Sutter Medical Center Castro Valley
Sutter Medical Center Castro Valley was paid $31K by Medicaid between Jan 2018 and Jan 2020, across 20 billing codes. Its largest line is 99284, emergency room visit (serious) — 46% of everything it billed.
CASTRO VALLEY, CA 94546
Next to other General Acute Care Hospital providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 35 | $1K | |
| 2020 | 718 | $30K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 46% | 167 | 157 | $14K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 9.6% | 27 | 27 | $3K |
| J3490 | Unclassified drugs | 7.6% | 75 | 54 | $2K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 5.5% | 16 | 16 | $2K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 5.5% | 32 | 31 | $2K |
| 96375 | Therapeutic injection; each additional sequential IV push | 4.4% | 16 | 16 | $1K |
| 0450 | Emergency room services | 3.3% | 35 | 33 | $1K |
| 71046 | Radiologic examination, chest; 2 views | 2.9% | 29 | 29 | $920.46 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.9% | 19 | 19 | $897.62 |
| 80053 | Comprehensive metabolic panel | 2.5% | 61 | 58 | $792.39 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.0% | 66 | 62 | $623.70 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 1.7% | 16 | 16 | $545.02 |
8 more codes
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1.1% | 31 | $329.70 |
| J7030 | Infusion, normal saline solution , 1000 cc | 1.0% | 23 | $328.01 |
| 84484 | 1.0% | 27 | $320.22 | |
| 71045 | Radiologic examination, chest; single view | <1% | 16 | $272.16 |
| 83690 | <1% | 24 | $204.24 | |
| 81001 | <1% | 37 | $143.56 | |
| 82947 | <1% | 20 | $110.88 | |
| 81025 | <1% | 16 | $78.40 |
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.
Who's on the registration
| 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 East Bay Hospitals | Oakland, CA | $1.10M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.