Hospital
Sutter Bay Hospitals
Sutter Bay Hospitals was paid $6.79M by Medicaid between Jan 2018 and Nov 2024, across 96 billing codes. Its largest line is 99281, Emergency department visit for the evaluation and management, self-limited or minor — 11% of everything it billed.
33Billing provider infoSUTTER BAY HOSPITALS
SAN FRANCISCO, CA 94117
SAN FRANCISCO, CA 94117
33aNPI1659439834assigned 12/04/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$6.79M
24GClaims101,933
24DCodes billed96
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Acute Care Hospital providers in California
Rank by total paid#208 of 410
Median peer was paid$6.90M
This provider vs. median1.0×
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
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 | 15,688 | $998K | |
| 2019 | 16,578 | $1.26M | |
| 2020 | 11,504 | $558K | |
| 2021 | 14,437 | $814K | |
| 2022 | 14,716 | $822K | |
| 2023 | 17,778 | $1.55M | |
| 2024incomplete | 11,232 | $785K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 11% | 9,624 | 8,256 | $752K |
| 0121 | 11% | 118 | 108 | $723K | |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 5.9% | 750 | 682 | $401K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 5.1% | 2,259 | 2,125 | $346K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 4.6% | 199 | 188 | $314K |
| 0250 | 4.6% | 365 | 338 | $314K | |
| 70450 | Computed tomography, head or brain; without contrast material | 4.0% | 1,160 | 1,126 | $270K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 3.9% | 2,415 | 2,297 | $266K |
| 0450 | Emergency room services | 3.8% | 2,723 | 2,418 | $258K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 3.6% | 6,518 | 2,352 | $246K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 3.1% | 1,801 | 1,673 | $213K |
| 97039 | 3.1% | 6,964 | 1,480 | $209K |
84 more codes
| 99199 | Unlisted special service, procedure or report | 2.1% | 1,213 | $141K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 2.0% | 254 | $133K |
| 96375 | Therapeutic injection; each additional sequential IV push | 1.9% | 1,375 | $132K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 1.8% | 2,817 | $123K |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | 1.8% | 5,716 | $121K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.7% | 1,080 | $115K |
| 80053 | Comprehensive metabolic panel | 1.5% | 5,411 | $101K |
| 96361 | Intravenous infusion, hydration; each additional hour | 1.5% | 1,145 | $98K |
| 71045 | Radiologic examination, chest; single view | 1.4% | 1,956 | $94K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.4% | 5,480 | $93K |
| 0206 | 1.3% | 14 | $86K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1.2% | 248 | $80K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.1% | 6,460 | $78K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 1.1% | 1,770 | $72K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 292 | $67K |
| 0301 | <1% | 278 | $65K | |
| 88342 | <1% | 1,360 | $62K | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 1,618 | $62K |
| 82077 | <1% | 1,180 | $61K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 791 | $46K |
| 97799 | <1% | 1,436 | $44K | |
| 97139 | <1% | 1,382 | $43K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 705 | $40K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 699 | $39K |
| 88341 | <1% | 224 | $34K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 114 | $34K |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 2,205 | $32K |
| 84484 | <1% | 2,034 | $31K | |
| 97165 | <1% | 297 | $26K | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 1,565 | $25K |
| 0305 | <1% | 263 | $25K | |
| 83690 | <1% | 2,095 | $22K | |
| 0258 | <1% | 192 | $22K | |
| 87536 | <1% | 112 | $18K | |
| J3490 | Unclassified drugs | <1% | 1,228 | $18K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 126 | $15K |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 1,248 | $14K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 314 | $11K |
| 88142 | <1% | 1,806 | $11K | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 111 | $11K |
| 0270 | <1% | 409 | $11K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 825 | $10K |
| 86360 | <1% | 108 | $9K | |
| 97750 | <1% | 148 | $9K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 38 | $8K |
| 81001 | <1% | 1,523 | $7K | |
| 0306 | <1% | 129 | $7K | |
| 83880 | <1% | 136 | $7K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 447 | $5K |
| 87040 | <1% | 213 | $5K | |
| 80143 | <1% | 27 | $4K | |
| 83605 | <1% | 250 | $4K | |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 258 | $4K |
| 85610 | <1% | 641 | $3K | |
| 80061 | Lipid panel | <1% | 129 | $3K |
| 81025 | <1% | 482 | $3K | |
| 97010 | <1% | 45 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 100 | $3K |
| 81003 | <1% | 861 | $3K | |
| 85730 | <1% | 249 | $2K | |
| 80179 | <1% | 25 | $2K | |
| 97003 | <1% | 44 | $2K | |
| 0324 | <1% | 12 | $2K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 190 | $2K |
| 97166 | <1% | 34 | $2K | |
| 88313 | <1% | 93 | $1K | |
| 88304 | <1% | 209 | $1K | |
| 83735 | <1% | 73 | $1K | |
| 87400 | <1% | 183 | $1K | |
| 88363 | <1% | 72 | $1K | |
| 88312 | <1% | 97 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 59 | $997.17 |
| 71020 | <1% | 24 | $584.88 | |
| J0131 | Injection, acetaminophen, not otherwise specified,10 mg | <1% | 25 | $537.48 |
| 82947 | <1% | 57 | $505.38 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 14 | $356.23 |
| J2060 | Injection, lorazepam, 2 mg | <1% | 42 | $298.64 |
| 71010 | <1% | 18 | $261.54 | |
| 0300 | <1% | 42 | $256.50 | |
| 86592 | <1% | 14 | $136.07 | |
| 0730 | 0% | 26 | $0.00 | |
| 0430 | 0% | 12 | $0.00 | |
| 0307 | 0% | 25 | $0.00 | |
| 0420 | 0% | 15 | $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)
| Provider | Location | 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 | Antioch, CA | $29.48M |
| 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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.