Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Crescent City › NPI 1457367062
Hospital

Sutter Coast Hospital

Sutter Coast Hospital was paid $21.67M by Medicaid between Jan 2018 and Nov 2024, across 205 billing codes. Its largest line is 99281, Emergency department visit for the evaluation and management, self-limited or minor — 19% of everything it billed.

33Billing provider infoSUTTER COAST HOSPITAL
CRESCENT CITY, CA 95531
33aNPI1457367062assigned 08/01/2006
33bProvider typeRehabilitation Hospital Unit
28Total paid$21.67M
24GClaims400,726
24DCodes billed205
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Rehabilitation Hospital Unit providers in California

Rank by total paid#6 of 22
Median peer was paid$308K
This provider vs. median70×

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
201858,370$2.79M
201958,308$2.71M
202058,108$2.95M
202163,246$3.71M
202270,363$4.07M
202352,565$3.00M
2024incomplete39,766$2.44M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99281 Emergency department visit for the evaluation and management, self-limited or minor 19% 25,210 21,383 $4.07M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 18% 42,246 32,755 $3.81M
74177 Computed tomography, abdomen and pelvis; with contrast material 6.7% 2,205 2,152 $1.45M
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 4.1% 4,852 2,339 $893K
70450 Computed tomography, head or brain; without contrast material 4.1% 2,280 2,215 $886K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3.4% 6,034 5,331 $735K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3.0% 3,942 2,716 $654K
99201 2.8% 4,305 2,013 $613K
96375 Therapeutic injection; each additional sequential IV push 2.6% 5,909 4,776 $560K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2.1% 5,947 5,406 $451K
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 1.9% 4,817 3,905 $408K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.8% 6,750 6,178 $393K
193 more codes
77067 Screening mammography, bilateral, including computer-aided detection 1.3% 1,196 $286K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.3% 5,528 $279K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.3% 976 $278K
76700 Ultrasound, abdominal, real time with image documentation; complete 1.2% 1,671 $251K
80053 Comprehensive metabolic panel 1.1% 25,126 $247K
72125 Computed tomography, cervical spine; without contrast material 1.1% 303 $243K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.1% 4,139 $233K
96361 Intravenous infusion, hydration; each additional hour 1.0% 3,500 $224K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 1,517 $211K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 3,629 $205K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 28,195 $197K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 1,339 $186K
71046 Radiologic examination, chest; 2 views <1% 4,498 $177K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 649 $165K
71045 Radiologic examination, chest; single view <1% 5,381 $159K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 994 $139K
J3490 Unclassified drugs <1% 23,135 $137K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 869 $123K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 246 $116K
73630 <1% 1,864 $102K
73610 <1% 1,544 $93K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 484 $93K
73030 <1% 1,548 $93K
84443 Thyroid stimulating hormone (TSH) <1% 6,103 $81K
73130 <1% 1,291 $78K
72100 <1% 1,222 $77K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 3,356 $74K
73110 <1% 1,164 $69K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 235 $66K
J7030 Infusion, normal saline solution , 1000 cc <1% 7,013 $62K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,746 $62K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,728 $61K
73562 <1% 1,087 $60K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 2,578 $54K
82077 <1% 1,704 $51K
76830 Ultrasound, transvaginal <1% 342 $51K
84484 <1% 5,051 $47K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 53 $47K
83880 <1% 1,666 $47K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,172 $45K
81001 <1% 10,399 $44K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 6,945 $44K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 6,317 $43K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 628 $38K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 376 $36K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 68 $36K
76536 <1% 284 $36K
80061 Lipid panel <1% 3,503 $35K
83605 <1% 3,341 $35K
83690 <1% 5,234 $34K
87040 <1% 3,191 $33K
87086 Culture, bacterial; quantitative colony count, urine <1% 3,738 $32K
71275 Computed tomographic angiography, chest, with contrast material <1% 57 $30K
97750 <1% 221 $28K
83036 Hemoglobin; glycosylated (A1C) <1% 3,445 $26K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 3,693 $26K
J7120 Ringers lactate infusion, up to 1000 cc <1% 2,844 $25K
97010 <1% 408 $24K
90715 <1% 454 $24K
87186 <1% 2,411 $23K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 938 $22K
87081 <1% 2,806 $22K
87799 <1% 218 $21K
87077 <1% 2,292 $21K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 917 $20K
73502 <1% 356 $20K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 153 $20K
76770 <1% 138 $19K
81025 <1% 5,322 $19K
J1170 Injection, hydromorphone, up to 4 mg <1% 1,699 $19K
85610 <1% 3,243 $18K
J2704 Injection, propofol, 10 mg <1% 2,350 $17K
99284 Emergency room visit (serious) <1% 64 $17K
J7050 Infusion, normal saline solution, 250 cc <1% 2,162 $17K
80048 Basic metabolic panel (calcium, ionized) <1% 1,782 $16K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 2,082 $16K
97139 <1% 365 $16K
81003 <1% 6,107 $16K
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,661 $16K
96367 <1% 158 $16K
73221 <1% 26 $16K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,910 $16K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 415 $15K
72040 <1% 292 $15K
80143 <1% 737 $15K
87400 <1% 1,479 $14K
12001 <1% 103 $14K
83735 <1% 2,281 $13K
80179 <1% 703 $13K
84439 <1% 1,706 $13K
85730 <1% 1,594 $13K
73080 <1% 152 $13K
87070 <1% 1,253 $12K
73140 <1% 302 $12K
87631 <1% 181 $11K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,812 $11K
82947 <1% 2,013 $11K
87430 <1% 732 $9K
J2060 Injection, lorazepam, 2 mg <1% 1,256 $7K
86900 <1% 578 $7K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,181 $7K
86140 <1% 1,635 $7K
93971 <1% 25 $7K
72141 <1% 12 $6K
72110 <1% 54 $6K
0450 Emergency room services <1% 104 $6K
87486 <1% 230 $6K
87581 <1% 230 $5K
86901 <1% 530 $5K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 926 $5K
87481 <1% 163 $5K
87634 <1% 104 $5K
J0690 Injection, cefazolin sodium, 500 mg <1% 590 $5K
99070 <1% 324 $5K
80055 <1% 167 $5K
87147 <1% 793 $5K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 162 $5K
74018 <1% 132 $5K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 24 $5K
83540 <1% 939 $4K
87512 <1% 114 $4K
82728 <1% 452 $4K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 105 $4K
85027 <1% 674 $4K
86803 <1% 317 $4K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 512 $4K
83550 <1% 668 $4K
73564 <1% 57 $4K
85379 <1% 425 $3K
70486 <1% 15 $3K
85651 <1% 1,427 $3K
86850 <1% 181 $3K
73560 <1% 75 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 25 $3K
86592 <1% 714 $3K
77065 Tomosynthesis, mammo <1% 14 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 109 $3K
87420 <1% 580 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 15 $2K
Z9725 <1% 54 $2K
87075 <1% 227 $2K
87205 <1% 454 $2K
94060 <1% 13 $2K
94729 <1% 12 $2K
94726 <1% 13 $2K
80074 <1% 47 $2K
73090 <1% 28 $2K
76642 <1% 12 $2K
77063 Screening digital breast tomosynthesis, bilateral <1% 24 $1K
81329 <1% 12 $1K
82746 <1% 133 $1K
74022 <1% 16 $1K
83655 <1% 170 $1K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 114 $1K
83021 <1% 146 $1K
82803 <1% 101 $1K
86038 <1% 105 $986.82
82550 <1% 138 $804.51
82570 <1% 168 $764.67
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 71 $613.30
82274 <1% 41 $580.32
J3475 Injection, magnesium sulfate, per 500 mg <1% 80 $569.30
73120 <1% 13 $547.09
84403 <1% 26 $539.64
Z7502 <1% 13 $520.80
84100 <1% 134 $424.62
73590 <1% 14 $358.50
J0780 Injection, prochlorperazine, up to 10 mg <1% 38 $315.12
82950 <1% 72 $314.29
85041 <1% 121 $311.89
S0164 Injection, pantoprazole sodium, 40 mg <1% 28 $294.11
85014 <1% 144 $291.21
82670 <1% 13 $290.55
85018 <1% 131 $252.28
84481 <1% 14 $194.61
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 33 $177.78
83615 <1% 35 $153.98
84702 <1% 16 $148.26
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 34 $140.40
82784 <1% 17 $121.60
82607 <1% 14 $106.60
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 13 $97.66
87088 <1% 14 $85.12
S0028 Injection, famotidine, 20 mg <1% 15 $74.90
87210 <1% 14 $73.55
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 53 $63.00
82247 <1% 17 $55.59
84550 <1% 15 $44.94
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 186 $37.65
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg <1% 35 $28.90
J8540 Dexamethasone, oral, 0.25 mg <1% 59 $21.13
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 165 $12.61
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% 13 $0.41

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 AND VP OF FINANCE SH VALLEY ARE)
Parent organizationSUTTER COAST HOSPITAL
Same official

Other billing entities under TERRA, PAIGE

Full network →
ProviderLocationPaid
Sutter Valley HospitalsModesto, CA$76.21M
Sutter Valley HospitalsLos Banos, CA$26.09M
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.