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 Valley Hospitals (NPI 1699129601)

Sutter Valley Hospitals is a general acute care hospital provider located in Modesto, California. This profile covers 0 Medicare and 240 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Sutter Valley Hospitals
Address	1700 Coffee Rd
City	Modesto
State	CA
ZIP	95355
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 15, 2016

Payer Source	Total Paid
Medicaid	$76.1M
Medicare	$0

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

240 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0450	N/A	192,340	$110	$21.3M
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.	12,080	$430	$5.2M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	30,650	$90	$2.7M
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.	10,560	$240	$2.5M
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…	11,690	$170	$2M
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	4,410	$440	$1.9M
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.	103,890	$20	$1.6M
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)…	9,190	$170	$1.6M
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…	24,060	$60	$1.5M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,650	$870	$1.4M

Showing 1–10 of 240

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 Valley Hospitals — 9 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

240 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	13	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.	534	1,570	680	$110	$1.1M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	22	40	200	$1,990	$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.	381	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…	172	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.	399	1,400	470	$80	$884.5K
0510	N/A	85	230	930	$40	$854K
99281	The provider sees a patient for the lowest level emergency department visit.	119	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)…	20	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.	73	780	1,160	$130	$576.2K

Showing 1–10 of 240

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cep America - California	CA	Emergency Medicine Physician	$0	$31.8M
Sutter Valley Medical Foundation	CA	Clinical Medical Laboratory	$3.7M	$303K
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

Sutter Valley 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sutter Valley Hospitals	CA	General Acute Care Hospital	$0	$105.1M
Sutter Valley Hospitals	CA	General Acute Care Hospital	$0	$81.2M
Sutter Valley Hospitals	CA	General Acute Care Hospital	$0	$33.2M
Sutter Valley Hospitals	CA	General Acute Care Hospital	$0	$26M
Ksenia Voronina	CA	Psychiatry Physician	$33.8K	$0