Behavioral
Sutter Valley Medical Foundation
Sutter Valley Medical Foundation was paid $18.22M by Medicaid between Jan 2018 and Dec 2024, across 165 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 26% of everything it billed.
33Billing provider infoSUTTER VALLEY MEDICAL FOUNDATION
MODESTO, CA 95355
MODESTO, CA 95355
33aNPI1669846986assigned 11/24/2015
33bProvider typePsychologist
28Total paid$18.22M
24GClaims437,212
24DCodes billed165
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychologist providers in California
Rank by total paid#7 of 211
Median peer was paid$79K
This provider vs. median232×
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 LOPES, KRISTA 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 | 53,859 | $1.99M | |
| 2019 | 61,049 | $2.31M | |
| 2020 | 60,681 | $2.72M | |
| 2021 | 65,139 | $3.39M | |
| 2022 | 43,991 | $1.77M | |
| 2023 | 73,811 | $2.61M | |
| 2024incomplete | 78,682 | $3.43M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 26% | 78,833 | 35,842 | $4.67M |
| 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 | 14% | 66,565 | 61,992 | $2.52M |
| 99223 | Prolong inpt eval add15 m | 13% | 21,543 | 20,851 | $2.35M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.3% | 28,801 | 12,228 | $1.16M |
| 99239 | Hospital discharge day management, more than 30 minutes | 6.0% | 16,771 | 16,407 | $1.09M |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 5.8% | 13,829 | 13,582 | $1.05M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 4.4% | 6,868 | 3,449 | $807K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.3% | 23,256 | 19,703 | $607K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.8% | 12,080 | 11,709 | $509K |
| 70450 | Computed tomography, head or brain; without contrast material | 2.3% | 14,542 | 14,013 | $417K |
| 71046 | Radiologic examination, chest; 2 views | 2.0% | 38,274 | 37,810 | $370K |
| 90961 | 1.7% | 2,126 | 2,099 | $304K |
153 more codes
| 90962 | 1.6% | 2,834 | $298K | |
| 71045 | Radiologic examination, chest; single view | 1.6% | 51,140 | $289K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.2% | 3,070 | $227K |
| 59425 | 1.0% | 2,993 | $189K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 2,811 | $147K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 875 | $130K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 928 | $84K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 1,619 | $71K |
| 99254 | <1% | 708 | $66K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 1,767 | $64K |
| 99255 | <1% | 414 | $54K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 8,682 | $50K |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 1,175 | $45K |
| 77014 | <1% | 316 | $38K | |
| 0001A | <1% | 901 | $34K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 488 | $33K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 321 | $28K |
| 0002A | <1% | 649 | $25K | |
| 90750 | <1% | 198 | $23K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 1,276 | $20K |
| 78815 | Positron emission tomography (PET) for limited area imaging | <1% | 53 | $19K |
| 73630 | <1% | 2,061 | $18K | |
| 73030 | <1% | 2,144 | $17K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 384 | $17K |
| 73562 | <1% | 1,384 | $17K | |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 506 | $16K |
| 0011A | <1% | 410 | $15K | |
| 0012A | <1% | 378 | $14K | |
| 00142 | <1% | 89 | $13K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 475 | $13K |
| 93000 | <1% | 1,739 | $13K | |
| 00813 | <1% | 40 | $12K | |
| 71250 | <1% | 394 | $11K | |
| 99152 | <1% | 791 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 622 | $11K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 60 | $10K |
| 73130 | <1% | 971 | $9K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,733 | $9K |
| 73610 | <1% | 1,061 | $9K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 30 | $9K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 269 | $8K |
| 00731 | <1% | 50 | $8K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 267 | $8K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 191 | $8K |
| 73110 | <1% | 512 | $8K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 895 | $7K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 181 | $7K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 140 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 685 | $7K |
| 95819 | <1% | 153 | $6K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 82 | $6K |
| 11721 | <1% | 484 | $6K | |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | <1% | 67 | $5K |
| 74018 | <1% | 1,214 | $5K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 143 | $5K |
| 99205 | Prolong outpt/office vis | <1% | 38 | $5K |
| 0071A | <1% | 114 | $5K | |
| 20610 | <1% | 169 | $4K | |
| 76770 | <1% | 178 | $4K | |
| 0072A | <1% | 96 | $4K | |
| 64405 | <1% | 52 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 134 | $3K |
| 73502 | <1% | 376 | $3K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 121 | $2K |
| 0064A | <1% | 53 | $2K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 204 | $2K |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | <1% | 58 | $2K |
| 76801 | <1% | 68 | $2K | |
| 92557 | <1% | 265 | $2K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 67 | $2K |
| 94010 | <1% | 229 | $2K | |
| 72110 | <1% | 152 | $2K | |
| 76813 | <1% | 13 | $2K | |
| 76642 | <1% | 17 | $1K | |
| 74178 | <1% | 24 | $1K | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 220 | $1K |
| 49083 | <1% | 16 | $1K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 14 | $1K |
| 72100 | <1% | 201 | $1K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 164 | $1K |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 27 | $1K |
| 90686 | <1% | 431 | $1K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 1,560 | $1K |
| 93298 | <1% | 137 | $994.53 | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 25 | $905.84 |
| 73590 | <1% | 185 | $882.72 | |
| 85018 | <1% | 303 | $879.55 | |
| 76830 | Ultrasound, transvaginal | <1% | 89 | $818.15 |
| 94729 | <1% | 60 | $814.65 | |
| 94726 | <1% | 60 | $777.48 | |
| 92134 | <1% | 65 | $766.48 | |
| 0004A | <1% | 18 | $720.00 | |
| 20553 | <1% | 29 | $684.00 | |
| 94060 | <1% | 59 | $683.98 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 102 | $675.84 |
| 73080 | <1% | 91 | $556.37 | |
| 93971 | <1% | 165 | $520.82 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 16 | $505.12 |
| 93970 | <1% | 119 | $502.32 | |
| 94618 | <1% | 28 | $460.46 | |
| 62323 | <1% | 25 | $453.37 | |
| 93015 | <1% | 26 | $450.80 | |
| 69210 | <1% | 28 | $444.09 | |
| 95117 | <1% | 37 | $376.20 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 197 | $360.00 |
| 73564 | <1% | 14 | $350.65 | |
| 70498 | <1% | 36 | $315.57 | |
| 76001 | <1% | 12 | $303.79 | |
| 93016 | <1% | 59 | $303.33 | |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 14 | $301.19 |
| 70496 | <1% | 35 | $297.96 | |
| 71020 | <1% | 35 | $260.35 | |
| 73560 | <1% | 29 | $249.63 | |
| 73140 | <1% | 25 | $239.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 25 | $228.72 |
| 73090 | <1% | 28 | $220.46 | |
| 93018 | <1% | 70 | $214.57 | |
| 74019 | <1% | 26 | $172.06 | |
| 92567 | <1% | 97 | $157.56 | |
| 92015 | Determination of refractive state | <1% | 27 | $151.41 |
| 93297 | <1% | 13 | $147.70 | |
| 71010 | <1% | 30 | $145.13 | |
| 20552 | <1% | 21 | $131.38 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 199 | $116.22 |
| 99173 | <1% | 27 | $112.74 | |
| 94664 | <1% | 14 | $109.40 | |
| 70486 | <1% | 26 | $107.31 | |
| 73620 | <1% | 16 | $94.34 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 13 | $92.64 |
| 81003 | <1% | 49 | $84.79 | |
| G0127 | Trimming of dystrophic nails, any number | <1% | 25 | $75.84 |
| 99253 | <1% | 29 | $46.44 | |
| 76536 | <1% | 12 | $39.50 | |
| 92551 | <1% | 61 | $37.34 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 14 | $35.10 |
| 51798 | <1% | 14 | $34.86 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 13 | $33.02 |
| 72131 | <1% | 12 | $32.33 | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 24 | $30.40 |
| 59025 | Fetal non-stress test | <1% | 188 | $18.24 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 30 | $16.79 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 84 | $11.98 |
| A9585 | Injection, gadobutrol, 0.1 ml | 0% | 21 | $0.00 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 23 | $0.00 |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 0% | 32 | $0.00 |
| 99283 | Emergency room visit (moderate) | 0% | 47 | $0.00 |
| 59514 | 0% | 45 | $0.00 | |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | 0% | 12 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 12 | $0.00 |
| 90662 | 0% | 77 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 52 | $0.00 |
| G1010 | Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program | 0% | 169 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 40 | $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 officialLOPES, KRISTA (SH VP, QUALITY, SAFETY AND PATIENT)
| Provider | Location | Paid |
|---|---|---|
| Sutter Valley Medical Foundation | Sacramento, CA | $41.25M |
| Sutter Bay Medical Foundation | Palo Alto, CA | $19.65M |
| Sutter Bay Medical Foundation | Sacramento, CA | $18.88M |
| Sutter Valley Medical Foundation | Yuba City, CA | $12.47M |
| Sutter Bay Medical Foundation | Orinda, CA | $6.77M |
| Sutter Valley Medical Foundation | Fairfield, CA | $3.92M |
| Sutter Valley Medical Foundation | Sacramento, CA | $3.85M |
| Sutter Valley Medical Foundation | Yuba City, CA | $2.45M |
| Sutter Valley Medical Foundation | Brownsville, CA | $1.37M |
| Sutter Valley Medical Foundation | Plymouth, CA | $407K |
| Sutter Valley Medical Foundation | Modesto, CA | $303K |
| Sutter Valley Medical Foundation | Yuba City, CA | $272K |
| Sutter Valley Medical Foundation | Yuba City, CA | $93K |
| Sutter Bay Medical Foundation | Santa Cruz, CA | $77K |
| Sutter Medical Foundation | Yuba City, CA | $31K |
| Sutter Bay Medical Foundation | Palo Alto, CA | $29K |
| Sutter Bay Medical Foundation | Mountain View, CA | $22K |
| Sutter Bay Medical Foundation | Palo Alto, CA | $11K |
| Sutter Bay Medical Foundation | Los Gatos, CA | $10K |
| Sutter Bay Medical Foundation | Palo Alto, CA | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.