Lab
Sutter Valley Medical Foundation
Sutter Valley Medical Foundation was paid $1.37M by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.
33Billing provider infoSUTTER VALLEY MEDICAL FOUNDATION
BROWNSVILLE, CA 95919
BROWNSVILLE, CA 95919
33aNPI1740422286assigned 03/30/2009
33bProvider typeClinical Medical Laboratory
28Total paid$1.37M
24GClaims24,808
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in California
Rank by total paid#173 of 561
Median peer was paid$222K
This provider vs. median6.2×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LOPES, KRISTA 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 | 2,832 | $214K | |
| 2019 | 2,358 | $178K | |
| 2020 | 2,532 | $197K | |
| 2021 | 2,696 | $213K | |
| 2022 | 5,917 | $260K | |
| 2023 | 7,431 | $289K | |
| 2024incomplete | 1,042 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 86% | 14,856 | 12,380 | $1.17M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 6.2% | 3,121 | 1,878 | $84K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.1% | 4,649 | 2,705 | $84K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.8% | 1,520 | 769 | $24K |
| 90686 | <1% | 85 | 56 | $906.31 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 24 | 15 | $852.25 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 122 | 76 | $704.31 |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 17 | 17 | $581.76 |
| 81003 | <1% | 318 | 213 | $576.50 | |
| 93000 | <1% | 19 | 12 | $408.10 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 64 | 44 | $192.30 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 13 | 13 | $122.21 |
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 officialLOPES, KRISTA (SH VP, QUALITY, SAFETY AND PATIENT)
Parent organizationSUTTER MEDICAL FOUNDATION
| Provider | Location | 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 | Modesto, CA | $18.22M |
| 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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.