Hospital
Sutter West Bay Hospitals
Sutter West Bay Hospitals was paid $1.12M by Medicaid between Mar 2018 and Mar 2020, across 136 billing codes. Its largest line is 0450, Emergency room services — 23% of everything it billed.
33Billing provider infoSUTTER WEST BAY HOSPITALS
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
33aNPI1689732885assigned 12/04/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$1.12M
24GClaims22,706
24DCodes billed136
24AFirst – last monthMar 2018 – Mar 2020
Compared with peers
Next to other General Acute Care Hospital providers in California
Rank by total paid#268 of 410
Median peer was paid$6.90M
This provider vs. median0.2×
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 | 21,649 | $1.09M | |
| 2019 | 1,029 | $36K | |
| 2020 | 28 | $8.50 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0450 | Emergency room services | 23% | 4,300 | 3,904 | $256K |
| 0214 | 19% | 24 | 24 | $211K | |
| 0121 | 16% | 23 | 23 | $182K | |
| 0122 | 8.1% | 13 | 13 | $91K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 3.5% | 461 | 437 | $40K |
| J3490 | Unclassified drugs | 3.0% | 2,714 | 1,496 | $33K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 2.4% | 88 | 84 | $27K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 1.9% | 766 | 709 | $21K |
| 96375 | Therapeutic injection; each additional sequential IV push | 1.7% | 304 | 280 | $19K |
| 70450 | Computed tomography, head or brain; without contrast material | 1.6% | 138 | 134 | $18K |
| 80053 | Comprehensive metabolic panel | 1.2% | 1,384 | 1,258 | $14K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 1.2% | 145 | 130 | $13K |
124 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.1% | 324 | $13K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.0% | 1,608 | $12K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 86 | $10K |
| 99284 | Emergency room visit (serious) | <1% | 79 | $7K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 46 | $7K |
| 90715 | <1% | 95 | $6K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 227 | $6K |
| 0510 | <1% | 167 | $6K | |
| 99283 | Emergency room visit (moderate) | <1% | 57 | $6K |
| 0762 | <1% | 93 | $5K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 108 | $5K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 108 | $5K |
| 84484 | <1% | 507 | $5K | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 493 | $5K |
| 93971 | <1% | 36 | $4K | |
| 76801 | <1% | 44 | $4K | |
| 71045 | Radiologic examination, chest; single view | <1% | 255 | $4K |
| 83690 | <1% | 492 | $3K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 17 | $3K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 13 | $3K |
| 0360 | <1% | 40 | $3K | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 79 | $3K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 110 | $3K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 56 | $3K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 236 | $2K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 43 | $2K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 40 | $2K |
| 99285 | Emergency room visit (most serious) | <1% | 18 | $2K |
| 82947 | <1% | 391 | $2K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 265 | $2K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 29 | $2K |
| 87040 | <1% | 173 | $2K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 15 | $2K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 22 | $2K |
| 83880 | <1% | 52 | $2K | |
| 0750 | <1% | 12 | $2K | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 259 | $2K |
| J0500 | Injection, dicyclomine hcl, up to 20 mg | <1% | 14 | $2K |
| 83605 | <1% | 150 | $2K | |
| J2270 | Injection, morphine sulfate, up to 10 mg | <1% | 177 | $2K |
| 81001 | <1% | 481 | $2K | |
| 84703 | <1% | 188 | $1K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 141 | $1K |
| 73562 | <1% | 49 | $1K | |
| 84702 | <1% | 82 | $1K | |
| 73630 | <1% | 56 | $1K | |
| 81025 | <1% | 295 | $1K | |
| 83735 | <1% | 177 | $1K | |
| 73130 | <1% | 46 | $1K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 110 | $1K |
| 76770 | <1% | 14 | $1K | |
| 73030 | <1% | 40 | $993.80 | |
| 73610 | <1% | 38 | $963.83 | |
| 73110 | <1% | 37 | $889.97 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 53 | $876.01 |
| 76830 | Ultrasound, transvaginal | <1% | 14 | $853.53 |
| 0250 | <1% | 540 | $836.07 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 80 | $755.77 |
| 73080 | <1% | 30 | $753.88 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 92 | $752.41 |
| J2765 | Injection, metoclopramide hcl, up to 10 mg | <1% | 74 | $633.11 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 95 | $629.44 |
| 85379 | <1% | 57 | $622.88 | |
| 86803 | <1% | 38 | $584.86 | |
| J1170 | Injection, hydromorphone, up to 4 mg | <1% | 58 | $582.78 |
| 51701 | <1% | 16 | $571.94 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 79 | $563.34 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 73 | $537.18 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 66 | $536.97 |
| 12001 | <1% | 19 | $523.82 | |
| 87077 | <1% | 51 | $492.37 | |
| 87186 | <1% | 46 | $476.45 | |
| 86703 | <1% | 33 | $467.06 | |
| 0710 | <1% | 27 | $457.26 | |
| 85730 | <1% | 74 | $454.50 | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 15 | $452.18 |
| J0780 | Injection, prochlorperazine, up to 10 mg | <1% | 19 | $450.46 |
| J2060 | Injection, lorazepam, 2 mg | <1% | 57 | $441.87 |
| 85610 | <1% | 114 | $439.37 | |
| 73140 | <1% | 30 | $420.24 | |
| 10060 | <1% | 16 | $413.12 | |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 42 | $389.34 |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 12 | $386.00 |
| 72100 | <1% | 13 | $348.34 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 39 | $324.03 |
| 87210 | <1% | 72 | $308.38 | |
| S0164 | Injection, pantoprazole sodium, 40 mg | <1% | 19 | $284.24 |
| 12002 | <1% | 13 | $268.58 | |
| 29125 | <1% | 30 | $257.97 | |
| J2704 | Injection, propofol, 10 mg | <1% | 24 | $257.87 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 19 | $244.34 |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 18 | $192.75 |
| 82550 | <1% | 27 | $166.35 | |
| 86901 | <1% | 54 | $156.72 | |
| J0690 | Injection, cefazolin sodium, 500 mg | <1% | 15 | $151.22 |
| J1630 | Injection, haloperidol, up to 5 mg | <1% | 18 | $147.83 |
| 86900 | <1% | 47 | $133.63 | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 19 | $128.10 |
| J2550 | Injection, promethazine hcl, up to 50 mg | <1% | 14 | $125.80 |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 17 | $115.62 |
| 36415 | Collection of venous blood by venipuncture | <1% | 197 | $73.33 |
| 82009 | <1% | 12 | $58.29 | |
| 81003 | <1% | 21 | $48.22 | |
| 86850 | <1% | 15 | $45.93 | |
| 0272 | <1% | 40 | $3.67 | |
| 0302 | 0% | 34 | $0.00 | |
| 0300 | 0% | 100 | $0.00 | |
| 0730 | 0% | 33 | $0.00 | |
| 0412 | 0% | 13 | $0.00 | |
| 0402 | 0% | 15 | $0.00 | |
| 0301 | 0% | 142 | $0.00 | |
| 0307 | 0% | 24 | $0.00 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 68 | $0.00 |
| 0306 | 0% | 77 | $0.00 | |
| 0255 | 0% | 17 | $0.00 | |
| 0305 | 0% | 146 | $0.00 | |
| 0258 | 0% | 82 | $0.00 | |
| 0370 | 0% | 22 | $0.00 | |
| 0324 | 0% | 31 | $0.00 | |
| 0352 | 0% | 13 | $0.00 | |
| 0171 | Inj, epinephrine (belcher) | 0% | 15 | $0.00 |
| 0721 | 0% | 17 | $0.00 | |
| 0949 | 0% | 32 | $0.00 | |
| 0420 | 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 officialHOLDSWORTH, MICHAEL (VICE PRESIDENT OF ADMINISTRATIONS C)
| Provider | Location | Paid |
|---|---|---|
| Sutter West Bay Hospitals | San Francisco, CA | $73K |
| Sutter West Bay Hospitals | San Francisco, CA | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.