Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Sutter Valley Medical Foundation

Sutter Valley Medical Foundation was paid $41.25M by Medicaid between Jan 2018 and Dec 2024, across 299 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 16% of everything it billed.

33Billing provider infoSUTTER VALLEY MEDICAL FOUNDATION
SACRAMENTO, CA 95833
33aNPI1952327256assigned 07/14/2006
28Total paid$41.25M
24GClaims1,248,847
24DCodes billed299
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in California

Rank by total paid#2 of 2,679
Median peer was paid$13K
This provider vs. median3,272×

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 LOPES, KRISTA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
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
2018194,673$6.26M
2019219,970$5.67M
2020158,023$4.50M
2021152,354$4.80M
2022162,287$5.34M
2023200,369$7.21M
2024incomplete161,171$7.46M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 16% 129,350 120,277 $6.52M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.5% 93,484 88,793 $3.49M
78815 Positron emission tomography (PET) for limited area imaging 6.2% 5,781 4,011 $2.58M
74177 Computed tomography, abdomen and pelvis; with contrast material 5.8% 37,175 36,003 $2.41M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 4.9% 63,967 28,832 $2.04M
70450 Computed tomography, head or brain; without contrast material 3.2% 54,547 51,653 $1.31M
77067 Screening mammography, bilateral, including computer-aided detection 2.9% 24,563 21,311 $1.19M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2.8% 9,502 6,170 $1.16M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2.4% 19,357 18,017 $992K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2.2% 6,689 2,731 $918K
99223 Prolong inpt eval add15 m 2.0% 15,543 14,446 $820K
71046 Radiologic examination, chest; 2 views 2.0% 101,271 97,313 $819K
287 more codes
71045 Radiologic examination, chest; single view 2.0% 142,723 $807K
70551 Magnetic resonance imaging, brain; without contrast material 1.5% 9,763 $615K
99479 Subsequent intensive care, per day, very low birth weight infant 1.4% 5,556 $594K
99215 Doctor's office visit, returning patient (complex) 1.4% 8,821 $592K
H1001 Prenatal care, at-risk enhanced service; antepartum management 1.4% 8,048 $584K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.4% 12,181 $574K
99480 Subsequent intensive care, per day, low birth weight infant 1.3% 5,210 $541K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 1.2% 3,446 $486K
99232 Hospital visit by a doctor, follow-up day 1.2% 19,004 $478K
90460 Immunization administration through 18 years of age via any route, first or only component 1.1% 29,223 $458K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1.1% 7,210 $447K
Z0104 <1% 3,032 $402K
99239 Hospital discharge day management, more than 30 minutes <1% 11,862 $397K
59425 <1% 9,539 $357K
77063 Screening digital breast tomosynthesis, bilateral <1% 23,822 $352K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 5,633 $352K
76642 <1% 16,737 $318K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 13,488 $314K
99204 Doctor's office visit, new patient (more involved) <1% 3,554 $305K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 4,334 $286K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 4,587 $269K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 364 $252K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 8,194 $251K
92551 <1% 15,200 $247K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 3,540 $245K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger <1% 1,697 $244K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 11,776 $233K
72125 Computed tomography, cervical spine; without contrast material <1% 7,287 $230K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 13,242 $229K
S9083 Global fee urgent care centers <1% 3,050 $228K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 2,628 $217K
76830 Ultrasound, transvaginal <1% 10,216 $211K
Z1034 <1% 3,785 $206K
71275 Computed tomographic angiography, chest, with contrast material <1% 3,575 $188K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 3,904 $159K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 5,135 $155K
Z0102 <1% 799 $146K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 21,422 $139K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 3,397 $139K
74018 <1% 13,761 $121K
77014 <1% 2,849 $116K
A9585 Injection, gadobutrol, 0.1 ml <1% 5,381 $115K
76770 <1% 3,372 $97K
G6015 Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session <1% 719 $92K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 493 $92K
73630 <1% 10,319 $90K
71250 <1% 2,545 $84K
72141 <1% 1,195 $83K
77066 Tomosynthesis, mammo <1% 1,295 $75K
90686 <1% 17,542 $75K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,131 $70K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 1,539 $69K
95117 <1% 4,461 $66K
99244 Office or other outpatient consultation, moderate to high complexity <1% 887 $65K
95720 <1% 338 $65K
0001A <1% 1,778 $61K
73610 <1% 5,977 $59K
73562 <1% 7,755 $57K
97803 <1% 564 $57K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 6,094 $56K
72100 <1% 6,035 $56K
0002A <1% 1,528 $55K
77080 <1% 3,022 $54K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 4,153 $52K
73030 <1% 6,642 $51K
70498 <1% 904 $50K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 993 $48K
76813 <1% 826 $45K
93016 <1% 3,104 $45K
73110 <1% 3,691 $42K
97139 <1% 1,753 $42K
95144 <1% 88 $42K
73221 <1% 631 $40K
77065 Tomosynthesis, mammo <1% 1,292 $40K
99205 Prolong outpt/office vis <1% 663 $38K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 3,224 $38K
99238 Hospital discharge day management, 30 minutes or less <1% 976 $38K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 881 $36K
76536 <1% 1,496 $35K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 328 $33K
73130 <1% 4,122 $33K
93970 <1% 933 $31K
97010 <1% 1,958 $31K
76801 <1% 1,397 $31K
70496 <1% 540 $30K
70486 <1% 915 $29K
D1206 Topical application of fluoride varnish <1% 1,127 $28K
99203 Doctor's office visit, new patient (routine) <1% 801 $28K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 427 $28K
93971 <1% 2,106 $28K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 1,924 $27K
59025 Fetal non-stress test <1% 1,848 $26K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 250 $26K
99152 <1% 1,306 $24K
99173 <1% 8,698 $24K
93018 <1% 2,541 $24K
99245 <1% 144 $23K
83655 <1% 822 $23K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 4,252 $23K
74183 <1% 133 $22K
93458 <1% 107 $22K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years <1% 175 $22K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 39 $21K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 65 $21K
99222 Initial hospital care, per day, moderate complexity <1% 675 $21K
97802 <1% 129 $20K
85018 <1% 5,279 $20K
93000 <1% 2,170 $19K
0071A <1% 474 $19K
64615 <1% 195 $18K
0072A <1% 447 $18K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 813 $17K
Z4306 <1% 398 $16K
97799 <1% 1,069 $16K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 48 $15K
70544 <1% 126 $13K
99385 <1% 116 $12K
Z0106 <1% 170 $12K
99308 Subsequent nursing facility care, per day, straightforward <1% 629 $11K
73502 <1% 1,144 $10K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 570 $10K
99468 <1% 30 $10K
72197 <1% 52 $10K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 34 $9K
90472 Immunization administration, each additional vaccine (list separately) <1% 572 $9K
92015 Determination of refractive state <1% 651 $8K
0011A <1% 242 $7K
95115 <1% 746 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 353 $7K
99254 <1% 106 $7K
97750 <1% 168 $7K
72040 <1% 919 $7K
51798 <1% 208 $6K
78830 <1% 72 $6K
0012A <1% 167 $6K
99386 <1% 43 $5K
90656 <1% 703 $5K
92557 <1% 164 $5K
99255 <1% 87 $5K
74178 <1% 54 $5K
92567 <1% 265 $5K
77334 <1% 69 $5K
76981 <1% 415 $5K
96127 <1% 583 $5K
71271 <1% 48 $5K
75574 <1% 35 $4K
99188 <1% 157 $4K
95886 <1% 49 $4K
73080 <1% 373 $4K
0004A <1% 106 $4K
0124A <1% 117 $4K
20610 <1% 177 $4K
72131 <1% 197 $4K
73140 <1% 396 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 691 $4K
70491 <1% 70 $4K
99243 <1% 40 $4K
90698 <1% 1,309 $4K
95911 <1% 13 $3K
95811 <1% 13 $3K
76506 <1% 155 $3K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 977 $3K
90670 <1% 1,450 $3K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 68 $3K
99283 Emergency room visit (moderate) <1% 96 $3K
99220 <1% 170 $3K
90651 <1% 133 $3K
0003A <1% 74 $3K
99460 <1% 41 $3K
95012 <1% 40 $3K
93925 <1% 70 $3K
90680 <1% 840 $3K
97161 <1% 107 $3K
72082 <1% 84 $3K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 29 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 159 $2K
99417 Prolong home eval add 15m <1% 29 $2K
31231 <1% 24 $2K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 12 $2K
99497 <1% 45 $2K
99306 Prolong nursin fac eval 15m <1% 47 $2K
90832 Psychotherapy session, about 30 minutes <1% 28 $2K
36415 Collection of venous blood by venipuncture <1% 934 $2K
49083 <1% 34 $2K
71010 <1% 264 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 116 $2K
71020 <1% 166 $2K
99499 <1% 50 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 100 $1K
90744 <1% 534 $1K
0154A <1% 35 $1K
0064A <1% 35 $1K
73590 <1% 216 $1K
93922 <1% 69 $1K
78226 <1% 52 $1K
90461 <1% 4,513 $1K
76870 <1% 64 $1K
0346T <1% 117 $1K
59430 <1% 12 $1K
73700 <1% 15 $974.59
52000 <1% 13 $962.94
95816 <1% 16 $948.12
73560 <1% 369 $911.51
72129 <1% 14 $789.29
73090 <1% 81 $778.56
73564 <1% 94 $747.63
97535 Self-care/home management training, each 15 minutes <1% 139 $693.44
74181 <1% 27 $667.49
99496 <1% 12 $640.95
0054A <1% 17 $640.00
99406 <1% 94 $614.84
80053 Comprehensive metabolic panel <1% 2,737 $587.41
72132 <1% 12 $580.83
90480 <1% 14 $560.00
94010 <1% 12 $546.12
99217 <1% 89 $533.78
80061 Lipid panel <1% 301 $526.52
0074A <1% 13 $520.00
87430 <1% 49 $514.06
81003 <1% 654 $491.29
0082A <1% 12 $480.00
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 521 $478.53
81025 <1% 81 $477.46
93320 <1% 532 $437.21
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 145 $411.49
93880 <1% 12 $399.35
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 136 $382.19
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 3,273 $353.52
90633 <1% 431 $351.00
90685 <1% 94 $234.56
93296 <1% 12 $233.70
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 15 $232.94
83036 Hemoglobin; glycosylated (A1C) <1% 459 $208.76
74019 <1% 16 $196.75
69210 <1% 12 $168.57
90688 <1% 24 $168.00
82962 <1% 38 $143.68
77072 <1% 17 $136.08
94060 <1% 13 $129.95
99000 <1% 50 $119.95
77336 <1% 16 $119.56
93976 <1% 13 $115.82
93015 <1% 13 $99.74
J1030 Injection, methylprednisolone acetate, 40 mg <1% 13 $70.86
72110 <1% 13 $63.63
90734 <1% 36 $54.00
90707 <1% 37 $54.00
90700 <1% 52 $45.00
76937 <1% 13 $44.61
99407 <1% 16 $44.48
87086 Culture, bacterial; quantitative colony count, urine <1% 508 $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) <1% 26 $30.55
93325 <1% 1,020 $19.92
90716 <1% 13 $18.00
90648 <1% 13 $18.00
86580 <1% 55 $9.25
90710 <1% 24 $9.00
80048 Basic metabolic panel (calcium, ionized) <1% 134 $6.69
83735 <1% 51 $5.96
99140 0% 122 $0.00
G0008 Administration of influenza virus vaccine 0% 42 $0.00
84443 Thyroid stimulating hormone (TSH) 0% 250 $0.00
86803 0% 74 $0.00
82728 0% 176 $0.00
81001 0% 37 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 0% 81 $0.00
80081 0% 17 $0.00
80050 General health panel 0% 39 $0.00
87081 0% 101 $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 0% 137 $0.00
85652 0% 13 $0.00
99174 0% 12 $0.00
J3490 Unclassified drugs 0% 77 $0.00
85027 0% 42 $0.00
82950 0% 28 $0.00
86140 0% 13 $0.00
87077 0% 13 $0.00
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 0% 41 $0.00
93321 0% 186 $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 0% 311 $0.00
G1010 Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program 0% 120 $0.00
90662 0% 87 $0.00
99177 0% 21 $0.00
93228 0% 13 $0.00
H1000 Prenatal care, at-risk assessment 0% 16 $0.00
85610 0% 32 $0.00
84439 0% 12 $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 officialLOPES, KRISTA (SH VP, QUALITY, SAFETY AND PATIENT)
Same official

Other billing entities under LOPES, KRISTA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.