Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. California (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Sutter Bay Hospitals (NPI 1467808659)

Field	Value
Entity Type	Organization
Organization	Sutter Bay Hospitals
Address	3901 Lone Tree Way
City	Antioch
State	CA
ZIP	94509
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 6, 2016

Payer Source	Total Paid
Medicaid	$29.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

222 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0450	N/A	121,640	$50	$6.4M
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)…	7,930	$210	$1.6M
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	7,580	$210	$1.6M
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.	4,570	$290	$1.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	15,740	$80	$1.3M
J3490	Unclassified drugs	98,070	$10	$1.1M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	7,660	$140	$1M
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	29,920	$30	$867.7K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	12,890	$60	$811.9K
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.	6,000	$120	$708.1K

Showing 1–10 of 222

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

Claims Volume vs. California Distribution

Sutter Bay Hospitals — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

222 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	40	450	16,140	$90	$3.6M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	553	1,570	680	$110	$1.1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	464	1,300	510	$100	$943K
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…	230	750	950	$50	$890K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	361	1,400	470	$80	$884.5K
0510	N/A	90	230	930	$40	$854K
99281	The provider sees a patient for the lowest level emergency department visit.	167	430	1,140	$90	$769.9K
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)…	28	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.	212	780	1,160	$130	$576.2K
0762	N/A	67	160	770	$250	$419.8K

Showing 1–10 of 222

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sutter Bay Hospitals	CA	General Acute Care Hospital	$0	$52.6M
Sutter Bay Hospitals	CA	General Acute Care Hospital	$0	$46.8M
Sutter Bay Hospitals	CA	General Acute Care Hospital	$0	$43.8M
Sutter Bay Hospitals	CA	Critical Access Hospital	$0	$39.5M
Sutter Bay Hospitals	CA	General Acute Care Hospital	$0	$35.3M
Daniel Brenner	CA	Cardiovascular Disease Physician	$332.7K	$0
Matthew Mcquaid	CA	Foot & Ankle Surgery Podiatrist	$167.4K	$0
Akbar Hussaini	TX	Orthopaedic Surgery Physician	$157K	$0
Alexander Leighton	OR	Internal Medicine Physician	$122.6K	$0

Nearby Providers

Other providers in the same ZIP code as Sutter Bay Hospitals, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Contra Costa County	CA	Federally Qualified Health Center (FQHC)	$0	$65.9M
Addiction Research And Treatment, Inc	CA	Substance Use Disorder Rehabilitation Clinic/Center	$971.4K	$0
California Eye Clinic	CA	Ambulatory Surgical Clinic/Center	$479.2K	$231.2K
Hamidreza Khonsari	CA	Family Medicine Physician	$630.5K	$0
Ivan Hwang	CA	Ophthalmology Physician	$406.3K	$0
Robert Cluff	CA	Neurology Physician	$186.3K	$0
Javier Lopez	CA	General Practice Dentistry	$138.4K	$0

Sutter Bay Hospitals — Billing Profile & Reimbursement Data

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Sutter Bay Hospitals — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References