Medicaid Provider Spending

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

SUTTER BAY HOSPITALS

NPI: 1922462431 · BURLINGAME, CA 94010 · Adult Care Home Facility · NPI assigned 04/11/2016

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code S5102 with only 1 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official GATES, JOHN controls 20+ related entities in our dataset. Read more

$1.98M
Total Medicaid Paid
25,350
Total Claims
1,990
Beneficiaries
1
Codes Billed
2018-01
First Month
2021-03
Last Month

Provider Details

Authorized OfficialGATES, JOHN (CFO)
NPI Enumeration Date04/11/2016

Related Entities

Other providers sharing the same authorized official: GATES, JOHN

ProviderCityStateTotal 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 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
SUTTER BAY HOSPITALS BERKELEY CA $45K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,118 $620K
2019 8,760 $668K
2020 6,844 $559K
2021 1,628 $137K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5102 Day care services, adult; per diem 25,350 1,990 $1.98M