Medicaid Provider Spending

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

SUTTER VALLEY MEDICAL FOUNDATION

NPI: 1952327256 · SACRAMENTO, CA 95833 · Internal Medicine Physician · NPI assigned 07/14/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LOPES, KRISTA controls 20+ related entities in our dataset. Read more

$41.25M
Total Medicaid Paid
1,248,847
Total Claims
1,045,054
Beneficiaries
299
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPES, KRISTA (SH VP, QUALITY, SAFETY AND PATIENT)
NPI Enumeration Date07/14/2006

Related Entities

Other providers sharing the same authorized official: LOPES, KRISTA

ProviderCityStateTotal Paid
SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA $19.65M
SUTTER BAY MEDICAL FOUNDATION SACRAMENTO CA $18.88M
SUTTER VALLEY MEDICAL FOUNDATION MODESTO CA $18.22M
SUTTER VALLEY MEDICAL FOUNDATION YUBA CITY CA $12.47M
SUTTER BAY MEDICAL FOUNDATION ORINDA CA $6.77M
SUTTER VALLEY MEDICAL FOUNDATION FAIRFIELD CA $3.92M
SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA $3.85M
SUTTER VALLEY MEDICAL FOUNDATION YUBA CITY CA $2.45M
SUTTER VALLEY MEDICAL FOUNDATION BROWNSVILLE CA $1.37M
SUTTER VALLEY MEDICAL FOUNDATION PLYMOUTH CA $407K
SUTTER VALLEY MEDICAL FOUNDATION MODESTO CA $303K
SUTTER VALLEY MEDICAL FOUNDATION YUBA CITY CA $272K
SUTTER VALLEY MEDICAL FOUNDATION YUBA CITY CA $93K
SUTTER BAY MEDICAL FOUNDATION SANTA CRUZ CA $77K
SUTTER MEDICAL FOUNDATION YUBA CITY CA $31K
SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA $29K
SUTTER BAY MEDICAL FOUNDATION MOUNTAIN VIEW CA $22K
SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA $11K
SUTTER BAY MEDICAL FOUNDATION LOS GATOS CA $10K
SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 194,673 $6.26M
2019 219,970 $5.67M
2020 158,023 $4.50M
2021 152,354 $4.80M
2022 162,287 $5.34M
2023 200,369 $7.21M
2024 161,171 $7.46M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 129,350 120,277 $6.52M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 93,484 88,793 $3.49M
78815 Positron emission tomography (PET) for limited area imaging 5,781 4,011 $2.58M
74177 Computed tomography, abdomen and pelvis; with contrast material 37,175 36,003 $2.41M
99233 Prolong inpt eval add15 m 63,967 28,832 $2.04M
70450 Computed tomography, head or brain; without contrast material 54,547 51,653 $1.31M
77067 Screening mammography, bilateral, including computer-aided detection 24,563 21,311 $1.19M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 9,502 6,170 $1.16M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 19,357 18,017 $992K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 6,689 2,731 $918K
99223 Prolong inpt eval add15 m 15,543 14,446 $820K
71046 Radiologic examination, chest; 2 views 101,271 97,313 $819K
71045 Radiologic examination, chest; single view 142,723 123,565 $807K
70551 Magnetic resonance imaging, brain; without contrast material 9,763 7,559 $615K
99479 Subsequent intensive care, per day, very low birth weight infant 5,556 2,086 $594K
99215 Prolong outpt/office vis 8,821 7,757 $592K
H1001 Prenatal care, at-risk enhanced service; antepartum management 8,048 5,664 $584K
74176 Computed tomography, abdomen and pelvis; without contrast material 12,181 11,736 $574K
99480 Subsequent intensive care, per day, low birth weight infant 5,210 2,077 $541K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 3,446 3,409 $486K
99232 Subsequent hospital care, per day, moderate complexity 19,004 7,990 $478K
90460 Immunization administration through 18 years of age via any route, first or only component 29,223 15,316 $458K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 7,210 5,283 $447K
Z0104 3,032 1,211 $402K
99239 Hospital discharge day management, more than 30 minutes 11,862 11,457 $397K
59425 9,539 6,401 $357K
77063 Screening digital breast tomosynthesis, bilateral 23,822 14,142 $352K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,633 5,545 $352K
76642 16,737 8,203 $318K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 13,488 12,129 $314K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,554 3,475 $305K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,334 4,257 $286K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 4,587 2,794 $269K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 364 352 $252K
76700 Ultrasound, abdominal, real time with image documentation; complete 8,194 7,306 $251K
92551 15,200 15,087 $247K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,540 3,390 $245K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 1,697 677 $244K
76705 Ultrasound, abdominal, real time with image documentation; limited 11,776 10,890 $233K
72125 Computed tomography, cervical spine; without contrast material 7,287 7,099 $230K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 13,242 6,700 $229K
S9083 Global fee urgent care centers 3,050 2,938 $228K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 2,628 2,125 $217K
76830 Ultrasound, transvaginal 10,216 9,153 $211K
Z1034 3,785 2,520 $206K
71275 Computed tomographic angiography, chest, with contrast material 3,575 3,539 $188K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 3,904 3,608 $159K
71260 Computed tomography, thorax, diagnostic; with contrast material 5,135 4,840 $155K
Z0102 799 281 $146K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 21,422 18,230 $139K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3,397 3,189 $139K
74018 13,761 12,090 $121K
77014 2,849 807 $116K
A9585 Injection, gadobutrol, 0.1 ml 5,381 4,980 $115K
76770 3,372 3,085 $97K
G6015 Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session 719 196 $92K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 493 488 $92K
73630 10,319 8,461 $90K
71250 2,545 2,343 $84K
72141 1,195 864 $83K
77066 Tomosynthesis, mammo 1,295 1,083 $75K
90686 17,542 17,433 $75K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,131 1,122 $70K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,539 1,455 $69K
95117 4,461 2,891 $66K
99244 Office or other outpatient consultation, moderate to high complexity 887 880 $65K
95720 338 189 $65K
0001A 1,778 1,772 $61K
73610 5,977 5,316 $59K
73562 7,755 5,850 $57K
97803 564 533 $57K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,094 6,015 $56K
72100 6,035 5,547 $56K
0002A 1,528 1,522 $55K
77080 3,022 2,509 $54K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 4,153 2,603 $52K
73030 6,642 5,612 $51K
70498 904 891 $50K
97530 Therapeutic activities, direct patient contact, each 15 minutes 993 749 $48K
76813 826 744 $45K
93016 3,104 3,070 $45K
73110 3,691 3,133 $42K
97139 1,753 812 $42K
95144 88 64 $42K
73221 631 419 $40K
77065 Tomosynthesis, mammo 1,292 1,142 $40K
99205 Prolong outpt/office vis 663 648 $38K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,224 3,172 $38K
99238 Hospital discharge day management, 30 minutes or less 976 927 $38K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 881 720 $36K
76536 1,496 1,293 $35K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 328 316 $33K
73130 4,122 3,325 $33K
93970 933 888 $31K
97010 1,958 634 $31K
76801 1,397 1,292 $31K
70496 540 530 $30K
70486 915 870 $29K
D1206 Topical application of fluoride varnish 1,127 1,114 $28K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 801 788 $28K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 427 424 $28K
93971 2,106 2,039 $28K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,924 1,829 $27K
59025 Fetal non-stress test 1,848 1,375 $26K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 250 247 $26K
99152 1,306 1,244 $24K
99173 8,698 8,591 $24K
93018 2,541 2,506 $24K
99245 144 139 $23K
83655 822 812 $23K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,252 3,944 $23K
74183 133 96 $22K
93458 107 105 $22K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 175 49 $22K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 39 38 $21K
J0585 Injection, onabotulinumtoxina, 1 unit 65 38 $21K
99222 Initial hospital care, per day, moderate complexity 675 646 $21K
97802 129 126 $20K
85018 5,279 5,154 $20K
93000 2,170 2,140 $19K
0071A 474 474 $19K
64615 195 195 $18K
0072A 447 447 $18K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 813 752 $17K
Z4306 398 398 $16K
97799 1,069 274 $16K
45380 Colonoscopy, flexible; with biopsy, single or multiple 48 48 $15K
70544 126 83 $13K
99385 116 116 $12K
Z0106 170 95 $12K
99308 Subsequent nursing facility care, per day, straightforward 629 594 $11K
73502 1,144 1,056 $10K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 570 560 $10K
99468 30 26 $10K
72197 52 36 $10K
95810 Polysomnography; sleep staging with 4 or more additional parameters 34 34 $9K
90472 Immunization administration, each additional vaccine (list separately) 572 426 $9K
92015 Determination of refractive state 651 639 $8K
0011A 242 242 $7K
95115 746 433 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 353 341 $7K
99254 106 102 $7K
97750 168 89 $7K
72040 919 841 $7K
51798 208 206 $6K
78830 72 67 $6K
0012A 167 166 $6K
99386 43 43 $5K
90656 703 702 $5K
92557 164 162 $5K
99255 87 83 $5K
74178 54 44 $5K
92567 265 260 $5K
77334 69 38 $5K
76981 415 414 $5K
96127 583 552 $5K
71271 48 48 $5K
75574 35 27 $4K
99188 157 153 $4K
95886 49 49 $4K
73080 373 341 $4K
0004A 106 106 $4K
0124A 117 115 $4K
20610 177 152 $4K
72131 197 194 $4K
73140 396 325 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 691 438 $4K
70491 70 68 $4K
99243 40 40 $4K
90698 1,309 1,298 $4K
95911 13 13 $3K
95811 13 13 $3K
76506 155 149 $3K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 977 498 $3K
90670 1,450 1,445 $3K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 68 67 $3K
99283 Emergency department visit for the evaluation and management, moderate severity 96 92 $3K
99220 170 154 $3K
90651 133 130 $3K
0003A 74 74 $3K
99460 41 41 $3K
95012 40 40 $3K
93925 70 68 $3K
90680 840 833 $3K
97161 107 105 $3K
72082 84 77 $3K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 29 26 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 159 157 $2K
99417 Prolong home eval add 15m 29 28 $2K
31231 24 24 $2K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 12 12 $2K
99497 45 45 $2K
99306 Prolong nursin fac eval 15m 47 46 $2K
90832 Psychotherapy, 30 minutes with patient 28 25 $2K
36415 Collection of venous blood by venipuncture 934 779 $2K
49083 34 29 $2K
71010 264 172 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 116 73 $2K
71020 166 97 $2K
99499 50 30 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 100 83 $1K
90744 534 530 $1K
0154A 35 35 $1K
0064A 35 35 $1K
73590 216 189 $1K
93922 69 66 $1K
78226 52 51 $1K
90461 4,513 3,871 $1K
76870 64 64 $1K
0346T 117 117 $1K
59430 12 12 $1K
73700 15 12 $974.59
52000 13 12 $962.94
95816 16 16 $948.12
73560 369 292 $911.51
72129 14 14 $789.29
73090 81 77 $778.56
73564 94 67 $747.63
97535 Self-care/home management training, each 15 minutes 139 104 $693.44
74181 27 27 $667.49
99496 12 12 $640.95
0054A 17 17 $640.00
99406 94 94 $614.84
80053 Comprehensive metabolic panel 2,737 2,127 $587.41
72132 12 12 $580.83
90480 14 14 $560.00
94010 12 12 $546.12
99217 89 87 $533.78
80061 Lipid panel 301 297 $526.52
0074A 13 13 $520.00
87430 49 49 $514.06
81003 654 588 $491.29
0082A 12 12 $480.00
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 521 287 $478.53
81025 81 79 $477.46
93320 532 286 $437.21
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 145 92 $411.49
93880 12 12 $399.35
J1885 Injection, ketorolac tromethamine, per 15 mg 136 129 $382.19
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,273 2,572 $353.52
90633 431 429 $351.00
90685 94 91 $234.56
93296 12 12 $233.70
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 15 14 $232.94
83036 Hemoglobin; glycosylated (A1C) 459 453 $208.76
74019 16 16 $196.75
69210 12 12 $168.57
90688 24 24 $168.00
82962 38 37 $143.68
77072 17 16 $136.08
94060 13 13 $129.95
99000 50 50 $119.95
77336 16 12 $119.56
93976 13 13 $115.82
93015 13 12 $99.74
J1030 Injection, methylprednisolone acetate, 40 mg 13 13 $70.86
72110 13 13 $63.63
90734 36 36 $54.00
90707 37 37 $54.00
90700 52 52 $45.00
76937 13 13 $44.61
99407 16 12 $44.48
87086 Culture, bacterial; quantitative colony count, urine 508 496 $41.21
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 26 26 $30.55
93325 1,020 524 $19.92
90716 13 13 $18.00
90648 13 13 $18.00
86580 55 54 $9.25
90710 24 24 $9.00
80048 Basic metabolic panel (calcium, ionized) 134 130 $6.69
83735 51 25 $5.96
99140 122 104 $0.00
G0008 Administration of influenza virus vaccine 42 42 $0.00
84443 Thyroid stimulating hormone (TSH) 250 243 $0.00
86803 74 74 $0.00
82728 176 173 $0.00
81001 37 36 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 81 78 $0.00
80081 17 17 $0.00
80050 General health panel 39 38 $0.00
87081 101 100 $0.00
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 137 134 $0.00
85652 13 12 $0.00
99174 12 12 $0.00
J3490 Unclassified drugs 77 61 $0.00
85027 42 40 $0.00
82950 28 28 $0.00
86140 13 12 $0.00
87077 13 12 $0.00
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 41 41 $0.00
93321 186 89 $0.00
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 311 300 $0.00
G1010 Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program 120 84 $0.00
90662 87 87 $0.00
99177 21 21 $0.00
93228 13 12 $0.00
H1000 Prenatal care, at-risk assessment 16 16 $0.00
85610 32 26 $0.00
84439 12 12 $0.00