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

Sutter Valley Hospitals

Sutter Valley Hospitals was paid $76.21M by Medicaid between Jan 2018 and Nov 2024, across 240 billing codes. Its largest line is 0450, Emergency room services — 28% of everything it billed.

33Billing provider infoSUTTER VALLEY HOSPITALS
MODESTO, CA 95355
33aNPI1699129601assigned 04/15/2016
33bProvider typeGeneral Acute Care Hospital
28Total paid$76.21M
24GClaims1,403,854
24DCodes billed240
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other General Acute Care Hospital providers in California

Rank by total paid#33 of 410
Median peer was paid$6.90M
This provider vs. median11×

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

$0$1.0M$2.0M$3.0M2018201920202021202220232024
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
2018199,936$11.00M
2019183,189$8.48M
2020176,196$10.70M
2021218,740$13.69M
2022258,254$12.96M
2023263,279$12.52M
2024incomplete104,260$6.87M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0450 Emergency room services 28% 192,336 167,945 $21.33M
74177 Computed tomography, abdomen and pelvis; with contrast material 6.8% 12,079 11,655 $5.17M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3.6% 30,652 27,576 $2.74M
70450 Computed tomography, head or brain; without contrast material 3.3% 10,562 10,180 $2.53M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 2.6% 11,687 11,347 $1.98M
72125 Computed tomography, cervical spine; without contrast material 2.6% 4,414 4,283 $1.95M
80053 Comprehensive metabolic panel 2.1% 103,885 92,412 $1.61M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 2.0% 9,193 8,962 $1.55M
96375 Therapeutic injection; each additional sequential IV push 2.0% 24,058 20,524 $1.52M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.9% 1,648 748 $1.43M
71260 Computed tomography, thorax, diagnostic; with contrast material 1.9% 2,267 2,182 $1.43M
0762 1.7% 1,588 879 $1.31M
228 more codes
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.7% 38,687 $1.27M
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1.7% 23,581 $1.27M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.5% 11,457 $1.15M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.4% 114,520 $1.06M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.4% 16,180 $1.04M
71046 Radiologic examination, chest; 2 views 1.3% 31,938 $953K
0160 1.1% 1,574 $876K
0270 1.1% 22,233 $845K
99284 Emergency room visit (serious) 1.1% 4,854 $841K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.1% 7,138 $837K
99285 Emergency room visit (most serious) 1.0% 2,944 $799K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.0% 19,276 $776K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" <1% 19,053 $722K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 4,306 $687K
J3490 Unclassified drugs <1% 20,041 $673K
96361 Intravenous infusion, hydration; each additional hour <1% 13,325 $646K
0250 <1% 44,118 $589K
82077 <1% 5,352 $521K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 6,283 $518K
99283 Emergency room visit (moderate) <1% 3,320 $477K
Z7502 <1% 12,970 $464K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 4,616 $457K
71045 Radiologic examination, chest; single view <1% 16,627 $411K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 4,272 $405K
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% 4,539 $392K
84484 <1% 34,619 $384K
J1745 Injection, infliximab, excludes biosimilar, 10 mg <1% 87 $365K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 3,899 $346K
99199 Unlisted special service, procedure or report <1% 874 $343K
83690 <1% 39,409 $340K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 6,074 $334K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 6,043 $333K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 15,150 $326K
96376 <1% 689 $308K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,275 $302K
93971 <1% 2,181 $298K
76801 <1% 3,386 $281K
80143 <1% 2,772 $267K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 2,466 $251K
81001 <1% 56,167 $248K
80179 <1% 2,675 $248K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 2,886 $242K
70486 <1% 688 $229K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 5,749 $228K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 385 $227K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 17,399 $226K
83880 <1% 6,625 $221K
70551 Magnetic resonance imaging, brain; without contrast material <1% 603 $220K
80048 Basic metabolic panel (calcium, ionized) <1% 5,285 $220K
J7030 Infusion, normal saline solution , 1000 cc <1% 14,590 $198K
87086 Culture, bacterial; quantitative colony count, urine <1% 16,064 $184K
76830 Ultrasound, transvaginal <1% 2,158 $179K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 2,145 $178K
82803 <1% 5,819 $177K
81025 <1% 24,336 $177K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 7,647 $175K
73030 <1% 2,889 $170K
73562 <1% 3,654 $167K
J2270 Injection, morphine sulfate, up to 10 mg <1% 11,250 $155K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 3,313 $140K
90715 <1% 1,804 $138K
73630 <1% 3,648 $135K
73130 <1% 2,828 $133K
73610 <1% 3,210 $130K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 2,077 $129K
87040 <1% 9,221 $128K
83605 <1% 8,127 $121K
84443 Thyroid stimulating hormone (TSH) <1% 5,294 $102K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 3,117 $101K
J7120 Ringers lactate infusion, up to 1000 cc <1% 8,151 $98K
84702 <1% 6,644 $98K
85730 <1% 7,200 $95K
J1170 Injection, hydromorphone, up to 4 mg <1% 5,530 $94K
83735 <1% 11,553 $91K
0510 <1% 2,468 $89K
84703 <1% 11,007 $89K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 2,120 $87K
87634 <1% 1,329 $85K
73110 <1% 1,796 $82K
72100 <1% 1,966 $81K
85610 <1% 9,773 $68K
86901 <1% 6,671 $66K
86900 <1% 6,929 $63K
86850 <1% 3,575 $63K
87186 <1% 4,535 $58K
82330 <1% 3,084 $58K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,342 $56K
73080 <1% 1,137 $56K
73590 <1% 1,163 $50K
0761 <1% 1,083 $47K
70496 <1% 188 $47K
73502 <1% 1,014 $46K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 121 $46K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 4,869 $45K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 2,204 $44K
87077 <1% 3,995 $44K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 4,629 $42K
85379 <1% 3,297 $41K
93458 <1% 62 $41K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 306 $41K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 200 $40K
76870 <1% 548 $38K
J1815 Injection, insulin, per 5 units <1% 1,603 $38K
82947 <1% 5,723 $36K
73090 <1% 739 $35K
70491 <1% 140 $35K
J0780 Injection, prochlorperazine, up to 10 mg <1% 1,931 $34K
87400 <1% 2,994 $29K
93970 <1% 147 $29K
74019 <1% 841 $28K
J2060 Injection, lorazepam, 2 mg <1% 2,726 $28K
84145 <1% 1,188 $27K
70498 <1% 138 $27K
86140 <1% 3,981 $27K
96415 <1% 750 $26K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 57 $26K
0760 <1% 600 $26K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,999 $25K
81003 <1% 7,646 $24K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 283 $23K
87081 <1% 2,499 $23K
87430 <1% 1,654 $21K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 2,317 $20K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 120 $19K
73140 <1% 788 $18K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,018 $17K
96367 <1% 354 $15K
71020 <1% 331 $15K
76770 <1% 153 $15K
84132 <1% 1,872 $13K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 402 $12K
87210 <1% 1,934 $12K
J1644 Injection, heparin sodium, per 1000 units <1% 1,012 $11K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 25 $11K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 77 $10K
82550 <1% 1,351 $10K
86923 <1% 62 $10K
94644 <1% 298 $9K
36415 Collection of venous blood by venipuncture <1% 1,141 $9K
29125 <1% 13 $9K
84295 <1% 1,332 $9K
93798 <1% 297 $9K
L0172 Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf <1% 104 $9K
87088 <1% 858 $9K
S0164 Injection, pantoprazole sodium, 40 mg <1% 488 $8K
J2785 Injection, regadenoson, 0.1 mg <1% 51 $8K
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% 157 $8K
J1953 Injection, levetiracetam, 10 mg <1% 80 $8K
87420 <1% 1,381 $8K
72040 <1% 139 $8K
74018 <1% 309 $8K
84100 <1% 1,518 $8K
72141 <1% 13 $7K
83036 Hemoglobin; glycosylated (A1C) <1% 1,155 $7K
73552 <1% 144 $7K
J1940 Injection, furosemide, up to 20 mg <1% 646 $7K
71250 <1% 39 $7K
85652 <1% 1,931 $6K
J7050 Infusion, normal saline solution, 250 cc <1% 361 $6K
87581 <1% 184 $6K
87486 <1% 184 $6K
72131 <1% 28 $6K
Z7610 <1% 704 $5K
73060 <1% 151 $5K
A9585 Injection, gadobutrol, 0.1 ml <1% 139 $5K
J3475 Injection, magnesium sulfate, per 500 mg <1% 284 $4K
81002 <1% 1,356 $4K
80076 <1% 321 $4K
87150 <1% 13 $4K
86592 <1% 804 $4K
93017 <1% 122 $4K
J3370 Injection, vancomycin hcl, 500 mg <1% 182 $4K
71010 <1% 115 $4K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 256 $4K
82009 <1% 690 $3K
72070 <1% 75 $3K
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg <1% 1,340 $3K
86308 <1% 603 $3K
0324 <1% 38 $3K
80061 Lipid panel <1% 347 $3K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 471 $3K
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg <1% 70 $2K
82553 <1% 256 $2K
72170 <1% 86 $2K
84439 <1% 244 $2K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 99 $2K
J0360 Injection, hydralazine hcl, up to 20 mg <1% 109 $2K
87147 <1% 352 $2K
99070 <1% 128 $2K
Z9725 <1% 41 $2K
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% 452 $2K
J8540 Dexamethasone, oral, 0.25 mg <1% 158 $1K
87045 <1% 110 $1K
87070 <1% 150 $1K
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf <1% 12 $1K
87205 <1% 267 $1K
87427 <1% 97 $1K
97139 <1% 24 $1K
97750 <1% 31 $1K
87046 <1% 169 $1K
71101 <1% 26 $1K
87899 <1% 141 $1K
J2704 Injection, propofol, 10 mg <1% 130 $1K
J2550 Injection, promethazine hcl, up to 50 mg <1% 92 $964.37
10060 <1% 31 $900.00
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf <1% 13 $886.50
87015 <1% 97 $819.11
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 13 $780.89
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 358 $650.98
J3360 Injection, diazepam, up to 5 mg <1% 33 $628.31
82140 <1% 53 $599.82
J0690 Injection, cefazolin sodium, 500 mg <1% 108 $539.94
J1171 Injection, hydromorphone, 0.1 mg <1% 15 $508.51
73660 <1% 24 $507.98
85002 <1% 17 $464.35
J1650 Injection, enoxaparin sodium, 10 mg <1% 24 $401.82
0636 <1% 258 $211.88
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 39 $209.38
84550 <1% 29 $124.13
J0670 Injection, mepivacaine hydrochloride, per 10 ml <1% 38 $123.63
85027 <1% 15 $100.90
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 133 $93.82
87324 <1% 12 $57.04
0250R 0% 80 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 0% 14 $0.00
0272R 0% 99 $0.00
59025 Fetal non-stress test 0% 131 $0.00
0360 0% 20 $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 officialTERRA, PAIGE (CFO)
Same official

Other billing entities under TERRA, PAIGE

Full network →
ProviderLocationPaid
Sutter Valley HospitalsLos Banos, CA$26.09M
Sutter Coast HospitalCrescent City, CA$21.67M
Sutter Valley HospitalsTracy, CA$19.42M
Sutter Valley HospitalsLos Banos, CA$17.26M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.