Clinic
Sutter Valley Medical Foundation
Sutter Valley Medical Foundation was paid $12.47M by Medicaid between Jan 2018 and Nov 2024, across 120 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 22% of everything it billed.
33Billing provider infoSUTTER VALLEY MEDICAL FOUNDATION
YUBA CITY, CA 95991
YUBA CITY, CA 95991
33aNPI1992939565assigned 05/11/2009
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$12.47M
24GClaims198,535
24DCodes billed120
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in California
Rank by total paid#13 of 170
Median peer was paid$145K
This provider vs. median86×
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
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 | 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 | |
| 2024incomplete | 35,424 | $2.20M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 22% | 53,213 | 49,457 | $2.76M |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 18% | 21,682 | 14,128 | $2.21M |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 12% | 10,475 | 7,013 | $1.45M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.7% | 29,507 | 27,557 | $1.22M |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 4.9% | 5,336 | 3,028 | $610K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 3.5% | 3,145 | 3,128 | $430K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 3.1% | 430 | 427 | $380K |
| 93000 | 2.7% | 7,813 | 7,658 | $334K | |
| 93320 | 2.4% | 5,342 | 3,011 | $300K | |
| 59425 | 2.2% | 3,905 | 2,503 | $280K | |
| 93325 | 2.2% | 8,318 | 4,484 | $268K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 2.0% | 2,197 | 1,841 | $245K |
108 more codes
| H1000 | Prenatal care, at-risk assessment | 1.9% | 1,104 | $237K |
| Z1034 | 1.9% | 4,223 | $231K | |
| 93304 | 1.0% | 1,899 | $125K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 5,260 | $114K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,146 | $87K |
| J3490 | Unclassified drugs | <1% | 402 | $80K |
| 93321 | <1% | 2,631 | $80K | |
| 92557 | <1% | 1,777 | $79K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 3,778 | $68K |
| 59430 | <1% | 615 | $65K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 367 | $60K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 351 | $53K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 627 | $53K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 893 | $47K |
| 59025 | Fetal non-stress test | <1% | 2,090 | $34K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 623 | $33K |
| 90715 | <1% | 577 | $32K | |
| 99385 | <1% | 164 | $31K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 1,871 | $31K |
| 93228 | <1% | 783 | $28K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 149 | $26K |
| 93015 | <1% | 184 | $24K | |
| 76830 | Ultrasound, transvaginal | <1% | 453 | $23K |
| 97139 | <1% | 675 | $22K | |
| 90686 | <1% | 1,220 | $21K | |
| 99255 | <1% | 139 | $20K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,771 | $19K |
| 92588 | <1% | 145 | $18K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 464 | $17K |
| 59514 | <1% | 26 | $17K | |
| 72100 | <1% | 718 | $17K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 332 | $14K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 21 | $13K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 812 | $10K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 215 | $10K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 123 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 692 | $9K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 42 | $6K |
| 95251 | <1% | 121 | $6K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 128 | $6K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 313 | $6K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 25 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 106 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 684 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 347 | $5K |
| 73030 | <1% | 268 | $4K | |
| 95117 | <1% | 607 | $4K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 48 | $4K |
| 95115 | <1% | 500 | $4K | |
| 0012A | <1% | 92 | $4K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 40 | $4K |
| 0011A | <1% | 90 | $4K | |
| 0001A | <1% | 92 | $4K | |
| 0002A | <1% | 86 | $3K | |
| 93308 | <1% | 53 | $3K | |
| 92567 | <1% | 515 | $3K | |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | <1% | 43 | $3K |
| 81025 | <1% | 545 | $3K | |
| 92134 | <1% | 218 | $3K | |
| 73630 | <1% | 133 | $3K | |
| 99243 | <1% | 26 | $2K | |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 28 | $2K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 28 | $2K |
| 72110 | <1% | 34 | $2K | |
| 93244 | <1% | 42 | $2K | |
| 17000 | <1% | 69 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 106 | $2K |
| 93793 | <1% | 527 | $2K | |
| 93270 | <1% | 57 | $2K | |
| 72040 | <1% | 104 | $2K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 103 | $1K |
| 90656 | <1% | 63 | $1K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 203 | $1K |
| 99223 | Prolong inpt eval add15 m | <1% | 13 | $1K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 141 | $1K |
| 93272 | <1% | 59 | $1K | |
| 73564 | <1% | 71 | $1K | |
| 93242 | <1% | 42 | $1K | |
| 20610 | <1% | 51 | $1K | |
| 97035 | <1% | 137 | $1K | |
| 17311 | <1% | 12 | $1K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 12 | $1K |
| 92136 | <1% | 108 | $1K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | $998.02 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $996.18 |
| 76536 | <1% | 27 | $868.85 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 17 | $861.84 |
| 76770 | <1% | 19 | $829.65 | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 12 | $789.39 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | $753.84 |
| 0071A | <1% | 16 | $640.00 | |
| 92700 | <1% | 108 | $585.94 | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 37 | $541.26 |
| 73130 | <1% | 33 | $506.18 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 58 | $482.75 |
| 73110 | <1% | 40 | $439.34 | |
| 99152 | <1% | 12 | $405.01 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 37 | $394.47 |
| 72072 | <1% | 19 | $369.52 | |
| 72170 | <1% | 33 | $277.22 | |
| 87807 | <1% | 19 | $271.56 | |
| 81003 | <1% | 66 | $266.47 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | $259.28 |
| 73610 | <1% | 20 | $249.82 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 14 | $230.08 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 53 | $123.47 |
| 92133 | <1% | 14 | $85.80 | |
| 90653 | <1% | 15 | $63.99 |
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)
Parent organizationSUTTER MEDICAL FOUNDATION
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.