Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidSutter Valley Medical Foundation
    Ask Trek AI about this page

    Table of contents

    Progress1 / 11

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Sutter Valley Medical Foundation — Billing Profile & Reimbursement Data

    NPI 1457593980 · Yuba City, CA · Ambulatory Surgical Clinic/Center

    Customize your policy alerts

    Sign up for Sutter Valley Medical Foundation — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Sutter Valley Medical Foundation is a ambulatory surgical clinic/center provider located in Yuba City, California. This profile covers 26 Medicare and 8 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)

    FieldValue
    Entity TypeOrganization
    OrganizationSutter Valley Medical Foundation
    Address460 Plumas Blvd
    CityYuba City
    StateCA
    ZIP95991
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedMarch 30, 2009

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.8M
    Medicaid$271.5K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66991The 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…90$3,130$272K
    66984The 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…280$940$258.1K
    66989The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction using complex techniques and devices. The provider also inserts one or more anterior…60$3,120$187.4K
    66174The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place.140$1,360$186.9K
    45385The 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…260$550$144.6K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…140$970$139.7K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…270$320$86.4K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.110$810$85.9K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…70$800$57.4K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…160$320$51.8K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669842141,25090$690$122.8K
    669911518030$1,940$77.7K
    6698922030$2,030$65K
    658208511020$1,150$42.5K
    66174514030$860$37.1K
    45385981,41060$340$33.9K
    669821651030$800$32K
    6448330079060$240$28.5K
    646356248040$460$26.3K
    453804431,46060$230$23.8K

    Showing 1–10 of 26

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    0360N/A760$260$196.3K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…80$410$32.6K
    0710N/A320$50$15.6K
    66984The 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…200$80$14.8K
    65820The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.40$180$7K
    99199Use this code to report other medicine services or procedures for which there is no specific code available.20$240$4.9K
    G8907Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer…250$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis250$0$0

    Medicaid: Competitive Analysis & Benchmarks

    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

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99199Use this code to report other medicine services or procedures for which there is no specific code available.3804101,130$70$372K
    0360N/A140260960$120$350.3K
    66984The 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…194380210$510$333.1K
    0710N/A2203101,060$30$80.6K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…164060$470$64.3K
    65820The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.71050$180$30.4K
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis309080$1$480
    G8907Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer…3712090$1$360

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Sutter Valley Medical Foundation, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Sutter Valley Medical FoundationCAMulti-Specialty Clinic/Center$0$41.2M
    Sutter Valley Medical FoundationCAClinical Medical Laboratory$4.4M$3.8M
    Khosrow MehranyCASpecialist$7.7M$0
    Robert WendelCARetina Specialist (Ophthalmology) Physician$4.7M$0
    Cameron PoleCAOphthalmology Physician$4.5M$0
    Sutter Valley Medical FoundationCAClinical Medical Laboratory$3.7M$303K
    Sutter Valley Medical FoundationCAClinical Medical Laboratory$1.5M$2.4M
    Tony TsaiCARetina Specialist (Ophthalmology) Physician$3.9M$0
    David TelanderCARetina Specialist (Ophthalmology) Physician$3.6M$0

    Nearby Providers

    Other providers in the same ZIP code as Sutter Valley Medical Foundation, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of SutterCAAdult Mental Health Clinic/Center$0$47.6M
    Drs Salem And Soliman Dental CorpCAPediatric Dentistry$0$41.2M
    Ampla HealthCAFederally Qualified Health Center (FQHC)$0$30.7M
    Jacobson Dental CorpCAOrthodontics and Dentofacial Orthopedics Dentistry$0$26.9M
    Muhammad AlghannamCAAnesthesiology Physician$2.7M$0
    Bradley HamarCAOptometrist$2.3M$0
    Harjot MaanCAMOHS-Micrographic Surgery Physician$1.5M$0
    Cosmo FraserCANephrology Physician$582.8K$491K
    The Endoscopy Center, Inc.CAAmbulatory Surgical Clinic/Center$1M$0
    Chandan CheemaCAInternal Medicine Physician$967.6K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    Sutter Valley Medical Foundation — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Sutter Valley Medical Foundation — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California