Lab
Sutter East Bay Hospitals
Sutter East Bay Hospitals was paid $1.10M by Medicaid between Jan 2018 and Feb 2018, across 117 billing codes. Its largest line is 77067, Screening mammography, bilateral, including computer-aided detection — 15% of everything it billed.
33Billing provider infoSUTTER EAST BAY HOSPITALS
OAKLAND, CA 94609
OAKLAND, CA 94609
33aNPI1740279959assigned 10/19/2005
33bProvider typeClinical Medical Laboratory
28Total paid$1.10M
24GClaims22,298
24DCodes billed117
24AFirst – last monthJan 2018 – Feb 2018
Compared with peers
Next to other Clinical Medical Laboratory providers in California
Rank by total paid#182 of 561
Median peer was paid$222K
This provider vs. median5.0×
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 GATES, JOHN 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 | 22,298 | $1.10M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 77067 | Screening mammography, bilateral, including computer-aided detection | 15% | 605 | 511 | $165K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 13% | 2,014 | 1,568 | $145K |
| J3490 | Unclassified drugs | 5.0% | 1,725 | 900 | $56K |
| 0450 | Emergency room services | 4.8% | 630 | 529 | $53K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 4.6% | 594 | 494 | $51K |
| 70450 | Computed tomography, head or brain; without contrast material | 4.5% | 186 | 168 | $49K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 3.6% | 107 | 104 | $40K |
| 80053 | Comprehensive metabolic panel | 3.0% | 1,532 | 1,296 | $33K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 3.0% | 860 | 719 | $33K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 2.9% | 279 | 240 | $32K |
| 77066 | Tomosynthesis, mammo | 2.2% | 71 | 64 | $25K |
| 96375 | Therapeutic injection; each additional sequential IV push | 1.9% | 362 | 304 | $21K |
105 more codes
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.7% | 329 | $18K |
| 77065 | Tomosynthesis, mammo | 1.6% | 73 | $18K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 1.6% | 174 | $17K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.4% | 1,622 | $16K |
| 76999 | 1.3% | 51 | $15K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.1% | 105 | $12K |
| 96361 | Intravenous infusion, hydration; each additional hour | 1.1% | 315 | $12K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 1.1% | 107 | $12K |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | 1.0% | 448 | $11K |
| 71046 | Radiologic examination, chest; 2 views | 1.0% | 305 | $11K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 119 | $11K |
| 76830 | Ultrasound, transvaginal | <1% | 107 | $10K |
| 76642 | <1% | 118 | $9K | |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 24 | $9K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 50 | $8K |
| 71045 | Radiologic examination, chest; single view | <1% | 441 | $8K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 98 | $8K |
| 93971 | <1% | 36 | $8K | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 320 | $8K |
| J0131 | Injection, acetaminophen, not otherwise specified,10 mg | <1% | 69 | $8K |
| 84484 | <1% | 511 | $7K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 162 | $6K |
| 71250 | <1% | 23 | $6K | |
| J0561 | Injection, penicillin g benzathine, 100,000 units | <1% | 17 | $6K |
| 86803 | <1% | 280 | $6K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 101 | $5K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 101 | $5K |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 16 | $5K |
| 86703 | <1% | 262 | $5K | |
| 76536 | <1% | 57 | $5K | |
| G0297 | Low dose ct scan (ldct) for lung cancer screening | <1% | 15 | $5K |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 397 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 134 | $4K |
| 83690 | <1% | 414 | $4K | |
| 83880 | <1% | 93 | $4K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 323 | $4K |
| 83605 | <1% | 246 | $4K | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 266 | $4K |
| 71020 | <1% | 92 | $4K | |
| 76801 | <1% | 39 | $3K | |
| J1815 | Injection, insulin, per 5 units | <1% | 24 | $3K |
| 99283 | Emergency room visit (moderate) | <1% | 43 | $3K |
| 0510 | <1% | 45 | $3K | |
| 87040 | <1% | 188 | $2K | |
| 94729 | <1% | 32 | $2K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 208 | $2K |
| 71010 | <1% | 95 | $2K | |
| 90715 | <1% | 42 | $2K | |
| 81001 | <1% | 414 | $2K | |
| 80047 | <1% | 83 | $2K | |
| 72100 | <1% | 47 | $2K | |
| 82947 | <1% | 150 | $2K | |
| 76770 | <1% | 19 | $2K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 109 | $2K |
| 81025 | <1% | 236 | $2K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 20 | $2K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 54 | $2K |
| J2270 | Injection, morphine sulfate, up to 10 mg | <1% | 178 | $2K |
| 73030 | <1% | 39 | $2K | |
| 72040 | <1% | 29 | $2K | |
| 84703 | <1% | 192 | $1K | |
| 84702 | <1% | 79 | $1K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 18 | $1K |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 56 | $1K |
| 73562 | <1% | 40 | $1K | |
| 83735 | <1% | 147 | $1K | |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 16 | $1K |
| 73610 | <1% | 32 | $1K | |
| 73630 | <1% | 32 | $1K | |
| 85610 | <1% | 222 | $1K | |
| 87400 | <1% | 147 | $1K | |
| 85730 | <1% | 131 | $1K | |
| J1170 | Injection, hydromorphone, up to 4 mg | <1% | 93 | $1K |
| 94727 | <1% | 18 | $1K | |
| 77080 | <1% | 14 | $998.30 | |
| 90686 | <1% | 24 | $912.96 | |
| S0164 | Injection, pantoprazole sodium, 40 mg | <1% | 45 | $865.30 |
| 81003 | <1% | 215 | $792.42 | |
| J2765 | Injection, metoclopramide hcl, up to 10 mg | <1% | 92 | $737.64 |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | <1% | 13 | $690.21 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 43 | $676.03 |
| 73130 | <1% | 16 | $633.08 | |
| 85379 | <1% | 37 | $617.51 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 38 | $571.53 |
| 87077 | <1% | 61 | $566.48 | |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 65 | $550.34 |
| 87186 | <1% | 55 | $545.96 | |
| J2060 | Injection, lorazepam, 2 mg | <1% | 77 | $542.80 |
| 94644 | <1% | 16 | $508.89 | |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 21 | $507.03 |
| 87081 | <1% | 46 | $472.23 | |
| 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% | 259 | $420.53 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 56 | $395.91 |
| 87210 | <1% | 58 | $350.22 | |
| 86850 | <1% | 29 | $258.42 | |
| 85014 | <1% | 80 | $237.15 | |
| 86901 | <1% | 46 | $225.03 | |
| J1940 | Injection, furosemide, up to 20 mg | <1% | 16 | $224.26 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 18 | $202.29 |
| 86900 | <1% | 48 | $194.60 | |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 19 | $156.90 |
| 99070 | <1% | 18 | $62.12 | |
| 0250 | <1% | 20 | $10.74 | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 0% | 35 | $0.00 |
| 0250R | 0% | 15 | $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 officialGATES, JOHN (CFO SHBA)
| Provider | Location | 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 | San Francisco, CA | $14.94M |
| 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 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.