SUTTER BAY MEDICAL FOUNDATION
NPI: 1396469813
· FREMONT, CA 94538
· 291U00000X
$614.40
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
104 |
$614.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87086 |
|
60 |
53 |
$333.35 |
| 80053 |
|
31 |
29 |
$183.42 |
| 87186 |
|
13 |
12 |
$97.63 |