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NPI 1285009035 · Modesto, CA · Clinical Medical Laboratory
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Sutter Valley Medical Foundation is a clinical medical laboratory provider located in Modesto, California. This profile covers 199 Medicare and 51 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 | 600 Coffee Rd |
| City | Modesto |
| State | CA |
| ZIP | 95355 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | December 4, 2015 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.7M |
| Medicaid | $303K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
199 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. | 66,670 | $10 | $533.4K |
| 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. | 32,980 | $10 | $329.8K |
| 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. | 21,440 | $10 | $278.7K |
| 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… | 34,380 | $10 | $275K |
| 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… | 7,290 | $30 | $211.3K |
| 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… | 11,300 | $20 | $180.8K |
| 83970 | Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function. | 3,910 | $40 | $156.2K |
| 80048 | The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood… | 10,920 | $10 | $87.3K |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 5,770 | $20 | $86.6K |
| 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… | 1,420 | $50 | $71K |
Showing 1–10 of 199
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 199 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
199 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| U0003 | 77 | 130 | 730 | $70 | $246.4K |
| 86235 | 17 | 60 | 1,220 | $20 | $75.7K |
| U0005 | 92 | 150 | 780 | $20 | $75.1K |
| 87799 | 11 | 20 | 420 | $40 | $72.5K |
| 87636 | 48 | 90 | 40 | $140 | $70.6K |
| 80307 | 25 | 150 | 220 | $60 | $69.2K |
| 83521 | 9 | 20 | 90 | $20 | $64.3K |
| 87631 | 21 | 40 | 140 | $140 | $63.8K |
| 87637 | 18 | 190 | 20 | $140 | $61.9K |
| 87634 | 16 | 40 | 50 | $70 | $53.2K |
Showing 1–10 of 199
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.
51 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,450 | $80 | $117.2K |
| 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. | 4,320 | $10 | $30.2K |
| 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. | 2,030 | $10 | $24.4K |
| 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… | 4,090 | $10 | $20.5K |
| 87086 | Culture, bacterial; quantitative, colony count, urine. | 1,760 | $10 | $17.6K |
| 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… | 310 | $50 | $15.1K |
| 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)… | 110 | $120 | $13K |
| 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… | 360 | $20 | $8.6K |
| 86803 | Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody | 430 | $20 | $6.4K |
| 87502 | The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly… | 20 | $240 | $5.5K |
Showing 1–10 of 51
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
51 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 323 | 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)… | 198 | 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. | 615 | 780 | 1,160 | $130 | $576.2K |
| 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. | 718 | 900 | 1,400 | $60 | $342.7K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 1,014 | 1,140 | 530 | $20 | $195.6K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 1,055 | 1,270 | 450 | $20 | $183.5K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 1,865 | 2,670 | 540 | $40 | $183.4K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 11,301 | 13,300 | 640 | $40 | $169.6K |
| 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. | 586 | 1,720 | 1,360 | $10 | $165.3K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 2,488 | 2,840 | 490 | $40 | $139.6K |
Showing 1–10 of 51
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 |
|---|---|---|---|---|
| Sutter Valley Hospitals | CA | General Acute Care Hospital | $0 | $76.1M |
| Cep America - California | CA | Emergency Medicine Physician | $0 | $31.8M |
| Stephen Liu | CA | Vascular & Interventional Radiology Physician | $2.3M | $0 |
| Cesar Tumakay | CA | Diagnostic Radiology Physician | $1.4M | $0 |
| Kent Wong | CA | Cardiovascular Disease Physician | $499.6K | $0 |
| Raman Moradkhan | CA | Clinical Cardiac Electrophysiology Physician | $499.1K | $0 |
| Patrick Rhoades | CA | Pain Medicine (Physical Medicine & Rehabilitation) Physician | $444.4K | $0 |
| Ronak Shah | CA | Nephrology Physician | $431.3K | $0 |
| Amarjit Dhaliwal | CA | Hematology & Oncology Physician | $407.2K | $16.7K |
| Binh Quach | CA | Vascular & Interventional Radiology Physician | $400.8K | $0 |
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