Clinic
Sutter Bay Hospitals
Sutter Bay Hospitals was paid $3.99M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 75% of everything it billed.
33Billing provider infoSUTTER BAY HOSPITALS
LAKEPORT, CA 95453
LAKEPORT, CA 95453
33aNPI1356779797assigned 10/22/2013
33bProvider typeClinic/Center
28Total paid$3.99M
24GClaims47,339
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in California
Rank by total paid#97 of 504
Median peer was paid$102K
This provider vs. median39×
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 GATES, JOHN 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 | 4,979 | $263K | |
| 2019 | 5,266 | $331K | |
| 2020 | 5,655 | $539K | |
| 2021 | 8,113 | $870K | |
| 2022 | 7,256 | $682K | |
| 2023 | 9,074 | $753K | |
| 2024incomplete | 6,996 | $553K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 75% | 22,744 | 18,402 | $2.98M |
| 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 | 7.6% | 6,443 | 5,675 | $304K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 6.4% | 2,853 | 1,779 | $257K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.7% | 8,877 | 7,778 | $227K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.6% | 1,203 | 1,193 | $103K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 766 | 723 | $18K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 356 | 347 | $18K |
| 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 | <1% | 104 | 103 | $12K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 214 | 207 | $11K |
| 93000 | <1% | 191 | 185 | $9K | |
| 59430 | <1% | 90 | 84 | $9K | |
| 90671 | <1% | 27 | 25 | $7K |
21 more codes
| H1000 | Prenatal care, at-risk assessment | <1% | 39 | $6K |
| 90677 | <1% | 30 | $5K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 245 | $5K |
| 90686 | <1% | 239 | $5K | |
| 81025 | <1% | 882 | $4K | |
| 90715 | <1% | 91 | $3K | |
| 59425 | <1% | 15 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 27 | $1K |
| 90698 | <1% | 12 | $1K | |
| 90680 | <1% | 12 | $1K | |
| 99243 | <1% | 18 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 29 | $735.03 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 29 | $642.19 |
| 93356 | <1% | 13 | $419.38 | |
| 90461 | <1% | 13 | $205.16 | |
| 81003 | <1% | 64 | $193.37 | |
| 85018 | <1% | 51 | $95.15 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 48 | $66.90 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | $37.39 |
| Z1034 | 0% | 1,589 | $0.00 | |
| Z1038 | 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 officialGATES, JOHN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Sutter Bay Hospitals | Castro Valley, CA | $52.65M |
| Sutter Bay Hospitals | Oakland, CA | $46.80M |
| Sutter Bay Hospitals | Berkeley, CA | $43.78M |
| Sutter Bay Hospitals | Lakeport, CA | $39.50M |
| Sutter Bay Hospitals | Santa Rosa, CA | $35.23M |
| Sutter Bay Hospitals | Antioch, CA | $29.48M |
| Sutter Bay Hospitals | San Francisco, CA | $19.99M |
| Sutter Bay Hospitals | Burlingame, CA | $17.15M |
| Sutter Bay Hospitals | San Francisco, CA | $14.94M |
| Sutter Bay Hospitals | Novato, CA | $11.12M |
| Sutter Bay Hospitals | San Francisco, CA | $6.79M |
| Sutter East Bay Hospitals | Antioch, CA | $3.45M |
| Sutter Bay Hospitals | Burlingame, CA | $1.98M |
| Sutter Bay Hospitals | Lakeport, CA | $1.72M |
| Sutter East Bay Hospitals | Oakland, CA | $1.10M |
| Sutter Bay Hospitals | San Francisco, CA | $1.08M |
| Sutter East Bay Hospitals | Berkeley, CA | $946K |
| Sutter West Bay Hospitals | San Francisco, CA | $186K |
| Magnetic Imaging Affiliates, LLC | Oakland, CA | $112K |
| Sutter Bay Hospitals | Berkeley, CA | $45K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.