing provider infoSUTTER BAY MEDICAL FOUNDATION
PALO ALTO, CA 94301
PALO ALTO, CA 94301
33aNPI1295459246assigned 10/03/2022
33bProvider typeClinical Medical Laboratory
28Total paid$11K
24GClaims2,270
24DCodes billed27
24AFirst – last monthAug 2024 – Nov 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in California
Rank by total paid#432 of 561
Median peer was paid$222K
This provider vs. median0.1×
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 | 2,270 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80061 | Lipid panel | 13% | 261 | 261 | $1K |
| 80053 | Comprehensive metabolic panel | 13% | 347 | 302 | $1K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 12% | 145 | 145 | $1K |
| 84443 | Thyroid stimulating hormone (TSH) | 9.2% | 152 | 149 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | 8.5% | 280 | 280 | $968.30 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 8.3% | 33 | 31 | $937.92 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 8.2% | 33 | 31 | $929.41 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 8.1% | 241 | 211 | $919.07 |
| 80048 | Basic metabolic panel (calcium, ionized) | 2.6% | 136 | 124 | $293.15 |
| 82728 | 2.2% | 48 | 48 | $252.26 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 2.1% | 12 | 12 | $239.06 |
| 84439 | 1.4% | 43 | 43 | $155.77 |
15 more codes
| 82607 | 1.3% | 77 | $152.63 | |
| 86803 | 1.2% | 12 | $137.01 | |
| 85027 | 1.1% | 39 | $127.96 | |
| 82274 | <1% | 12 | $111.71 | |
| 83970 | <1% | 12 | $104.52 | |
| 83550 | <1% | 29 | $95.77 | |
| 82570 | <1% | 103 | $93.86 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 34 | $83.04 |
| 87081 | <1% | 12 | $80.40 | |
| 83540 | <1% | 29 | $79.51 | |
| 86140 | <1% | 42 | $73.23 | |
| 81001 | <1% | 48 | $65.71 | |
| 82043 | <1% | 51 | $52.86 | |
| 87077 | <1% | 13 | $52.53 | |
| 85652 | <1% | 26 | $19.01 |
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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.