Clinic
Sutter Bay Hospitals
Sutter Bay Hospitals was paid $1.08M by Medicaid between Jan 2018 and Nov 2024, across 54 billing codes. Its largest line is 59425, — 26% of everything it billed.
33Billing provider infoSUTTER BAY HOSPITALS
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
33aNPI1871826925assigned 09/08/2009
33bProvider typeClinic/Center
28Total paid$1.08M
24GClaims33,689
24DCodes billed54
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in California
Rank by total paid#135 of 504
Median peer was paid$102K
This provider vs. median11×
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 GATES, JOHN 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 | 12,688 | $410K | |
| 2019 | 12,347 | $256K | |
| 2020 | 2,921 | $116K | |
| 2021 | 2,127 | $88K | |
| 2022 | 1,278 | $65K | |
| 2023 | 1,266 | $68K | |
| 2024incomplete | 1,062 | $80K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59425 | 26% | 2,744 | 2,175 | $286K | |
| Z1034 | 21% | 4,108 | 3,394 | $223K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 5,624 | 5,384 | $189K |
| H1003 | Prenatal care, at-risk enhanced service; education | 6.8% | 4,067 | 3,080 | $74K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 4.4% | 945 | 869 | $48K |
| J3490 | Unclassified drugs | 3.4% | 358 | 288 | $36K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.0% | 593 | 569 | $32K |
| Z6410 | 2.9% | 3,525 | 2,923 | $31K | |
| Z6500 | 2.0% | 176 | 176 | $22K | |
| 90686 | 1.4% | 1,180 | 1,172 | $15K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.1% | 182 | 182 | $12K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 588 | 581 | $12K |
42 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 88 | $8K |
| Z6400 | <1% | 229 | $7K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 409 | $7K |
| 90670 | <1% | 798 | $7K | |
| Z6406 | <1% | 374 | $6K | |
| 92551 | <1% | 1,315 | $6K | |
| Z6204 | <1% | 350 | $5K | |
| 90680 | <1% | 529 | $5K | |
| 90698 | <1% | 603 | $5K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 12 | $5K |
| 90715 | <1% | 111 | $5K | |
| Z6412 | <1% | 295 | $4K | |
| Z6304 | <1% | 294 | $4K | |
| Z1032 | <1% | 27 | $4K | |
| 99381 | <1% | 30 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 211 | $3K |
| 58300 | <1% | 26 | $2K | |
| 90744 | <1% | 250 | $2K | |
| 99401 | <1% | 70 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 487 | $2K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 100 | $2K |
| 81025 | <1% | 494 | $2K | |
| Z6414 | <1% | 60 | $765.33 | |
| 83655 | <1% | 150 | $706.05 | |
| 90655 | <1% | 110 | $629.90 | |
| 59426 | <1% | 220 | $604.80 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 56 | $479.75 |
| 96151 | <1% | 28 | $437.16 | |
| 90658 | <1% | 122 | $390.45 | |
| 90633 | <1% | 68 | $348.75 | |
| 85018 | <1% | 450 | $345.48 | |
| 59025 | Fetal non-stress test | <1% | 19 | $235.68 |
| 90649 | <1% | 55 | $101.25 | |
| 90716 | <1% | 14 | $77.85 | |
| 90656 | <1% | 49 | $69.69 | |
| 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% | 118 | $68.61 |
| 90734 | <1% | 18 | $40.50 | |
| 90710 | <1% | 12 | $33.75 | |
| 90696 | <1% | 12 | $33.75 | |
| 82947 | <1% | 27 | $5.78 | |
| 99173 | 0% | 883 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 26 | $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 officialGATES, JOHN (CFO)
| 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 East Bay Hospitals | Berkeley, CA | $946K |
| Sutter West Bay Hospitals | San Francisco, CA | $186K |
| Magnetic Imaging Affiliates, LLC | Oakland, CA | $112K |
| Sutter Bay Hospitals | Berkeley, CA | $45K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.