Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Sutter Valley Hospitals

Sutter Valley Hospitals was paid $26.09M by Medicaid between Jan 2018 and Nov 2024, across 238 billing codes. Its largest line is 99281, Emergency department visit for the evaluation and management, self-limited or minor — 25% of everything it billed.

33Billing provider infoSUTTER VALLEY HOSPITALS
LOS BANOS, CA 93635
33aNPI1366896300assigned 04/15/2016
33bProvider typeGeneral Acute Care Hospital
28Total paid$26.09M
24GClaims813,471
24DCodes billed238
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other General Acute Care Hospital providers in California

Rank by total paid#102 of 410
Median peer was paid$6.90M
This provider vs. median3.8×

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.

Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
2018119,243$2.52M
2019120,840$3.27M
202087,220$2.96M
2021103,605$3.51M
2022121,612$4.62M
2023132,262$4.61M
2024incomplete128,689$4.61M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99281 Emergency department visit for the evaluation and management, self-limited or minor 25% 98,218 87,032 $6.41M
74177 Computed tomography, abdomen and pelvis; with contrast material 5.6% 6,142 5,963 $1.45M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4.9% 16,928 15,363 $1.28M
70450 Computed tomography, head or brain; without contrast material 4.2% 6,126 5,980 $1.11M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 3.3% 4,123 4,038 $867K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 3.1% 4,015 3,930 $820K
96375 Therapeutic injection; each additional sequential IV push 2.5% 12,629 11,035 $661K
80053 Comprehensive metabolic panel 2.3% 52,410 46,957 $598K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2.2% 17,335 16,045 $579K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.0% 61,927 54,973 $517K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.9% 5,492 4,866 $487K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.7% 6,790 6,564 $452K
226 more codes
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.6% 5,552 $415K
72125 Computed tomography, cervical spine; without contrast material 1.5% 1,739 $392K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.5% 3,541 $388K
99213 Doctor's office visit, returning patient (routine) 1.5% 3,374 $381K
0450 Emergency room services 1.3% 8,118 $329K
71275 Computed tomographic angiography, chest, with contrast material 1.2% 1,428 $308K
71046 Radiologic examination, chest; 2 views 1.1% 12,444 $279K
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 1.1% 3,383 $275K
96361 Intravenous infusion, hydration; each additional hour 1.0% 7,056 $270K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1.0% 5,578 $263K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 2,080 $237K
84443 Thyroid stimulating hormone (TSH) <1% 11,552 $236K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 2,284 $230K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 469 $220K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 2,648 $214K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 700 $193K
84484 <1% 15,953 $173K
Z7502 <1% 4,306 $160K
80061 Lipid panel <1% 9,320 $157K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,916 $154K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,037 $145K
J7030 Infusion, normal saline solution , 1000 cc <1% 14,971 $136K
77067 Screening mammography, bilateral, including computer-aided detection <1% 966 $135K
83036 Hemoglobin; glycosylated (A1C) <1% 10,876 $131K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 2,405 $130K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 2,402 $130K
71250 <1% 586 $129K
87086 Culture, bacterial; quantitative colony count, urine <1% 11,559 $128K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 1,319 $123K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 2,463 $122K
81025 <1% 14,640 $112K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 16,394 $110K
83690 <1% 15,009 $109K
70551 Magnetic resonance imaging, brain; without contrast material <1% 196 $107K
76801 <1% 1,473 $103K
71045 Radiologic examination, chest; single view <1% 8,489 $99K
99199 Unlisted special service, procedure or report <1% 1,003 $96K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 2,148 $95K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" <1% 74,550 $94K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 177 $93K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 2,896 $89K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 9,622 $87K
81001 <1% 24,856 $86K
70496 <1% 370 $81K
93971 <1% 627 $79K
73610 <1% 2,245 $73K
73630 <1% 2,406 $70K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 10,988 $70K
59025 Fetal non-stress test <1% 1,479 $64K
73030 <1% 2,080 $64K
73564 <1% 1,820 $64K
83880 <1% 2,371 $59K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,291 $58K
87040 <1% 4,068 $57K
72131 <1% 276 $56K
73130 <1% 1,687 $54K
70498 <1% 415 $51K
82077 <1% 1,884 $49K
J2270 Injection, morphine sulfate, up to 10 mg <1% 5,509 $49K
90715 <1% 1,366 $48K
80048 Basic metabolic panel (calcium, ionized) <1% 4,753 $46K
Z9725 <1% 1,083 $46K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 273 $45K
84702 <1% 2,678 $45K
87186 <1% 3,702 $45K
73110 <1% 1,405 $44K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,743 $42K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 1,713 $42K
81003 <1% 15,935 $41K
J7120 Ringers lactate infusion, up to 1000 cc <1% 3,995 $41K
82803 <1% 1,401 $38K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 425 $37K
83735 <1% 5,505 $37K
80074 <1% 474 $36K
87480 <1% 1,445 $36K
87510 <1% 1,445 $36K
80143 <1% 1,188 $35K
73562 <1% 1,175 $34K
87077 <1% 3,322 $33K
83605 <1% 3,247 $33K
86850 <1% 3,193 $33K
86762 <1% 1,423 $33K
80179 <1% 1,158 $32K
74018 <1% 1,357 $31K
87660 <1% 1,419 $31K
J1170 Injection, hydromorphone, up to 4 mg <1% 3,264 $29K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 3,632 $29K
77063 Screening digital breast tomosynthesis, bilateral <1% 756 $29K
86803 <1% 1,237 $28K
85610 <1% 6,311 $26K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,632 $26K
72100 <1% 742 $26K
85379 <1% 2,292 $25K
86481 <1% 218 $23K
87420 <1% 1,495 $23K
84439 <1% 1,996 $22K
76830 Ultrasound, transvaginal <1% 234 $21K
86592 <1% 2,814 $19K
73221 <1% 44 $19K
J3490 Unclassified drugs <1% 1,167 $18K
0001A <1% 460 $18K
87340 <1% 1,097 $18K
0002A <1% 427 $17K
73140 <1% 767 $17K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,433 $16K
87400 <1% 3,313 $16K
87430 <1% 1,359 $16K
84481 <1% 548 $16K
85730 <1% 2,536 $16K
87081 <1% 1,524 $16K
86140 <1% 2,578 $15K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,785 $15K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 2,133 $14K
73080 <1% 439 $14K
0270 <1% 1,840 $13K
S0164 Injection, pantoprazole sodium, 40 mg <1% 1,205 $13K
83655 <1% 1,976 $13K
82947 <1% 3,049 $12K
84703 <1% 1,345 $12K
73502 <1% 394 $11K
70486 <1% 41 $11K
86901 <1% 3,229 $11K
86900 <1% 3,190 $11K
0012A <1% 255 $10K
0011A <1% 250 $10K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 58 $9K
76642 <1% 119 $9K
J7050 Infusion, normal saline solution, 250 cc <1% 1,249 $9K
85651 <1% 1,960 $9K
J2060 Injection, lorazepam, 2 mg <1% 1,262 $9K
J3475 Injection, magnesium sulfate, per 500 mg <1% 1,010 $9K
84550 <1% 1,383 $7K
96367 <1% 167 $7K
80055 <1% 130 $7K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 750 $7K
J1815 Injection, insulin, per 5 units <1% 545 $7K
72110 <1% 109 $7K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 211 $6K
82550 <1% 1,108 $6K
87088 <1% 616 $6K
82607 <1% 232 $6K
82553 <1% 662 $6K
82043 <1% 697 $6K
80081 <1% 63 $5K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 147 $5K
82247 <1% 778 $5K
72040 <1% 144 $5K
0250 <1% 302 $5K
83540 <1% 447 $5K
84144 <1% 125 $4K
82746 <1% 221 $4K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 93 $4K
Z7610 <1% 436 $4K
83550 <1% 278 $4K
82570 <1% 603 $4K
0071A <1% 98 $4K
73590 <1% 138 $4K
73090 <1% 133 $4K
82950 <1% 610 $3K
82728 <1% 152 $3K
87634 <1% 36 $3K
96376 <1% 113 $3K
87070 <1% 213 $3K
76819 Fetal biophysical profile; without non-stress testing <1% 43 $3K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 485 $3K
86735 <1% 125 $3K
82670 <1% 56 $3K
86765 <1% 124 $3K
0064A <1% 65 $3K
0072A <1% 65 $3K
86003 <1% 27 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 29 $2K
82248 <1% 386 $2K
76870 <1% 25 $2K
80076 <1% 231 $2K
94644 <1% 120 $2K
77066 Tomosynthesis, mammo <1% 12 $2K
76770 <1% 24 $2K
J0690 Injection, cefazolin sodium, 500 mg <1% 177 $2K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 267 $2K
84403 <1% 82 $2K
J0780 Injection, prochlorperazine, up to 10 mg <1% 168 $2K
L3670 Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf <1% 50 $2K
87147 <1% 223 $2K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf <1% 42 $2K
86038 <1% 70 $1K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 43 $1K
86706 <1% 70 $1K
85018 <1% 431 $1K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 61 $1K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 24 $1K
76536 <1% 12 $1K
85014 <1% 334 $853.27
83970 <1% 12 $842.16
J2550 Injection, promethazine hcl, up to 50 mg <1% 123 $810.47
83001 <1% 25 $784.48
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg <1% 34 $779.22
J1940 Injection, furosemide, up to 20 mg <1% 114 $716.79
82009 <1% 168 $641.91
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg <1% 148 $625.76
83002 <1% 14 $435.47
84100 <1% 78 $420.46
84153 <1% 12 $406.39
82270 <1% 71 $399.32
84270 <1% 12 $346.96
71020 <1% 25 $324.60
99283 Emergency room visit (moderate) <1% 16 $296.98
86787 <1% 17 $272.71
J0500 Injection, dicyclomine hcl, up to 20 mg <1% 15 $267.17
85027 <1% 32 $228.80
87045 <1% 12 $208.65
36415 Collection of venous blood by venipuncture <1% 1,972 $197.40
82951 <1% 12 $192.50
87427 <1% 12 $179.88
J2471 Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg <1% 39 $166.62
87015 <1% 12 $136.32
87046 <1% 24 $110.99
86430 <1% 12 $100.20
J1171 Injection, hydromorphone, 0.1 mg <1% 21 $90.67
87205 <1% 15 $79.14
85007 <1% 13 $62.04
82952 <1% 12 $58.63
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 14 $38.18
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 116 $36.88
96379 <1% 16 $6.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 25 $0.45

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 officialTERRA, PAIGE (CFO)
Same official

Other billing entities under TERRA, PAIGE

Full network →
ProviderLocationPaid
Sutter Valley HospitalsModesto, CA$76.21M
Sutter Coast HospitalCrescent City, CA$21.67M
Sutter Valley HospitalsTracy, CA$19.42M
Sutter Valley HospitalsLos Banos, CA$17.26M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.