Medicaid Provider Spending

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

SUTTER VALLEY MEDICAL FOUNDATION

NPI: 1992939565 · YUBA CITY, CA 95991 · Multi-Specialty Clinic/Center · NPI assigned 05/11/2009

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

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

$12.47M
Total Medicaid Paid
198,535
Total Claims
160,021
Beneficiaries
120
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLOPES, KRISTA (SH VP, QUALITY, SAFETY AND PATIENT)
Parent OrganizationSUTTER MEDICAL FOUNDATION
NPI Enumeration Date05/11/2009

Related Entities

Other providers sharing the same authorized official: LOPES, KRISTA

ProviderCityStateTotal Paid
SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA $41.25M
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 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 25,863 $1.10M
2019 22,132 $1.12M
2020 20,895 $1.02M
2021 27,840 $2.00M
2022 31,270 $2.40M
2023 35,111 $2.64M
2024 35,424 $2.20M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 53,213 49,457 $2.76M
H1001 Prenatal care, at-risk enhanced service; antepartum management 21,682 14,128 $2.21M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 10,475 7,013 $1.45M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29,507 27,557 $1.22M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 5,336 3,028 $610K
99244 Office or other outpatient consultation, moderate to high complexity 3,145 3,128 $430K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 430 427 $380K
93000 7,813 7,658 $334K
93320 5,342 3,011 $300K
59425 3,905 2,503 $280K
93325 8,318 4,484 $268K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,197 1,841 $245K
H1000 Prenatal care, at-risk assessment 1,104 1,101 $237K
Z1034 4,223 2,781 $231K
93304 1,899 992 $125K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,260 4,185 $114K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,146 1,133 $87K
J3490 Unclassified drugs 402 398 $80K
93321 2,631 1,349 $80K
92557 1,777 1,769 $79K
71046 Radiologic examination, chest; 2 views 3,778 3,468 $68K
59430 615 613 $65K
77067 Screening mammography, bilateral, including computer-aided detection 367 341 $60K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 351 347 $53K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 627 624 $53K
99233 Prolong inpt eval add15 m 893 427 $47K
59025 Fetal non-stress test 2,090 709 $34K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 623 378 $33K
90715 577 565 $32K
99385 164 159 $31K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,871 593 $31K
93228 783 781 $28K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 149 139 $26K
93015 184 184 $24K
76830 Ultrasound, transvaginal 453 270 $23K
97139 675 201 $22K
90686 1,220 1,219 $21K
99255 139 138 $20K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,771 1,609 $19K
92588 145 145 $18K
77063 Screening digital breast tomosynthesis, bilateral 464 273 $17K
59514 26 25 $17K
72100 718 581 $17K
99232 Subsequent hospital care, per day, moderate complexity 332 158 $14K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 21 14 $13K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 812 810 $10K
76700 Ultrasound, abdominal, real time with image documentation; complete 215 136 $10K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 123 108 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 692 685 $9K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 42 40 $6K
95251 121 120 $6K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 128 127 $6K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 313 114 $6K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 25 25 $6K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 106 103 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 684 679 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 347 343 $5K
73030 268 191 $4K
95117 607 264 $4K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 48 46 $4K
95115 500 265 $4K
0012A 92 92 $4K
99239 Hospital discharge day management, more than 30 minutes 40 40 $4K
0011A 90 90 $4K
0001A 92 92 $4K
0002A 86 86 $3K
93308 53 24 $3K
92567 515 507 $3K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 43 42 $3K
81025 545 501 $3K
92134 218 218 $3K
73630 133 104 $3K
99243 26 26 $2K
J2785 Injection, regadenoson, 0.1 mg 28 28 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 28 28 $2K
72110 34 34 $2K
93244 42 42 $2K
17000 69 63 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 106 79 $2K
93793 527 331 $2K
93270 57 57 $2K
72040 104 66 $2K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 103 99 $1K
90656 63 63 $1K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 203 200 $1K
99223 Prolong inpt eval add15 m 13 13 $1K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 141 132 $1K
93272 59 59 $1K
73564 71 54 $1K
93242 42 42 $1K
20610 51 29 $1K
97035 137 57 $1K
17311 12 12 $1K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 12 12 $1K
92136 108 106 $1K
99222 Initial hospital care, per day, moderate complexity 12 12 $998.02
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $996.18
76536 27 16 $868.85
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 17 17 $861.84
76770 19 12 $829.65
70450 Computed tomography, head or brain; without contrast material 12 12 $789.39
99238 Hospital discharge day management, 30 minutes or less 12 12 $753.84
0071A 16 16 $640.00
92700 108 108 $585.94
88305 Level IV - Surgical pathology, gross and microscopic examination 37 28 $541.26
73130 33 14 $506.18
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 58 55 $482.75
73110 40 39 $439.34
99152 12 12 $405.01
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 37 36 $394.47
72072 19 12 $369.52
72170 33 27 $277.22
87807 19 18 $271.56
81003 66 64 $266.47
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 15 15 $259.28
73610 20 12 $249.82
90472 Immunization administration, each additional vaccine (list separately) 14 14 $230.08
J1885 Injection, ketorolac tromethamine, per 15 mg 53 42 $123.47
92133 14 14 $85.80
90653 15 14 $63.99