Clinic
Sutter Valley Hospitals
Sutter Valley Hospitals was paid $17.26M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 73% of everything it billed.
33Billing provider infoSUTTER VALLEY HOSPITALS
LOS BANOS, CA 93635
LOS BANOS, CA 93635
33aNPI1487017471assigned 03/29/2016
33bProvider typeRural Health Clinic/Center
28Total paid$17.26M
24GClaims252,505
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#30 of 215
Median peer was paid$3.62M
This provider vs. median4.8×
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
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 | 25,121 | $1.27M | |
| 2019 | 28,807 | $1.95M | |
| 2020 | 32,113 | $1.95M | |
| 2021 | 37,198 | $2.30M | |
| 2022 | 39,750 | $2.61M | |
| 2023 | 54,232 | $3.85M | |
| 2024incomplete | 35,284 | $3.33M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 73% | 96,561 | 83,797 | $12.63M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 59,003 | 48,907 | $2.19M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.6% | 9,260 | 8,620 | $449K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.3% | 18,572 | 15,604 | $405K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 4,668 | 4,612 | $344K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.8% | 3,746 | 3,732 | $303K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 2,904 | 2,876 | $203K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,956 | 1,956 | $147K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,121 | 1,121 | $90K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 572 | 571 | $53K |
| 90686 | <1% | 4,507 | 4,495 | $50K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 469 | 468 | $49K |
41 more codes
| 99381 | <1% | 395 | $37K | |
| G9920 | Screening performed and negative | <1% | 851 | $36K |
| 90670 | <1% | 5,446 | $29K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 501 | $29K |
| 90647 | <1% | 5,438 | $27K | |
| 90723 | <1% | 5,232 | $26K | |
| 90680 | <1% | 4,406 | $22K | |
| 90633 | <1% | 3,147 | $19K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 213 | $19K |
| 90651 | <1% | 913 | $16K | |
| 90715 | <1% | 764 | $14K | |
| 90710 | <1% | 2,057 | $14K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 767 | $8K |
| 90700 | <1% | 989 | $7K | |
| 81003 | <1% | 4,062 | $7K | |
| 99201 | <1% | 166 | $6K | |
| 90734 | <1% | 558 | $5K | |
| 81025 | <1% | 1,174 | $4K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 780 | $4K |
| 90707 | <1% | 161 | $3K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 18 | $2K |
| 99383 | <1% | 26 | $2K | |
| 90716 | <1% | 123 | $2K | |
| 90656 | <1% | 261 | $2K | |
| 90696 | <1% | 181 | $1K | |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | <1% | 866 | $1K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 182 | $854.10 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 147 | $747.08 |
| J1071 | Injection, testosterone cypionate, 1 mg | <1% | 304 | $679.07 |
| 86580 | <1% | 147 | $523.32 | |
| 99188 | <1% | 18 | $441.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 56 | $419.80 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 19 | $102.60 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 13 | $46.01 |
| 90677 | 0% | 417 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 257 | $0.00 |
| 90381 | 0% | 17 | $0.00 | |
| 90461 | 0% | 3,670 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 4,219 | $0.00 |
| 90671 | 0% | 193 | $0.00 | |
| 90380 | 0% | 12 | $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 officialTERRA, PAIGE (CFO)
| Provider | Location | Paid |
|---|---|---|
| Sutter Valley Hospitals | Modesto, CA | $76.21M |
| Sutter Valley Hospitals | Los Banos, CA | $26.09M |
| Sutter Coast Hospital | Crescent City, CA | $21.67M |
| Sutter Valley Hospitals | Tracy, CA | $19.42M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.