Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SUTTER VALLEY MEDICAL FOUNDATION

NPI: 1770688129 · SACRAMENTO, CA 95816 · Clinical Medical Laboratory · NPI assigned 09/13/2006

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

Authorized official LOPES, KRISTA controls 20+ related entities in our dataset. Read more

$3.85M
Total Medicaid Paid
256,947
Total Claims
226,325
Beneficiaries
184
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPES, KRISTA (SH VP, QUALITY, SAFETY AND PATIENT)
NPI Enumeration Date09/13/2006

Related Entities

Other providers sharing the same authorized official: LOPES, KRISTA

ProviderCityStateTotal 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 YUBA CITY CA $2.45M
SUTTER VALLEY MEDICAL FOUNDATION BROWNSVILLE CA $1.37M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 35,106 $469K
2019 25,044 $303K
2020 23,368 $348K
2021 37,447 $686K
2022 34,681 $689K
2023 50,980 $708K
2024 50,321 $643K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 6,075 5,861 $566K
80053 Comprehensive metabolic panel 31,023 23,516 $341K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 6,010 5,811 $277K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 31,990 24,966 $267K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 5,351 5,156 $243K
84443 Thyroid stimulating hormone (TSH) 9,871 9,535 $192K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 5,460 5,299 $150K
80061 Lipid panel 9,255 9,026 $149K
86003 1,743 1,187 $123K
83036 Hemoglobin; glycosylated (A1C) 11,532 11,191 $123K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 3,651 3,591 $102K
87086 Culture, bacterial; quantitative colony count, urine 9,692 9,113 $90K
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 3,623 3,546 $73K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 384 382 $72K
87081 7,589 7,376 $66K
84439 5,930 5,718 $61K
82728 3,518 3,338 $53K
86803 2,853 2,782 $52K
80081 495 426 $47K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 628 617 $44K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 298 291 $35K
83735 5,493 2,710 $35K
87186 3,263 3,108 $34K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 406 393 $32K
85027 3,858 3,535 $31K
86481 268 266 $31K
80048 Basic metabolic panel (calcium, ionized) 3,156 2,883 $31K
87070 3,067 2,956 $31K
87077 2,909 2,759 $30K
87634 204 203 $24K
82785 997 912 $23K
86762 1,301 1,294 $21K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 106 103 $20K
83550 1,933 1,896 $18K
83540 2,229 2,130 $17K
82784 1,604 1,553 $16K
83525 813 811 $14K
85610 2,967 2,258 $14K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 235 232 $14K
86140 2,110 1,895 $13K
87480 480 467 $11K
86592 2,075 2,030 $11K
83516 770 750 $11K
86038 636 617 $10K
84100 2,453 977 $10K
87660 461 447 $10K
87510 435 423 $10K
83970 264 259 $10K
81001 2,486 2,316 $10K
85652 2,891 2,661 $9K
82607 724 722 $9K
82043 1,610 1,563 $9K
80076 1,011 982 $9K
82570 1,682 1,617 $9K
87340 716 712 $8K
82746 356 356 $7K
86376 384 370 $7K
85007 1,664 1,548 $7K
87147 815 678 $6K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 14 12 $6K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,601 1,573 $5K
82274 186 186 $4K
82950 817 795 $4K
86765 208 205 $4K
86735 204 201 $4K
86364 112 112 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 38 38 $3K
99233 Prolong inpt eval add15 m 3,162 1,407 $3K
86706 160 160 $3K
85018 919 917 $3K
84153 142 133 $3K
81003 927 877 $2K
87205 423 404 $2K
85730 316 286 $2K
70450 Computed tomography, head or brain; without contrast material 2,289 2,204 $2K
82533 87 82 $2K
82977 241 197 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material 617 609 $2K
87631 15 14 $2K
86431 187 183 $2K
83615 204 141 $1K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 545 278 $1K
99223 Prolong inpt eval add15 m 1,128 1,021 $1K
71046 Radiologic examination, chest; 2 views 4,091 3,996 $1K
71275 Computed tomographic angiography, chest, with contrast material 378 375 $1K
99239 Hospital discharge day management, more than 30 minutes 1,017 990 $1K
87581 30 24 $1K
87486 30 24 $1K
81025 136 120 $1K
86800 53 51 $1K
82670 27 27 $1K
80197 77 36 $981.89
83690 106 99 $969.97
83001 35 35 $937.74
82105 13 12 $871.12
93970 221 214 $870.97
83880 13 13 $817.98
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 378 377 $810.42
99232 Subsequent hospital care, per day, moderate complexity 1,323 648 $793.80
84403 27 26 $783.32
71045 Radiologic examination, chest; single view 4,764 4,030 $738.55
86665 27 27 $703.44
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 21 14 $693.00
82947 143 142 $671.57
86850 65 64 $661.69
87799 29 16 $655.88
86258 25 25 $631.18
83993 14 14 $608.16
86664 27 27 $605.20
86160 18 18 $584.48
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 363 360 $544.28
87045 42 42 $541.18
87427 42 42 $535.78
87400 51 34 $525.25
86663 27 27 $518.88
76705 Ultrasound, abdominal, real time with image documentation; limited 919 881 $508.41
80069 45 41 $443.56
82378 19 13 $420.74
72125 Computed tomography, cervical spine; without contrast material 393 392 $420.00
87015 43 43 $385.51
84550 59 50 $353.24
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 464 458 $324.80
86225 14 13 $312.37
83002 14 14 $296.66
87046 42 42 $274.36
76830 Ultrasound, transvaginal 382 377 $255.78
84156 44 39 $253.26
36415 Collection of venous blood by venipuncture 1,573 1,313 $242.16
87420 35 35 $234.62
84460 35 35 $234.37
99222 Initial hospital care, per day, moderate complexity 204 200 $226.26
84481 13 12 $223.22
70486 95 95 $214.62
71260 Computed tomography, thorax, diagnostic; with contrast material 194 194 $209.20
84450 31 31 $208.44
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 260 235 $182.40
93971 415 407 $171.60
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 486 412 $155.10
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 54 53 $150.34
87088 14 13 $143.00
82565 19 19 $133.84
82550 12 12 $127.32
76801 275 261 $122.32
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 373 350 $116.45
73630 584 544 $115.26
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 215 211 $102.54
73130 442 410 $101.85
76770 113 112 $100.08
99283 Emergency department visit for the evaluation and management, moderate severity 203 192 $89.20
73030 373 364 $88.22
99255 79 70 $86.25
73610 420 408 $81.48
74018 474 445 $78.80
99238 Hospital discharge day management, 30 minutes or less 138 138 $78.62
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 511 492 $78.41
72100 238 237 $75.12
73562 415 390 $70.20
99254 65 64 $65.01
70551 Magnetic resonance imaging, brain; without contrast material 176 173 $58.95
73110 294 279 $48.24
73590 185 175 $46.56
73080 182 177 $35.05
71250 68 68 $34.38
73502 112 109 $29.07
59025 Fetal non-stress test 281 260 $27.36
76870 28 27 $26.90
76700 Ultrasound, abdominal, real time with image documentation; complete 55 55 $25.79
73090 107 104 $25.76
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 37 37 $23.96
73140 29 28 $6.54
99282 Emergency department visit for the evaluation and management, low to moderate severity 50 47 $0.00
93018 14 14 $0.00
59514 174 163 $0.00
99000 76 75 $0.00
70496 13 13 $0.00
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 14 14 $0.00
93016 14 14 $0.00
70498 13 13 $0.00
80050 General health panel 43 42 $0.00
72040 12 12 $0.00
72131 71 71 $0.00
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 12 12 $0.00
77067 Screening mammography, bilateral, including computer-aided detection 53 52 $0.00
99215 Prolong outpt/office vis 80 70 $0.00