Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Sutter Valley Medical Foundation

Sutter Valley Medical Foundation was paid $3.85M by Medicaid between Jan 2018 and Dec 2024, across 184 billing codes. Its largest line is 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 — 15% of everything it billed.

33Billing provider infoSUTTER VALLEY MEDICAL FOUNDATION
SACRAMENTO, CA 95816
33aNPI1770688129assigned 09/13/2006
33bProvider typeClinical Medical Laboratory
28Total paid$3.85M
24GClaims256,947
24DCodes billed184
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in California

Rank by total paid#123 of 561
Median peer was paid$222K
This provider vs. median17×

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

$0$50K$100K2018201920202021202220232024
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
201835,106$469K
201925,044$303K
202023,368$348K
202137,447$686K
202234,681$689K
202350,980$708K
2024incomplete50,321$643K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 15% 6,075 5,861 $566K
80053 Comprehensive metabolic panel 8.9% 31,023 23,516 $341K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 7.2% 6,010 5,811 $277K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6.9% 31,990 24,966 $267K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 6.3% 5,351 5,156 $243K
84443 Thyroid stimulating hormone (TSH) 5.0% 9,871 9,535 $192K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3.9% 5,460 5,299 $150K
80061 Lipid panel 3.9% 9,255 9,026 $149K
86003 3.2% 1,743 1,187 $123K
83036 Hemoglobin; glycosylated (A1C) 3.2% 11,532 11,191 $123K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2.6% 3,651 3,591 $102K
87086 Culture, bacterial; quantitative colony count, urine 2.3% 9,692 9,113 $90K
172 more codes
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 1.9% 3,623 $73K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1.9% 384 $72K
87081 1.7% 7,589 $66K
84439 1.6% 5,930 $61K
82728 1.4% 3,518 $53K
86803 1.4% 2,853 $52K
80081 1.2% 495 $47K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.1% 628 $44K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 298 $35K
83735 <1% 5,493 $35K
87186 <1% 3,263 $34K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 406 $32K
85027 <1% 3,858 $31K
86481 <1% 268 $31K
80048 Basic metabolic panel (calcium, ionized) <1% 3,156 $31K
87070 <1% 3,067 $31K
87077 <1% 2,909 $30K
87634 <1% 204 $24K
82785 <1% 997 $23K
86762 <1% 1,301 $21K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 106 $20K
83550 <1% 1,933 $18K
83540 <1% 2,229 $17K
82784 <1% 1,604 $16K
83525 <1% 813 $14K
85610 <1% 2,967 $14K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 235 $14K
86140 <1% 2,110 $13K
87480 <1% 480 $11K
86592 <1% 2,075 $11K
83516 <1% 770 $11K
86038 <1% 636 $10K
84100 <1% 2,453 $10K
87660 <1% 461 $10K
87510 <1% 435 $10K
83970 <1% 264 $10K
81001 <1% 2,486 $10K
85652 <1% 2,891 $9K
82607 <1% 724 $9K
82043 <1% 1,610 $9K
80076 <1% 1,011 $9K
82570 <1% 1,682 $9K
87340 <1% 716 $8K
82746 <1% 356 $7K
86376 <1% 384 $7K
85007 <1% 1,664 $7K
87147 <1% 815 $6K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 14 $6K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 1,601 $5K
82274 <1% 186 $4K
82950 <1% 817 $4K
86765 <1% 208 $4K
86735 <1% 204 $4K
86364 <1% 112 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 38 $3K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 3,162 $3K
86706 <1% 160 $3K
85018 <1% 919 $3K
84153 <1% 142 $3K
81003 <1% 927 $2K
87205 <1% 423 $2K
85730 <1% 316 $2K
70450 Computed tomography, head or brain; without contrast material <1% 2,289 $2K
82533 <1% 87 $2K
82977 <1% 241 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 617 $2K
87631 <1% 15 $2K
86431 <1% 187 $2K
83615 <1% 204 $1K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 545 $1K
99223 Prolong inpt eval add15 m <1% 1,128 $1K
71046 Radiologic examination, chest; 2 views <1% 4,091 $1K
71275 Computed tomographic angiography, chest, with contrast material <1% 378 $1K
99239 Hospital discharge day management, more than 30 minutes <1% 1,017 $1K
87581 <1% 30 $1K
87486 <1% 30 $1K
81025 <1% 136 $1K
86800 <1% 53 $1K
82670 <1% 27 $1K
80197 <1% 77 $981.89
83690 <1% 106 $969.97
83001 <1% 35 $937.74
82105 <1% 13 $871.12
93970 <1% 221 $870.97
83880 <1% 13 $817.98
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 378 $810.42
99232 Hospital visit by a doctor, follow-up day <1% 1,323 $793.80
84403 <1% 27 $783.32
71045 Radiologic examination, chest; single view <1% 4,764 $738.55
86665 <1% 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 <1% 21 $693.00
82947 <1% 143 $671.57
86850 <1% 65 $661.69
87799 <1% 29 $655.88
86258 <1% 25 $631.18
83993 <1% 14 $608.16
86664 <1% 27 $605.20
86160 <1% 18 $584.48
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 363 $544.28
87045 <1% 42 $541.18
87427 <1% 42 $535.78
87400 <1% 51 $525.25
86663 <1% 27 $518.88
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 919 $508.41
80069 <1% 45 $443.56
82378 <1% 19 $420.74
72125 Computed tomography, cervical spine; without contrast material <1% 393 $420.00
87015 <1% 43 $385.51
84550 <1% 59 $353.24
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 464 $324.80
86225 <1% 14 $312.37
83002 <1% 14 $296.66
87046 <1% 42 $274.36
76830 Ultrasound, transvaginal <1% 382 $255.78
84156 <1% 44 $253.26
36415 Collection of venous blood by venipuncture <1% 1,573 $242.16
87420 <1% 35 $234.62
84460 <1% 35 $234.37
99222 Initial hospital care, per day, moderate complexity <1% 204 $226.26
84481 <1% 13 $223.22
70486 <1% 95 $214.62
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 194 $209.20
84450 <1% 31 $208.44
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 260 $182.40
93971 <1% 415 $171.60
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 486 $155.10
99204 Doctor's office visit, new patient (more involved) <1% 54 $150.34
87088 <1% 14 $143.00
82565 <1% 19 $133.84
82550 <1% 12 $127.32
76801 <1% 275 $122.32
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 373 $116.45
73630 <1% 584 $115.26
99213 Doctor's office visit, returning patient (routine) <1% 215 $102.54
73130 <1% 442 $101.85
76770 <1% 113 $100.08
99283 Emergency room visit (moderate) <1% 203 $89.20
73030 <1% 373 $88.22
99255 <1% 79 $86.25
73610 <1% 420 $81.48
74018 <1% 474 $78.80
99238 Hospital discharge day management, 30 minutes or less <1% 138 $78.62
99214 Doctor's office visit, returning patient (more involved) <1% 511 $78.41
72100 <1% 238 $75.12
73562 <1% 415 $70.20
99254 <1% 65 $65.01
70551 Magnetic resonance imaging, brain; without contrast material <1% 176 $58.95
73110 <1% 294 $48.24
73590 <1% 185 $46.56
73080 <1% 182 $35.05
71250 <1% 68 $34.38
73502 <1% 112 $29.07
59025 Fetal non-stress test <1% 281 $27.36
76870 <1% 28 $26.90
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 55 $25.79
73090 <1% 107 $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) <1% 37 $23.96
73140 <1% 29 $6.54
99282 Emergency department visit for the evaluation and management, low to moderate severity 0% 50 $0.00
93018 0% 14 $0.00
59514 0% 174 $0.00
99000 0% 76 $0.00
70496 0% 13 $0.00
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 0% 14 $0.00
93016 0% 14 $0.00
70498 0% 13 $0.00
80050 General health panel 0% 43 $0.00
72040 0% 12 $0.00
72131 0% 71 $0.00
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 0% 12 $0.00
77067 Screening mammography, bilateral, including computer-aided detection 0% 53 $0.00
99215 Doctor's office visit, returning patient (complex) 0% 80 $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 officialLOPES, KRISTA (SH VP, QUALITY, SAFETY AND PATIENT)
Same official

Other billing entities under LOPES, KRISTA

Full network →
ProviderLocationPaid
Sutter Valley Medical FoundationSacramento, CA$41.25M
Sutter Bay Medical FoundationPalo Alto, CA$19.65M
Sutter Bay Medical FoundationSacramento, CA$18.88M
Sutter Valley Medical FoundationModesto, CA$18.22M
Sutter Valley Medical FoundationYuba City, CA$12.47M
Sutter Bay Medical FoundationOrinda, CA$6.77M
Sutter Valley Medical FoundationFairfield, CA$3.92M
Sutter Valley Medical FoundationYuba City, CA$2.45M
Sutter Valley Medical FoundationBrownsville, CA$1.37M
Sutter Valley Medical FoundationPlymouth, CA$407K
Sutter Valley Medical FoundationModesto, CA$303K
Sutter Valley Medical FoundationYuba City, CA$272K
Sutter Valley Medical FoundationYuba City, CA$93K
Sutter Bay Medical FoundationSanta Cruz, CA$77K
Sutter Medical FoundationYuba City, CA$31K
Sutter Bay Medical FoundationPalo Alto, CA$29K
Sutter Bay Medical FoundationMountain View, CA$22K
Sutter Bay Medical FoundationPalo Alto, CA$11K
Sutter Bay Medical FoundationLos Gatos, CA$10K
Sutter Bay Medical FoundationPalo Alto, CA$10K

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