Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › ANTIOCH › SUTTER BAY HOSPITALS

SUTTER BAY HOSPITALS

NPI: 1467808659 · ANTIOCH, CA 94509 · General Acute Care Hospital · NPI assigned 05/06/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GATES, JOHN controls 20+ related entities in our dataset. Read more

$29.48M
Total Medicaid Paid
913,352
Total Claims
768,458
Beneficiaries
222
Codes Billed
2018-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGATES, JOHN (CFO)
NPI Enumeration Date05/06/2016

Related Entities

Other providers sharing the same authorized official: GATES, JOHN

ProviderCityStateTotal 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 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 BAY HOSPITALS LAKEPORT CA $3.99M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 101,920 $2.87M
2019 123,967 $3.54M
2020 88,961 $2.61M
2021 106,212 $3.60M
2022 136,606 $5.11M
2023 170,822 $5.77M
2024 184,864 $5.98M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0450 Emergency room services 121,640 108,234 $6.49M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 7,930 7,633 $1.63M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 7,579 7,430 $1.59M
74177 Computed tomography, abdomen and pelvis; with contrast material 4,571 4,462 $1.32M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 15,735 14,631 $1.31M
J3490 Unclassified drugs 98,067 50,440 $1.12M
99199 Unlisted special service, procedure or report 7,655 6,541 $1.03M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 29,922 27,076 $872K
96375 Therapeutic injection; each additional sequential IV push 12,888 11,321 $810K
70450 Computed tomography, head or brain; without contrast material 6,001 5,785 $708K
80053 Comprehensive metabolic panel 51,555 46,459 $562K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 7,605 7,375 $530K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,887 4,657 $529K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12,725 11,591 $471K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 57,704 50,226 $448K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5,332 4,932 $432K
71275 Computed tomographic angiography, chest, with contrast material 1,488 1,456 $390K
Z7502 9,876 9,743 $369K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,354 2,287 $342K
99284 Emergency department visit for the evaluation and management, high severity 6,119 5,533 $317K
71046 Radiologic examination, chest; 2 views 11,679 11,325 $309K
96361 Intravenous infusion, hydration; each additional hour 6,229 5,719 $286K
84484 26,486 17,552 $272K
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 2,688 2,653 $234K
72125 Computed tomography, cervical spine; without contrast material 1,389 1,360 $218K
36430 3,514 1,687 $217K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4,551 4,454 $216K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4,550 4,453 $214K
76705 Ultrasound, abdominal, real time with image documentation; limited 3,098 2,991 $199K
71045 Radiologic examination, chest; single view 13,331 12,513 $197K
76801 2,195 1,932 $190K
93971 1,469 1,420 $176K
82077 2,971 2,772 $171K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,582 1,563 $168K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,818 1,779 $151K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 597 591 $149K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 14,528 7,416 $148K
83880 4,342 4,048 $145K
J7030 Infusion, normal saline solution , 1000 cc 13,840 12,139 $145K
83690 19,492 17,943 $142K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,865 1,825 $134K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,588 2,350 $128K
99283 Emergency department visit for the evaluation and management, moderate severity 2,959 2,668 $126K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,540 1,445 $121K
70496 443 440 $119K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,027 2,982 $118K
70498 428 424 $115K
0762 1,038 483 $106K
90715 1,720 1,694 $98K
83735 13,579 11,992 $95K
87040 6,528 4,196 $87K
80143 1,418 1,289 $87K
83605 8,033 6,165 $86K
84703 11,505 10,931 $81K
J1885 Injection, ketorolac tromethamine, per 15 mg 10,176 9,596 $79K
80179 1,348 1,266 $78K
0510 2,109 1,788 $77K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,014 2,680 $76K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 3,881 2,387 $74K
73562 2,511 2,442 $66K
J2405 Injection, ondansetron hydrochloride, per 1 mg 8,018 7,054 $65K
73610 2,311 2,257 $64K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 2,548 1,307 $62K
73630 2,335 2,277 $62K
84443 Thyroid stimulating hormone (TSH) 3,559 3,451 $62K
87086 Culture, bacterial; quantitative colony count, urine 6,162 5,966 $60K
84702 3,917 3,420 $57K
82803 3,903 3,708 $57K
82947 11,304 8,243 $57K
81001 16,486 15,739 $56K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 969 898 $53K
J2270 Injection, morphine sulfate, up to 10 mg 4,492 3,799 $51K
73030 1,839 1,784 $50K
99070 1,918 1,066 $50K
96376 2,084 1,417 $49K
J7120 Ringers lactate infusion, up to 1000 cc 4,584 4,030 $49K
0272 421 409 $44K
70486 312 309 $43K
73130 1,567 1,524 $43K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,956 3,668 $41K
81025 8,656 8,419 $40K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,525 3,371 $39K
0250 4,305 3,309 $35K
71260 Computed tomography, thorax, diagnostic; with contrast material 197 195 $34K
93970 165 164 $32K
J1170 Injection, hydromorphone, up to 4 mg 2,519 1,966 $32K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 88 88 $31K
85379 2,819 2,744 $31K
80048 Basic metabolic panel (calcium, ionized) 3,422 3,137 $30K
74174 96 94 $30K
J0500 Injection, dicyclomine hcl, up to 20 mg 295 283 $28K
J1815 Injection, insulin, per 5 units 1,625 739 $27K
J2765 Injection, metoclopramide hcl, up to 10 mg 3,231 2,932 $27K
85610 6,519 6,159 $26K
73110 925 890 $25K
85730 4,060 3,899 $25K
87186 2,278 2,129 $24K
81003 9,539 8,327 $24K
J3475 Injection, magnesium sulfate, per 500 mg 2,093 1,853 $23K
72131 168 167 $22K
71250 198 186 $22K
0270 750 393 $22K
87077 2,184 2,000 $21K
73502 493 483 $21K
J0780 Injection, prochlorperazine, up to 10 mg 1,113 1,030 $21K
70551 Magnetic resonance imaging, brain; without contrast material 101 100 $20K
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,562 2,335 $20K
96367 308 295 $19K
S0164 Injection, pantoprazole sodium, 40 mg 1,233 975 $19K
Z7610 1,921 1,115 $19K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 88 88 $17K
97750 304 289 $17K
76830 Ultrasound, transvaginal 220 217 $16K
Z9725 334 327 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,979 1,920 $13K
J2060 Injection, lorazepam, 2 mg 1,684 1,458 $13K
76770 165 164 $13K
72100 383 379 $13K
73080 444 437 $13K
J2785 Injection, regadenoson, 0.1 mg 43 42 $12K
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf 144 141 $12K
J3010 Injection, fentanyl citrate, 0.1 mg 1,564 1,416 $12K
73140 637 618 $12K
87210 2,433 2,378 $11K
82550 1,582 1,425 $11K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 418 415 $10K
86140 1,680 1,626 $10K
82805 307 278 $9K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 461 371 $9K
87400 1,250 1,232 $9K
86901 2,619 2,494 $9K
0202U Oncology (prostate), multianalyte, gene expression profiling 17 17 $8K
94644 266 250 $8K
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg 295 141 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 782 770 $7K
73590 318 308 $7K
84100 1,437 1,238 $7K
93017 80 78 $6K
83036 Hemoglobin; glycosylated (A1C) 468 444 $6K
86900 1,958 1,643 $6K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 78 76 $6K
86850 1,216 1,158 $5K
76870 109 106 $5K
84439 547 536 $5K
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 486 333 $5K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 95 95 $5K
J1953 Injection, levetiracetam, 10 mg 208 110 $5K
12001 189 186 $4K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 639 611 $4K
0636 704 453 $4K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 58 58 $4K
0360 16 16 $4K
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf 49 48 $4K
97139 146 59 $4K
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 1,185 1,174 $4K
10060 151 147 $4K
74018 158 157 $4K
12011 98 95 $3K
82009 681 628 $3K
84145 83 80 $3K
87420 559 551 $3K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 319 311 $3K
87081 267 266 $2K
87634 25 25 $2K
73090 101 94 $2K
82731 30 28 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete 27 25 $2K
29125 200 191 $2K
80061 Lipid panel 91 89 $2K
J2704 Injection, propofol, 10 mg 135 112 $2K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 183 79 $2K
0710 42 42 $2K
36415 Collection of venous blood by venipuncture 26,136 21,645 $2K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 57 43 $1K
85652 466 452 $1K
J1940 Injection, furosemide, up to 20 mg 151 102 $1K
71101 38 38 $1K
12002 53 52 $1K
J1650 Injection, enoxaparin sodium, 10 mg 49 26 $1K
J7050 Infusion, normal saline solution, 250 cc 90 71 $857.85
86592 152 151 $833.25
J0360 Injection, hydralazine hcl, up to 20 mg 51 43 $794.89
74019 26 26 $786.53
J8540 Dexamethasone, oral, 0.25 mg 1,428 1,399 $709.64
82553 54 48 $692.97
S0028 Injection, famotidine, 20 mg 790 727 $609.27
J2550 Injection, promethazine hcl, up to 50 mg 66 61 $554.63
J3370 Injection, vancomycin hcl, 500 mg 34 28 $492.30
J2250 Injection, midazolam hydrochloride, per 1 mg 63 54 $477.43
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 2,943 2,538 $461.25
97161 27 27 $440.48
73564 13 13 $410.56
J2470 Injection, pantoprazole sodium, 40 mg 78 68 $397.71
99282 Emergency department visit for the evaluation and management, low to moderate severity 13 13 $388.25
J3480 Injection, potassium chloride, per 2 meq 164 119 $367.40
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 534 477 $355.71
87088 37 37 $336.09
88305 Level IV - Surgical pathology, gross and microscopic examination 12 12 $329.28
J1171 Injection, hydromorphone, 0.1 mg 85 52 $306.28
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 2,256 2,039 $280.93
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 16 16 $278.10
J1836 Injection, metronidazole, 10 mg 31 25 $245.73
72170 13 13 $237.05
86308 42 42 $221.79
73660 12 12 $213.75
70360 12 12 $207.82
87045 14 13 $188.39
82140 15 14 $159.30
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 1,394 1,322 $150.70
J1630 Injection, haloperidol, up to 5 mg 17 13 $148.24
87070 17 16 $144.60
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 313 289 $144.32
29515 12 12 $123.96
86701 12 12 $104.76
87046 26 13 $99.54
97530 Therapeutic activities, direct patient contact, each 15 minutes 14 13 $71.69
69209 12 12 $71.63
84132 16 12 $66.54
87205 16 13 $58.02
J7626 Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg 63 33 $9.18
0250R 405 365 $0.00
J7510 Prednisolone oral, per 5 mg 14 14 $0.00