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NPI 1063646446 · Yuba City, CA · Clinical Medical Laboratory
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Sutter Valley Medical Foundation is a clinical medical laboratory provider located in Yuba City, California. This profile covers 177 Medicare and 107 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Sutter Valley Medical Foundation |
| Address | 440 Plumas Blvd |
| City | Yuba City |
| State | CA |
| ZIP | 95991 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | May 13, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.4M |
| Medicare | $1.5M |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
177 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 25,140 | $10 | $201.1K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 13,460 | $10 | $134.6K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 16,190 | $10 | $129.5K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 7,970 | $10 | $103.6K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 5,890 | $20 | $94.3K |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 7,230 | $10 | $72.3K |
| 83880 | The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart… | 1,460 | $40 | $55.4K |
| 82306 | The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced… | 1,760 | $30 | $51.1K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 720 | $60 | $43.7K |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 830 | $50 | $41.5K |
Showing 1–10 of 177
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 177 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
177 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 87798 | 107 | 110 | 1,340 | $30 | $338.2K |
| U0003 | 110 | 130 | 730 | $70 | $246.4K |
| 86235 | 39 | 60 | 1,220 | $20 | $75.7K |
| U0005 | 122 | 150 | 780 | $20 | $75.1K |
| 87636 | 52 | 90 | 40 | $140 | $70.6K |
| 80307 | 29 | 150 | 220 | $60 | $69.2K |
| 83521 | 14 | 20 | 90 | $20 | $64.3K |
| 87637 | 26 | 190 | 20 | $140 | $61.9K |
| 87801 | 28 | 30 | 170 | $70 | $49.9K |
| 83970 | 31 | 190 | 160 | $40 | $45.6K |
Showing 1–10 of 177
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
107 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 80081 | The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen test, a single–result test for HIV–1 antigens… | 3,560 | $110 | $383.9K |
| 81220 | The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR… | 760 | $330 | $252.2K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 11,650 | $10 | $151.4K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 6,530 | $20 | $143.7K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 13,650 | $10 | $136.5K |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 1,770 | $70 | $118.8K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 2,190 | $50 | $115.9K |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 8,070 | $10 | $113K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 2,110 | $50 | $111.9K |
| 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… | 1,200 | $90 | $109.5K |
Showing 1–10 of 107
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
107 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 81220 | The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR… | 29 | 110 | 190 | $140 | $1.6M |
| 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… | 346 | 750 | 950 | $50 | $890K |
| 87637 | The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)… | 213 | 250 | 800 | $110 | $625.7K |
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 613 | 780 | 1,160 | $130 | $576.2K |
| 80081 | The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen test, a single–result test for HIV–1 antigens… | 7 | 50 | 190 | $40 | $483.7K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 401 | 660 | 1,490 | $30 | $417.2K |
| 93303 | The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization… | 103 | 140 | 590 | $120 | $350.5K |
| 70450 | The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities. | 668 | 900 | 1,400 | $60 | $342.7K |
| 77067 | The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software… | 703 | 900 | 560 | $70 | $230.3K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 971 | 1,500 | 410 | $100 | $209.4K |
Showing 1–10 of 107
Other providers in the same ZIP code as Sutter Valley Medical Foundation, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| County Of Sutter | CA | Adult Mental Health Clinic/Center | $0 | $47.6M |
| Drs Salem And Soliman Dental Corp | CA | Pediatric Dentistry | $0 | $41.2M |
| Ampla Health | CA | Federally Qualified Health Center (FQHC) | $0 | $30.7M |
| Jacobson Dental Corp | CA | Orthodontics and Dentofacial Orthopedics Dentistry | $0 | $26.9M |
| Muhammad Alghannam | CA | Anesthesiology Physician | $2.7M | $0 |
| Bradley Hamar | CA | Optometrist | $2.3M | $0 |
| Sutter Valley Medical Foundation | CA | Ambulatory Surgical Clinic/Center | $1.8M | $271.5K |
| Harjot Maan | CA | MOHS-Micrographic Surgery Physician | $1.5M | $0 |
| Cosmo Fraser | CA | Nephrology Physician | $582.8K | $491K |
| The Endoscopy Center, Inc. | CA | Ambulatory Surgical Clinic/Center | $1M | $0 |
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