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 Medical Foundation (NPI 1568851327)

Field	Value
Entity Type	Organization
Organization	Sutter Bay Medical Foundation
Address	715 Altos Oaks Dr
City	Los Altos
State	CA
ZIP	94024
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	January 16, 2015

Payer Source	Total Paid
Medicare	$81.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
19342	After some period of time following a mastectomy (breast excision), the provider performs another procedure to insert or replace a breast implant.	20	$2,690	$45.7K
19380	Breast revision is performed to improve unacceptable cosmetic appearance or other complication.	20	$1,900	$36K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Sutter Bay Medical Foundation — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
19342	3	10	20	$1,360	$20.3K
19380	1	10	10	$1,080	$15.1K

Nearby Providers

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
Hardeep Ahluwalia	CA	Vascular Surgery Physician	$2.7M	$0
David Chang	CA	Ophthalmology Physician	$755.7K	$0
Bryan Lee	CA	Ophthalmology Physician	$445.4K	$0
Jeffrey Kliman	CA	Orthopaedic Surgery Physician	$264.5K	$0

Sutter Bay Medical Foundation — Billing Profile & Reimbursement Data

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Sutter Bay Medical Foundation — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References