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NPI 1104067115 · Palo Alto, CA · Ambulatory Surgical Clinic/Center
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Sutter Bay Medical Foundation is a ambulatory surgical clinic/center provider located in Palo Alto, California. This profile covers 34 Medicare and 2 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 Bay Medical Foundation |
| Address | 795 El Camino Real |
| City | Palo Alto |
| State | CA |
| ZIP | 94301 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | March 20, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3M |
| Medicaid | $28.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
34 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 750 | $1,250 | $930.3K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 800 | $660 | $529.2K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 730 | $500 | $363.7K |
| 66991 | The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in… | 30 | $3,770 | $116.7K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 330 | $340 | $110.2K |
| 49505 | The provider repairs an initial inguinal hernia on a child, five years of age or older. She pushes the hernia back to reduce it. | 60 | $1,800 | $107.9K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 150 | $620 | $89.6K |
| 45390 | The provider performs flexible colonoscopy along with excision of mucous membrane tissue using an endoscope. | 40 | $1,500 | $60K |
| 67041 | In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical… | 30 | $2,220 | $55.5K |
| 67904 | The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the… | 60 | $870 | $55.1K |
Showing 1–10 of 34
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
34 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 41 | 1,250 | 90 | $690 | $122.8K |
| 66991 | 77 | 180 | 30 | $1,940 | $77.7K |
| 67904 | 15 | 60 | 30 | $700 | $37K |
| 45385 | 11 | 1,410 | 60 | $340 | $33.9K |
| 66982 | 261 | 510 | 30 | $800 | $32K |
| 66180 | 19 | 40 | 20 | $1,650 | $31.3K |
| 67039 | 8 | 20 | 20 | $1,190 | $30.9K |
| 15823 | 45 | 190 | 30 | $640 | $30.9K |
| 64483 | 456 | 790 | 60 | $240 | $28.5K |
| 45380 | 16 | 1,460 | 60 | $230 | $23.8K |
Showing 1–10 of 34
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.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 30 | $660 | $22.4K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 10 | $440 | $6.2K |
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
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 293 | 380 | 210 | $510 | $333.1K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 349 | 410 | 180 | $310 | $178.8K |
Other providers in the same ZIP code as Sutter Bay Medical Foundation, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Jon Keller | CA | Anatomic Pathology & Clinical Pathology Physician | $6.4M | $0 |
| Alison Chang | CA | Hematology & Oncology Physician | $1.8M | $0 |
| Roozbeh Mohajer | CA | Hematology & Oncology Physician | $1.7M | $0 |
| Gurunadh Vemulakonda | CA | Ophthalmology Physician | $1.4M | $0 |
| Greg Morganroth | CA | Dermatology Physician | $1.4M | $0 |
| Waverley Surgery Center LLC | CA | Ambulatory Surgical Clinic/Center | $1.2M | $0 |
| Daniel Schiffner | CA | Radiation Oncology Physician | $1.1M | $0 |
| Nick Costouros | CA | Diagnostic Radiology Physician | $893K | $0 |
| Lisa Chu | CA | Diagnostic Radiology Physician | $854.1K | $0 |
| Robert Lundahl | CA | Radiation Oncology Physician | $809.7K | $0 |
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