Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Antioch › NPI 1467808659
Hospital

Sutter Bay Hospitals

Sutter Bay Hospitals was paid $29.48M by Medicaid between Mar 2018 and Dec 2024, across 222 billing codes. Its largest line is 0450, Emergency room services — 22% of everything it billed.

33Billing provider infoSUTTER BAY HOSPITALS
ANTIOCH, CA 94509
33aNPI1467808659assigned 05/06/2016
33bProvider typeGeneral Acute Care Hospital
28Total paid$29.48M
24GClaims913,352
24DCodes billed222
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in California

Rank by total paid#90 of 410
Median peer was paid$6.90M
This provider vs. median4.3×

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 GATES, JOHN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$250K$500K$750K2018201920202021202220232024
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
2018101,920$2.87M
2019123,967$3.54M
202088,961$2.61M
2021106,212$3.60M
2022136,606$5.11M
2023170,822$5.77M
2024incomplete184,864$5.98M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0450 Emergency room services 22% 121,640 108,234 $6.49M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 5.5% 7,930 7,633 $1.63M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 5.4% 7,579 7,430 $1.59M
74177 Computed tomography, abdomen and pelvis; with contrast material 4.5% 4,571 4,462 $1.32M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4.4% 15,735 14,631 $1.31M
J3490 Unclassified drugs 3.8% 98,067 50,440 $1.12M
99199 Unlisted special service, procedure or report 3.5% 7,655 6,541 $1.03M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3.0% 29,922 27,076 $872K
96375 Therapeutic injection; each additional sequential IV push 2.7% 12,888 11,321 $810K
70450 Computed tomography, head or brain; without contrast material 2.4% 6,001 5,785 $708K
80053 Comprehensive metabolic panel 1.9% 51,555 46,459 $562K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.8% 7,605 7,375 $530K
210 more codes
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.8% 4,887 $529K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.6% 12,725 $471K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.5% 57,704 $448K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.5% 5,332 $432K
71275 Computed tomographic angiography, chest, with contrast material 1.3% 1,488 $390K
Z7502 1.3% 9,876 $369K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.2% 2,354 $342K
99284 Emergency room visit (serious) 1.1% 6,119 $317K
71046 Radiologic examination, chest; 2 views 1.0% 11,679 $309K
96361 Intravenous infusion, hydration; each additional hour <1% 6,229 $286K
84484 <1% 26,486 $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 <1% 2,688 $234K
72125 Computed tomography, cervical spine; without contrast material <1% 1,389 $218K
36430 <1% 3,514 $217K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 4,551 $216K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 4,550 $214K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 3,098 $199K
71045 Radiologic examination, chest; single view <1% 13,331 $197K
76801 <1% 2,195 $190K
93971 <1% 1,469 $176K
82077 <1% 2,971 $171K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,582 $168K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 1,818 $151K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 597 $149K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 14,528 $148K
83880 <1% 4,342 $145K
J7030 Infusion, normal saline solution , 1000 cc <1% 13,840 $145K
83690 <1% 19,492 $142K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,865 $134K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 2,588 $128K
99283 Emergency room visit (moderate) <1% 2,959 $126K
99285 Emergency room visit (most serious) <1% 1,540 $121K
70496 <1% 443 $119K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 3,027 $118K
70498 <1% 428 $115K
0762 <1% 1,038 $106K
90715 <1% 1,720 $98K
83735 <1% 13,579 $95K
87040 <1% 6,528 $87K
80143 <1% 1,418 $87K
83605 <1% 8,033 $86K
84703 <1% 11,505 $81K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 10,176 $79K
80179 <1% 1,348 $78K
0510 <1% 2,109 $77K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 3,014 $76K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" <1% 3,881 $74K
73562 <1% 2,511 $66K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 8,018 $65K
73610 <1% 2,311 $64K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 2,548 $62K
73630 <1% 2,335 $62K
84443 Thyroid stimulating hormone (TSH) <1% 3,559 $62K
87086 Culture, bacterial; quantitative colony count, urine <1% 6,162 $60K
84702 <1% 3,917 $57K
82803 <1% 3,903 $57K
82947 <1% 11,304 $57K
81001 <1% 16,486 $56K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 969 $53K
J2270 Injection, morphine sulfate, up to 10 mg <1% 4,492 $51K
73030 <1% 1,839 $50K
99070 <1% 1,918 $50K
96376 <1% 2,084 $49K
J7120 Ringers lactate infusion, up to 1000 cc <1% 4,584 $49K
0272 <1% 421 $44K
70486 <1% 312 $43K
73130 <1% 1,567 $43K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 3,956 $41K
81025 <1% 8,656 $40K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 3,525 $39K
0250 <1% 4,305 $35K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 197 $34K
93970 <1% 165 $32K
J1170 Injection, hydromorphone, up to 4 mg <1% 2,519 $32K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 88 $31K
85379 <1% 2,819 $31K
80048 Basic metabolic panel (calcium, ionized) <1% 3,422 $30K
74174 <1% 96 $30K
J0500 Injection, dicyclomine hcl, up to 20 mg <1% 295 $28K
J1815 Injection, insulin, per 5 units <1% 1,625 $27K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 3,231 $27K
85610 <1% 6,519 $26K
73110 <1% 925 $25K
85730 <1% 4,060 $25K
87186 <1% 2,278 $24K
81003 <1% 9,539 $24K
J3475 Injection, magnesium sulfate, per 500 mg <1% 2,093 $23K
72131 <1% 168 $22K
71250 <1% 198 $22K
0270 <1% 750 $22K
87077 <1% 2,184 $21K
73502 <1% 493 $21K
J0780 Injection, prochlorperazine, up to 10 mg <1% 1,113 $21K
70551 Magnetic resonance imaging, brain; without contrast material <1% 101 $20K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,562 $20K
96367 <1% 308 $19K
S0164 Injection, pantoprazole sodium, 40 mg <1% 1,233 $19K
Z7610 <1% 1,921 $19K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 88 $17K
97750 <1% 304 $17K
76830 Ultrasound, transvaginal <1% 220 $16K
Z9725 <1% 334 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,979 $13K
J2060 Injection, lorazepam, 2 mg <1% 1,684 $13K
76770 <1% 165 $13K
72100 <1% 383 $13K
73080 <1% 444 $13K
J2785 Injection, regadenoson, 0.1 mg <1% 43 $12K
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf <1% 144 $12K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,564 $12K
73140 <1% 637 $12K
87210 <1% 2,433 $11K
82550 <1% 1,582 $11K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 418 $10K
86140 <1% 1,680 $10K
82805 <1% 307 $9K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 461 $9K
87400 <1% 1,250 $9K
86901 <1% 2,619 $9K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 17 $8K
94644 <1% 266 $8K
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg <1% 295 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 782 $7K
73590 <1% 318 $7K
84100 <1% 1,437 $7K
93017 <1% 80 $6K
83036 Hemoglobin; glycosylated (A1C) <1% 468 $6K
86900 <1% 1,958 $6K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 78 $6K
86850 <1% 1,216 $5K
76870 <1% 109 $5K
84439 <1% 547 $5K
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg <1% 486 $5K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf <1% 95 $5K
J1953 Injection, levetiracetam, 10 mg <1% 208 $5K
12001 <1% 189 $4K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 639 $4K
0636 <1% 704 $4K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 58 $4K
0360 <1% 16 $4K
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf <1% 49 $4K
97139 <1% 146 $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% 1,185 $4K
10060 <1% 151 $4K
74018 <1% 158 $4K
12011 <1% 98 $3K
82009 <1% 681 $3K
84145 <1% 83 $3K
87420 <1% 559 $3K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 319 $3K
87081 <1% 267 $2K
87634 <1% 25 $2K
73090 <1% 101 $2K
82731 <1% 30 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 27 $2K
29125 <1% 200 $2K
80061 Lipid panel <1% 91 $2K
J2704 Injection, propofol, 10 mg <1% 135 $2K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 183 $2K
0710 <1% 42 $2K
36415 Collection of venous blood by venipuncture <1% 26,136 $2K
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 57 $1K
85652 <1% 466 $1K
J1940 Injection, furosemide, up to 20 mg <1% 151 $1K
71101 <1% 38 $1K
12002 <1% 53 $1K
J1650 Injection, enoxaparin sodium, 10 mg <1% 49 $1K
J7050 Infusion, normal saline solution, 250 cc <1% 90 $857.85
86592 <1% 152 $833.25
J0360 Injection, hydralazine hcl, up to 20 mg <1% 51 $794.89
74019 <1% 26 $786.53
J8540 Dexamethasone, oral, 0.25 mg <1% 1,428 $709.64
82553 <1% 54 $692.97
S0028 Injection, famotidine, 20 mg <1% 790 $609.27
J2550 Injection, promethazine hcl, up to 50 mg <1% 66 $554.63
J3370 Injection, vancomycin hcl, 500 mg <1% 34 $492.30
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 63 $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 <1% 2,943 $461.25
97161 <1% 27 $440.48
73564 <1% 13 $410.56
J2470 Injection, pantoprazole sodium, 40 mg <1% 78 $397.71
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 13 $388.25
J3480 Injection, potassium chloride, per 2 meq <1% 164 $367.40
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 534 $355.71
87088 <1% 37 $336.09
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 12 $329.28
J1171 Injection, hydromorphone, 0.1 mg <1% 85 $306.28
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 2,256 $280.93
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 16 $278.10
J1836 Injection, metronidazole, 10 mg <1% 31 $245.73
72170 <1% 13 $237.05
86308 <1% 42 $221.79
73660 <1% 12 $213.75
70360 <1% 12 $207.82
87045 <1% 14 $188.39
82140 <1% 15 $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% 1,394 $150.70
J1630 Injection, haloperidol, up to 5 mg <1% 17 $148.24
87070 <1% 17 $144.60
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram <1% 313 $144.32
29515 <1% 12 $123.96
86701 <1% 12 $104.76
87046 <1% 26 $99.54
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 14 $71.69
69209 <1% 12 $71.63
84132 <1% 16 $66.54
87205 <1% 16 $58.02
J7626 Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg <1% 63 $9.18
0250R 0% 405 $0.00
J7510 Prednisolone oral, per 5 mg 0% 14 $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 officialGATES, JOHN (CFO)
Same official

Other billing entities under GATES, JOHN

Full network →
ProviderLocationPaid
Sutter Bay HospitalsCastro Valley, CA$52.65M
Sutter Bay HospitalsOakland, CA$46.80M
Sutter Bay HospitalsBerkeley, CA$43.78M
Sutter Bay HospitalsLakeport, CA$39.50M
Sutter Bay HospitalsSanta Rosa, CA$35.23M
Sutter Bay HospitalsSan Francisco, CA$19.99M
Sutter Bay HospitalsBurlingame, CA$17.15M
Sutter Bay HospitalsSan Francisco, CA$14.94M
Sutter Bay HospitalsNovato, CA$11.12M
Sutter Bay HospitalsSan Francisco, CA$6.79M
Sutter Bay HospitalsLakeport, CA$3.99M
Sutter East Bay HospitalsAntioch, CA$3.45M
Sutter Bay HospitalsBurlingame, CA$1.98M
Sutter Bay HospitalsLakeport, CA$1.72M
Sutter East Bay HospitalsOakland, CA$1.10M
Sutter Bay HospitalsSan Francisco, CA$1.08M
Sutter East Bay HospitalsBerkeley, CA$946K
Sutter West Bay HospitalsSan Francisco, CA$186K
Magnetic Imaging Affiliates, LLCOakland, CA$112K
Sutter Bay HospitalsBerkeley, CA$45K

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