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 1639523004)

Field	Value
Entity Type	Organization
Organization	Sutter Bay Hospitals
Address	2450 Ashby Avenue
City	Berkeley
State	CA
ZIP	94705
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 21, 2016

Payer Source	Total Paid
Medicaid	$43.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

266 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0112	N/A	300	$11,780	$3.5M
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.	37,150	$90	$3.2M
0121	N/A	230	$7,770	$1.8M
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.	51,820	$30	$1.7M
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	750	$2,220	$1.7M
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.	4,160	$320	$1.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	13,640	$90	$1.3M
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	13,660	$90	$1.2M
0450	N/A	17,600	$70	$1.2M
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.	4,850	$250	$1.2M

Showing 1–10 of 266

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

266 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	216	450	16,140	$90	$3.6M
0121	N/A	28	70	130	$4,600	$2.6M
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	11	20	880	$600	$2.4M
J2323	Injection, natalizumab, 1 mg	4	10	270	$1,930	$1.5M
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.	583	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.	544	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…	451	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.	146	1,400	470	$80	$884.5K
0510	N/A	67	230	930	$40	$854K
99281	The provider sees a patient for the lowest level emergency department visit.	203	430	1,140	$90	$769.9K

Showing 1–10 of 266

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	Critical Access Hospital	$0	$39.5M
Sutter Bay Hospitals	CA	General Acute Care Hospital	$0	$35.3M
Sutter Bay Hospitals	CA	General Acute Care Hospital	$0	$29.4M
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
Pathology Services Inc.	CA	Clinical Medical Laboratory	$1.8M	$3.1M
Pet-ct Imaging Of Berkeley, LLC	CA	Diagnostic Radiology Physician	$933.7K	$74.8K
Andrew Ross	CA	Internal Medicine Physician	$649.6K	$0
Mikael Langner	CA	General Practice Physician	$550.5K	$0
Chad Roghair	CA	Sports Medicine (Internal Medicine) Physician	$505.7K	$0
Sepehr Rejai	CA	Pain Medicine Physician	$396.7K	$0
Marianne Sommerville	CA	Hospitalist Physician	$346.8K	$0
Kenneth Honsik	CA	Sports Medicine (Family Medicine) Physician	$318.5K	$0
Lamont Cardon	CA	Orthopaedic Hand Surgery Physician	$266.3K	$0
Kasra Eliasieh	CA	Ophthalmic Plastic and Reconstructive Surgery Physician	$151.6K	$24.8K

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