Lab
Sutter Valley Medical Foundation
Sutter Valley Medical Foundation was paid $272K by Medicaid between Jan 2018 and Oct 2022, across 8 billing codes. Its largest line is 0360, — 72% of everything it billed.
33Billing provider infoSUTTER VALLEY MEDICAL FOUNDATION
YUBA CITY, CA 95991
YUBA CITY, CA 95991
33aNPI1457593980assigned 03/30/2009
33bProvider typeClinical Medical Laboratory
28Total paid$272K
24GClaims1,917
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers
Next to other Clinical Medical Laboratory providers in California
Rank by total paid#270 of 561
Median peer was paid$222K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2018 | 1,126 | $100K | |
| 2019 | 492 | $101K | |
| 2020 | 243 | $61K | |
| 2021 | 18 | $1K | |
| 2022 | 38 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0360 | 72% | 761 | 618 | $197K | |
| 66982 | 12% | 80 | 62 | $33K | |
| 0710 | 5.7% | 324 | 285 | $16K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 5.5% | 195 | 169 | $15K |
| 65820 | 2.6% | 38 | 25 | $7K | |
| 99199 | Unlisted special service, procedure or report | 1.8% | 21 | 15 | $5K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 249 | 219 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 249 | 219 | $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 officialLOPES, KRISTA (SH VP, QUALITY, SAFETY AND PATIENT)
Parent organizationSUTTER MEDICAL FOUNDATION
| Provider | Location | Paid |
|---|---|---|
| Sutter Valley Medical Foundation | Sacramento, CA | $41.25M |
| Sutter Bay Medical Foundation | Palo Alto, CA | $19.65M |
| Sutter Bay Medical Foundation | Sacramento, CA | $18.88M |
| Sutter Valley Medical Foundation | Modesto, CA | $18.22M |
| Sutter Valley Medical Foundation | Yuba City, CA | $12.47M |
| Sutter Bay Medical Foundation | Orinda, CA | $6.77M |
| Sutter Valley Medical Foundation | Fairfield, CA | $3.92M |
| Sutter Valley Medical Foundation | Sacramento, CA | $3.85M |
| Sutter Valley Medical Foundation | Yuba City, CA | $2.45M |
| Sutter Valley Medical Foundation | Brownsville, CA | $1.37M |
| Sutter Valley Medical Foundation | Plymouth, CA | $407K |
| Sutter Valley Medical Foundation | Modesto, CA | $303K |
| Sutter Valley Medical Foundation | Yuba City, CA | $93K |
| Sutter Bay Medical Foundation | Santa Cruz, CA | $77K |
| Sutter Medical Foundation | Yuba City, CA | $31K |
| Sutter Bay Medical Foundation | Palo Alto, CA | $29K |
| Sutter Bay Medical Foundation | Mountain View, CA | $22K |
| Sutter Bay Medical Foundation | Palo Alto, CA | $11K |
| Sutter Bay Medical Foundation | Los Gatos, CA | $10K |
| Sutter Bay Medical Foundation | Palo Alto, CA | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.