Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SAN FRANCISCO › SUTTER BAY HOSPITALS

SUTTER BAY HOSPITALS

NPI: 1730238007 · SAN FRANCISCO, CA 94110 · General Acute Care Hospital · NPI assigned 01/09/2007

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

Authorized official GATES, JOHN controls 20+ related entities in our dataset. Read more

$14.94M
Total Medicaid Paid
325,183
Total Claims
295,506
Beneficiaries
198
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGATES, JOHN (CFO)
NPI Enumeration Date01/09/2007

Related Entities

Other providers sharing the same authorized official: GATES, JOHN

ProviderCityStateTotal 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 NOVATO CA $11.12M
SUTTER BAY HOSPITALS SAN FRANCISCO CA $6.79M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 43,093 $1.31M
2019 41,260 $1.25M
2020 45,273 $1.57M
2021 46,612 $2.23M
2022 47,613 $2.69M
2023 56,733 $3.53M
2024 44,599 $2.35M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99281 Emergency department visit for the evaluation and management, self-limited or minor 28,875 25,216 $2.04M
99284 Emergency department visit for the evaluation and management, high severity 2,989 2,649 $1.31M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 977 934 $1.25M
74177 Computed tomography, abdomen and pelvis; with contrast material 2,379 2,317 $995K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 7,051 6,651 $873K
70450 Computed tomography, head or brain; without contrast material 3,254 3,112 $809K
0450 Emergency room services 13,916 12,661 $698K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5,626 5,297 $541K
99283 Emergency department visit for the evaluation and management, moderate severity 1,661 1,505 $439K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,708 1,682 $382K
99199 Unlisted special service, procedure or report 3,096 2,674 $344K
80053 Comprehensive metabolic panel 21,093 19,702 $325K
96375 Therapeutic injection; each additional sequential IV push 4,293 3,925 $312K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,008 3,897 $302K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,398 7,844 $298K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,558 1,473 $253K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,201 1,194 $237K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 14,344 8,956 $230K
71045 Radiologic examination, chest; single view 6,048 5,819 $221K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 23,827 21,695 $217K
96361 Intravenous infusion, hydration; each additional hour 3,725 3,439 $214K
72125 Computed tomography, cervical spine; without contrast material 779 748 $188K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,037 2,807 $182K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,435 1,404 $144K
82077 2,735 2,635 $127K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,482 3,382 $125K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,457 3,359 $124K
71046 Radiologic examination, chest; 2 views 2,539 2,473 $112K
83880 1,916 1,820 $89K
84484 6,117 4,631 $80K
J7030 Infusion, normal saline solution , 1000 cc 6,439 5,911 $78K
74176 Computed tomography, abdomen and pelvis; without contrast material 190 187 $69K
83690 7,173 6,761 $65K
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 1,542 1,502 $55K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,518 3,199 $53K
J3490 Unclassified drugs 3,324 2,203 $47K
80048 Basic metabolic panel (calcium, ionized) 5,208 4,667 $46K
84443 Thyroid stimulating hormone (TSH) 4,066 4,021 $40K
87086 Culture, bacterial; quantitative colony count, urine 4,473 4,298 $38K
80061 Lipid panel 4,669 4,635 $33K
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,684 3,404 $33K
80143 403 397 $30K
81025 4,945 4,791 $30K
0270 1,086 704 $29K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 415 411 $29K
83036 Hemoglobin; glycosylated (A1C) 5,579 5,535 $29K
81001 7,410 7,103 $28K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 727 716 $28K
87040 1,496 906 $27K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,732 2,613 $26K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 940 821 $24K
94060 170 169 $23K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2,050 2,033 $23K
76705 Ultrasound, abdominal, real time with image documentation; limited 293 291 $23K
83605 1,555 1,242 $21K
83735 2,093 1,880 $20K
80179 405 398 $19K
J2270 Injection, morphine sulfate, up to 10 mg 1,436 1,312 $18K
76700 Ultrasound, abdominal, real time with image documentation; complete 179 177 $17K
84702 2,186 1,912 $17K
76830 Ultrasound, transvaginal 264 260 $16K
73030 355 342 $16K
94726 213 211 $16K
73610 486 476 $16K
71275 Computed tomographic angiography, chest, with contrast material 41 40 $15K
81003 4,730 4,580 $13K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,917 1,911 $12K
85610 2,604 2,448 $12K
87081 1,302 1,274 $12K
87186 1,309 1,201 $11K
73630 356 349 $11K
94729 213 211 $11K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 114 62 $10K
85730 1,479 1,428 $10K
85027 1,629 1,555 $9K
83789 478 443 $9K
80055 291 290 $9K
87400 1,638 1,581 $9K
J2060 Injection, lorazepam, 2 mg 931 869 $9K
87430 807 780 $8K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 86 44 $8K
J0696 Injection, ceftriaxone sodium, per 250 mg 813 755 $8K
93797 114 28 $8K
J7120 Ringers lactate infusion, up to 1000 cc 651 625 $8K
82947 1,046 935 $8K
73564 220 217 $8K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 641 628 $8K
85379 483 476 $7K
0250 357 247 $7K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 20 20 $7K
93971 25 25 $7K
73130 100 96 $7K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 73 73 $7K
83970 92 90 $6K
77067 Screening mammography, bilateral, including computer-aided detection 79 76 $6K
70496 13 12 $6K
82728 905 895 $6K
86481 165 165 $5K
86803 839 836 $5K
J1200 Injection, diphenhydramine hcl, up to 50 mg 548 521 $5K
J1170 Injection, hydromorphone, up to 4 mg 271 248 $5K
84439 739 729 $4K
82805 96 88 $4K
82570 1,185 1,099 $4K
73562 75 75 $4K
99070 976 637 $3K
82043 809 799 $3K
86592 1,345 1,335 $3K
82951 245 244 $3K
86787 238 235 $3K
71271 79 79 $2K
87077 278 266 $2K
77080 13 13 $2K
85652 968 949 $2K
86901 510 426 $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 614 602 $2K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 25 24 $2K
83550 203 199 $2K
90715 39 37 $2K
83540 267 263 $2K
87420 256 251 $2K
86900 529 419 $2K
82274 94 94 $2K
73502 25 25 $1K
71020 40 39 $1K
86140 195 191 $1K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 18 18 $1K
87634 20 20 $1K
84550 189 189 $1K
86850 179 177 $1K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 16 13 $1K
82607 106 105 $1K
84100 200 158 $1K
87486 21 21 $1K
87581 21 21 $1K
86480 13 13 $997.83
0272 45 45 $996.74
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 41 37 $956.43
71010 65 63 $886.33
82550 110 104 $838.06
J1171 Injection, hydromorphone, 0.1 mg 28 25 $614.52
36415 Collection of venous blood by venipuncture 6,849 6,276 $605.51
86038 89 88 $583.86
84153 27 27 $577.90
J1100 Injection, dexamethasone sodium phosphate, 1 mg 92 90 $568.40
72100 14 14 $542.59
J2765 Injection, metoclopramide hcl, up to 10 mg 70 68 $521.59
84436 203 203 $434.81
J1630 Injection, haloperidol, up to 5 mg 57 54 $403.46
J0780 Injection, prochlorperazine, up to 10 mg 28 26 $393.97
J2250 Injection, midazolam hydrochloride, per 1 mg 44 39 $393.30
87340 96 96 $379.53
80076 63 62 $329.03
85045 57 54 $311.88
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 789 785 $269.29
87147 57 54 $228.22
83021 42 42 $218.35
S0164 Injection, pantoprazole sodium, 40 mg 12 12 $179.94
87210 41 41 $154.79
82746 18 18 $145.55
87088 27 27 $141.94
J2470 Injection, pantoprazole sodium, 40 mg 14 12 $133.11
84460 43 43 $132.37
82652 12 12 $129.16
86706 14 14 $72.41
83655 110 110 $59.97
86431 12 12 $57.84
99441 52 49 $0.00
90686 809 807 $0.00
H1001 Prenatal care, at-risk enhanced service; antepartum management 267 183 $0.00
92551 792 790 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,125 2,023 $0.00
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 196 144 $0.00
0250R 13 13 $0.00
90688 75 75 $0.00
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 28 28 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 12 12 $0.00
G9012 Other specified case management service not elsewhere classified 21 14 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 16 14 $0.00
J2704 Injection, propofol, 10 mg 15 13 $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 34 30 $0.00
85018 75 75 $0.00
90698 12 12 $0.00
59426 1,972 1,484 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 89 89 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 515 515 $0.00
99173 723 723 $0.00
H1003 Prenatal care, at-risk enhanced service; education 1,409 1,080 $0.00
90461 270 270 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 330 329 $0.00
99401 128 122 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 256 256 $0.00
90633 38 38 $0.00
90472 Immunization administration, each additional vaccine (list separately) 13 13 $0.00
99442 278 262 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 84 84 $0.00
90670 80 79 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 53 51 $0.00