Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SUTTER VALLEY MEDICAL FOUNDATION

NPI: 1669846986 · MODESTO, CA 95355 · Psychologist · NPI assigned 11/24/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LOPES, KRISTA controls 20+ related entities in our dataset. Read more

$18.22M
Total Medicaid Paid
437,212
Total Claims
352,112
Beneficiaries
165
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPES, KRISTA (SH VP, QUALITY, SAFETY AND PATIENT)
NPI Enumeration Date11/24/2015

Related Entities

Other providers sharing the same authorized official: LOPES, KRISTA

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 78,682 $3.43M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 78,833 35,842 $4.67M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 66,565 61,992 $2.52M
99223 Prolong inpt eval add15 m 21,543 20,851 $2.35M
99232 Subsequent hospital care, per day, moderate complexity 28,801 12,228 $1.16M
99239 Hospital discharge day management, more than 30 minutes 16,771 16,407 $1.09M
74177 Computed tomography, abdomen and pelvis; with contrast material 13,829 13,582 $1.05M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 6,868 3,449 $807K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23,256 19,703 $607K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 12,080 11,709 $509K
70450 Computed tomography, head or brain; without contrast material 14,542 14,013 $417K
71046 Radiologic examination, chest; 2 views 38,274 37,810 $370K
90961 2,126 2,099 $304K
90962 2,834 2,816 $298K
71045 Radiologic examination, chest; single view 51,140 45,631 $289K
99215 Prolong outpt/office vis 3,070 2,928 $227K
59425 2,993 1,927 $189K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,811 2,741 $147K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 875 871 $130K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 928 912 $84K
90935 Hemodialysis procedure with single evaluation by a physician 1,619 763 $71K
99254 708 695 $66K
72125 Computed tomography, cervical spine; without contrast material 1,767 1,746 $64K
99255 414 403 $54K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 8,682 7,637 $50K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,175 1,132 $45K
77014 316 52 $38K
0001A 901 901 $34K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 488 485 $33K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 321 316 $28K
0002A 649 649 $25K
90750 198 176 $23K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,276 1,259 $20K
78815 Positron emission tomography (PET) for limited area imaging 53 53 $19K
73630 2,061 1,908 $18K
73030 2,144 1,914 $17K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 384 382 $17K
73562 1,384 1,228 $17K
71275 Computed tomographic angiography, chest, with contrast material 506 503 $16K
0011A 410 410 $15K
0012A 378 378 $14K
00142 89 89 $13K
99222 Initial hospital care, per day, moderate complexity 475 463 $13K
93000 1,739 1,697 $13K
00813 40 39 $12K
71250 394 389 $11K
99152 791 751 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 622 579 $11K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 60 52 $10K
73130 971 875 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,733 2,357 $9K
73610 1,061 1,009 $9K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 30 26 $9K
70551 Magnetic resonance imaging, brain; without contrast material 269 255 $8K
00731 50 50 $8K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 267 266 $8K
90834 Psychotherapy, 45 minutes with patient 191 101 $8K
73110 512 478 $8K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 895 879 $7K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 181 181 $7K
95810 Polysomnography; sleep staging with 4 or more additional parameters 140 136 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 685 669 $7K
95819 153 141 $6K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 82 79 $6K
11721 484 484 $6K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 67 67 $5K
74018 1,214 1,041 $5K
76700 Ultrasound, abdominal, real time with image documentation; complete 143 142 $5K
99205 Prolong outpt/office vis 38 38 $5K
0071A 114 114 $5K
20610 169 122 $4K
76770 178 174 $4K
0072A 96 96 $4K
64405 52 25 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 134 131 $3K
73502 376 375 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 121 68 $2K
0064A 53 53 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 204 196 $2K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 58 53 $2K
76801 68 67 $2K
92557 265 264 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 67 49 $2K
94010 229 227 $2K
72110 152 142 $2K
76813 13 12 $2K
76642 17 15 $1K
74178 24 24 $1K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 220 209 $1K
49083 16 13 $1K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 14 13 $1K
72100 201 201 $1K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 164 162 $1K
J2785 Injection, regadenoson, 0.1 mg 27 27 $1K
90686 431 431 $1K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,560 1,386 $1K
93298 137 137 $994.53
45380 Colonoscopy, flexible; with biopsy, single or multiple 25 24 $905.84
73590 185 170 $882.72
85018 303 295 $879.55
76830 Ultrasound, transvaginal 89 88 $818.15
94729 60 59 $814.65
94726 60 59 $777.48
92134 65 65 $766.48
0004A 18 18 $720.00
20553 29 28 $684.00
94060 59 58 $683.98
J1030 Injection, methylprednisolone acetate, 40 mg 102 100 $675.84
73080 91 88 $556.37
93971 165 161 $520.82
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 16 12 $505.12
93970 119 118 $502.32
94618 28 26 $460.46
62323 25 25 $453.37
93015 26 25 $450.80
69210 28 26 $444.09
95117 37 24 $376.20
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 197 170 $360.00
73564 14 12 $350.65
70498 36 35 $315.57
76001 12 12 $303.79
93016 59 59 $303.33
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 14 12 $301.19
70496 35 34 $297.96
71020 35 23 $260.35
73560 29 27 $249.63
73140 25 24 $239.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 25 25 $228.72
73090 28 26 $220.46
93018 70 70 $214.57
74019 26 25 $172.06
92567 97 96 $157.56
92015 Determination of refractive state 27 27 $151.41
93297 13 13 $147.70
71010 30 21 $145.13
20552 21 21 $131.38
99238 Hospital discharge day management, 30 minutes or less 199 195 $116.22
99173 27 27 $112.74
94664 14 14 $109.40
70486 26 26 $107.31
73620 16 14 $94.34
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 13 12 $92.64
81003 49 48 $84.79
G0127 Trimming of dystrophic nails, any number 25 25 $75.84
99253 29 29 $46.44
76536 12 12 $39.50
92551 61 39 $37.34
J1040 Injection, methylprednisolone acetate, 80 mg 14 14 $35.10
51798 14 14 $34.86
J1885 Injection, ketorolac tromethamine, per 15 mg 13 12 $33.02
72131 12 12 $32.33
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 24 24 $30.40
59025 Fetal non-stress test 188 173 $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) 30 28 $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) 84 81 $11.98
A9585 Injection, gadobutrol, 0.1 ml 21 21 $0.00
99308 Subsequent nursing facility care, per day, straightforward 23 14 $0.00
99282 Emergency department visit for the evaluation and management, low to moderate severity 32 30 $0.00
99283 Emergency department visit for the evaluation and management, moderate severity 47 42 $0.00
59514 45 44 $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 12 12 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 12 12 $0.00
90662 77 76 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 52 52 $0.00
G1010 Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program 169 149 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 40 40 $0.00