Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Oakland › NPI 1811021405
Clinic

Sutter Community Health

Sutter Community Health was paid $207K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 97803, — 29% of everything it billed.

33Billing provider infoSUTTER COMMUNITY HEALTH
OAKLAND, CA 94609
33aNPI1811021405assigned 03/15/2007
28Total paid$207K
24GClaims8,969
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Primary Care Clinic/Center providers in California

Rank by total paid#113 of 422
Median peer was paid$25K
This provider vs. median8.4×

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.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
20181,572$36K
2019964$14K
2020339$2K
2021678$8K
20221,084$15K
20231,735$40K
2024incomplete2,597$92K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97803 29% 864 701 $61K
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 23% 3,855 3,393 $48K
59425 11% 235 182 $23K
Z1034 10% 399 332 $22K
97802 8.1% 101 87 $17K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.4% 1,269 1,024 $15K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 5.1% 406 383 $11K
99205 Prolong outpt/office vis 2.4% 145 145 $5K
0450 Emergency room services <1% 48 43 $2K
82947 <1% 623 527 $1K
99243 <1% 40 40 $1K
90686 <1% 49 49 $563.79
8 more codes
90715 <1% 12 $405.14
Z6204 <1% 13 $210.25
59430 <1% 18 $178.42
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 47 $168.36
81002 <1% 631 $166.75
82948 <1% 137 $82.28
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 20 $71.14
98960 0% 57 $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 officialTHOMAS, ANGELYN (ADMINISTRATIVE MEDICAL DIRECTOR)