Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lab

Sutter Bay Hospitals

Sutter Bay Hospitals was paid $43.78M by Medicaid between Mar 2018 and Dec 2024, across 266 billing codes. Its largest line is 0112, — 8.1% of everything it billed.

33Billing provider infoSUTTER BAY HOSPITALS
BERKELEY, CA 94705
33aNPI1639523004assigned 04/21/2016
28Total paid$43.78M
24GClaims722,800
24DCodes billed266
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in California

Rank by total paid#24 of 561
Median peer was paid$222K
This provider vs. median197×

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$500K$1.0M$1.5M2018201920202021202220232024
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
2018101,140$6.45M
2019113,382$9.06M
202092,412$5.05M
2021100,194$4.89M
202291,376$4.85M
2023109,123$6.84M
2024incomplete115,173$6.65M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0112 8.1% 301 289 $3.55M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 7.4% 37,146 32,131 $3.22M
0121 4.1% 229 222 $1.78M
80053 Comprehensive metabolic panel 3.9% 51,818 43,037 $1.71M
77386 3.8% 747 72 $1.65M
74177 Computed tomography, abdomen and pelvis; with contrast material 3.0% 4,157 4,029 $1.31M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2.9% 13,635 12,198 $1.28M
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2.8% 13,656 8,758 $1.24M
0450 Emergency room services 2.8% 17,595 15,581 $1.22M
70450 Computed tomography, head or brain; without contrast material 2.7% 4,847 4,642 $1.19M
99231 Subsequent hospital care, per day, straightforward or low complexity 2.7% 19,368 14,393 $1.17M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2.4% 8,274 6,174 $1.05M
254 more codes
99199 Unlisted special service, procedure or report 2.4% 10,711 $1.03M
96375 Therapeutic injection; each additional sequential IV push 2.0% 12,847 $878K
0250 1.8% 4,158 $793K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.7% 19,293 $744K
J3490 Unclassified drugs 1.6% 23,111 $695K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.5% 7,066 $661K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.3% 10,512 $560K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.3% 55,402 $554K
59025 Fetal non-stress test 1.2% 11,402 $517K
0360 1.1% 1,050 $503K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.1% 1,782 $494K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1.1% 3,553 $489K
77067 Screening mammography, bilateral, including computer-aided detection 1.1% 3,383 $482K
77334 1.1% 1,303 $478K
0721 <1% 311 $432K
96361 Intravenous infusion, hydration; each additional hour <1% 8,721 $430K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 5,178 $425K
82077 <1% 4,032 $419K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 1,859 $410K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 1,805 $399K
99070 <1% 13,725 $386K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 5,177 $374K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 3,679 $348K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 4,037 $343K
77336 <1% 3,332 $341K
J1756 Injection, iron sucrose, 1 mg <1% 2,018 $324K
76801 <1% 3,468 $312K
76830 Ultrasound, transvaginal <1% 3,148 $306K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 2,676 $298K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 3,060 $282K
77412 <1% 2,614 $282K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 3,070 $273K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 8,755 $231K
0510 <1% 5,068 $230K
93971 <1% 1,551 $227K
71045 Radiologic examination, chest; single view <1% 11,411 $219K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" <1% 3,878 $213K
77300 <1% 497 $209K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 2,554 $204K
71275 Computed tomographic angiography, chest, with contrast material <1% 662 $187K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 3,048 $171K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 3,055 $170K
0301 <1% 874 $165K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 10,902 $162K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 1,006 $155K
99283 Emergency room visit (moderate) <1% 2,468 $149K
84484 <1% 12,750 $140K
J7030 Infusion, normal saline solution , 1000 cc <1% 11,630 $133K
0710 <1% 686 $133K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 2,552 $128K
71046 Radiologic examination, chest; 2 views <1% 4,072 $128K
72125 Computed tomography, cervical spine; without contrast material <1% 416 $116K
90791 Psychiatric diagnostic evaluation <1% 591 $113K
87086 Culture, bacterial; quantitative colony count, urine <1% 9,704 $108K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 266 $106K
0272 <1% 521 $103K
83690 <1% 11,757 $99K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,723 $98K
J0475 Injection, baclofen, 10 mg <1% 86 $98K
83880 <1% 2,722 $97K
J1170 Injection, hydromorphone, up to 4 mg <1% 658 $93K
84702 <1% 5,722 $90K
J2323 Injection, natalizumab, 1 mg <1% 40 $85K
97139 <1% 3,249 $82K
0171 Inj, epinephrine (belcher) <1% 152 $77K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,802 $75K
99285 Emergency room visit (most serious) <1% 895 $72K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,382 $70K
86803 <1% 3,757 $70K
96367 <1% 1,173 $70K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 3,789 $69K
81001 <1% 16,360 $66K
0305 <1% 850 $66K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 763 $66K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 5,955 $65K
86703 <1% 3,804 $61K
77301 <1% 55 $59K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 531 $59K
Z7500 <1% 1,588 $54K
80143 <1% 406 $54K
96417 <1% 1,008 $53K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 2,274 $52K
J7120 Ringers lactate infusion, up to 1000 cc <1% 4,213 $51K
87040 <1% 4,062 $51K
94726 <1% 785 $51K
0302 <1% 623 $51K
J2270 Injection, morphine sulfate, up to 10 mg <1% 3,672 $50K
93798 <1% 1,231 $49K
73030 <1% 1,303 $49K
73630 <1% 1,396 $49K
94729 <1% 881 $47K
80179 <1% 369 $47K
83735 <1% 6,094 $45K
83605 <1% 3,600 $45K
84703 <1% 6,306 $45K
0370 <1% 150 $43K
73562 <1% 1,246 $43K
96415 <1% 846 $42K
73610 <1% 1,034 $41K
93970 <1% 183 $40K
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% 411 $39K
J2704 Injection, propofol, 10 mg <1% 1,391 $39K
84443 Thyroid stimulating hormone (TSH) <1% 1,840 $38K
Z9725 <1% 836 $36K
0306 <1% 600 $35K
0460 <1% 58 $33K
0258 <1% 691 $33K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 630 $32K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 274 $31K
72100 <1% 735 $30K
76770 <1% 318 $30K
77387 <1% 96 $29K
81025 <1% 4,285 $29K
94060 <1% 408 $29K
82731 <1% 467 $27K
0402 <1% 206 $27K
99232 Hospital visit by a doctor, follow-up day <1% 79 $26K
85610 <1% 5,717 $25K
77338 <1% 87 $24K
86850 <1% 3,374 $23K
85730 <1% 3,278 $22K
0750 <1% 119 $22K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 2,657 $21K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,825 $21K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 2,266 $20K
87077 <1% 2,108 $20K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 1,479 $20K
73130 <1% 546 $20K
80048 Basic metabolic panel (calcium, ionized) <1% 966 $20K
86900 <1% 5,681 $19K
81003 <1% 6,526 $19K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 5,033 $19K
86901 <1% 4,933 $19K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 411 $18K
94010 <1% 528 $18K
82947 <1% 2,588 $18K
73502 <1% 364 $17K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 560 $17K
0324 <1% 218 $17K
93017 <1% 183 $16K
87186 <1% 1,734 $16K
85379 <1% 1,282 $16K
87081 <1% 1,615 $16K
95990 <1% 132 $14K
J0897 Injection, denosumab, 1 mg <1% 14 $14K
80047 <1% 974 $13K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 1,565 $13K
97750 <1% 294 $13K
90715 <1% 240 $13K
76536 <1% 158 $12K
J2060 Injection, lorazepam, 2 mg <1% 1,329 $12K
87210 <1% 2,118 $12K
0270 <1% 322 $11K
86923 <1% 117 $11K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 19 $11K
0760 <1% 181 $11K
0949 <1% 231 $11K
J3475 Injection, magnesium sulfate, per 500 mg <1% 401 $11K
83615 <1% 2,031 $10K
77063 Screening digital breast tomosynthesis, bilateral <1% 283 $10K
82570 <1% 1,466 $10K
77290 <1% 44 $7K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 166 $7K
36415 Collection of venous blood by venipuncture <1% 3,149 $7K
S0164 Injection, pantoprazole sodium, 40 mg <1% 382 $7K
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 76 $7K
0730 <1% 216 $6K
77280 <1% 63 $6K
0352 <1% 16 $6K
84439 <1% 352 $6K
84156 <1% 1,440 $6K
96402 <1% 163 $6K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 711 $6K
J1815 Injection, insulin, per 5 units <1% 90 $6K
76818 <1% 217 $6K
76820 <1% 193 $6K
99201 <1% 83 $6K
82728 <1% 774 $6K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 164 $5K
84100 <1% 1,118 $5K
J3486 Injection, ziprasidone mesylate, 10 mg <1% 133 $5K
96376 <1% 106 $4K
73110 <1% 109 $4K
93975 <1% 13 $4K
72040 <1% 99 $4K
84550 <1% 729 $4K
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg <1% 118 $4K
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 180 $4K
72131 <1% 12 $4K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 75 $4K
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 302 $4K
85027 <1% 511 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 49 $4K
J7050 Infusion, normal saline solution, 250 cc <1% 258 $3K
85014 <1% 1,209 $3K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 163 $3K
70496 <1% 15 $3K
0307 <1% 372 $3K
94644 <1% 89 $3K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 85 $3K
86592 <1% 311 $3K
77417 <1% 28 $3K
Q3014 Telehealth originating site facility fee <1% 89 $2K
70498 <1% 15 $2K
73560 <1% 89 $2K
0310 <1% 58 $2K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 21 $2K
J0690 Injection, cefazolin sodium, 500 mg <1% 229 $2K
0300 <1% 234 $2K
87400 <1% 271 $2K
99218 <1% 19 $2K
S0028 Injection, famotidine, 20 mg <1% 350 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 260 $2K
84460 <1% 255 $2K
85651 <1% 217 $2K
84450 <1% 256 $2K
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 79 $2K
J1171 Injection, hydromorphone, 0.1 mg <1% 24 $2K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 18 $2K
0420 <1% 21 $1K
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg <1% 152 $1K
82565 <1% 210 $1K
83550 <1% 620 $1K
82378 <1% 190 $1K
83540 <1% 672 $1K
73140 <1% 39 $937.37
84145 <1% 41 $899.36
87522 Neg quan hep c or qual rna <1% 13 $845.68
J1030 Injection, methylprednisolone acetate, 40 mg <1% 13 $747.18
73590 <1% 27 $691.30
Z7502 <1% 17 $688.20
72020 <1% 29 $678.82
J2470 Injection, pantoprazole sodium, 40 mg <1% 105 $637.59
J2550 Injection, promethazine hcl, up to 50 mg <1% 60 $610.27
82247 <1% 94 $601.29
73564 <1% 58 $568.41
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% 548 $514.71
0255 <1% 17 $496.67
82550 <1% 64 $434.66
72070 <1% 14 $429.20
86140 <1% 60 $380.07
82248 <1% 53 $328.75
99221 <1% 12 $308.88
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 120 $247.96
84132 <1% 46 $186.77
J7042 5% dextrose/normal saline (500 ml = 1 unit) <1% 12 $122.87
87088 <1% 12 $106.84
82607 <1% 50 $84.08
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 13 $47.92
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 101 $26.20
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% 16 $1.44
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units 0% 20 $0.00
84112 0% 30 $0.00
0250R 0% 438 $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 HospitalsLakeport, CA$39.50M
Sutter Bay HospitalsSanta Rosa, CA$35.23M
Sutter Bay HospitalsAntioch, CA$29.48M
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.