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NPI 1770688129 · Sacramento, CA · Clinical Medical Laboratory
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Sutter Valley Medical Foundation is a clinical medical laboratory provider located in Sacramento, California. This profile covers 206 Medicare and 184 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Sutter Valley Medical Foundation |
| Address | 1625 Stockton Blvd Ste 208 |
| City | Sacramento |
| State | CA |
| ZIP | 95816 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | September 13, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4.4M |
| Medicaid | $3.8M |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
206 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 137,460 | $10 | $1.1M |
| 82306 | The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced… | 11,700 | $30 | $339.4K |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 31,560 | $10 | $315.6K |
| 83970 | Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function. | 6,440 | $40 | $257.5K |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 11,570 | $20 | $173.5K |
| 84153 | The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and… | 7,540 | $20 | $135.8K |
| 82728 | The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute… | 10,380 | $10 | $134.9K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 1,740 | $60 | $104.5K |
| 87086 | Culture, bacterial; quantitative, colony count, urine. | 12,620 | $10 | $101K |
| 86481 | The lab analyst performs a test to evaluate an antigen response to certain tuberculosis (TB) antibodies by enumerating T cells that produce gamma interferon. | 750 | $100 | $72.6K |
Showing 1–10 of 206
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 206 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
206 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 87798 | 96 | 110 | 1,340 | $30 | $338.2K |
| U0003 | 63 | 130 | 730 | $70 | $246.4K |
| 87150 | 26 | 30 | 1,690 | $30 | $222.6K |
| G0480 | 38 | 50 | 70 | $110 | $119.4K |
| 86235 | 12 | 60 | 1,220 | $20 | $75.7K |
| U0005 | 77 | 150 | 780 | $20 | $75.1K |
| 87799 | 5 | 20 | 420 | $40 | $72.5K |
| 87636 | 64 | 90 | 40 | $140 | $70.6K |
| 80307 | 13 | 150 | 220 | $60 | $69.2K |
| 83521 | 5 | 20 | 90 | $20 | $64.3K |
Showing 1–10 of 206
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
184 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 6,080 | $90 | $565K |
| 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. | 31,020 | $10 | $341.3K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 6,010 | $50 | $276.5K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 31,990 | $10 | $255.9K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 5,350 | $50 | $240.8K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 9,870 | $20 | $187.5K |
| 82306 | The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced… | 5,460 | $30 | $152.9K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 9,260 | $20 | $148.1K |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 11,530 | $10 | $126.9K |
| 86003 | The lab analyst performs the technical lab test to analyze a specimen such as serum for allergen–specific immunoglobulin E (IgE), using a crude allergen extract. The test result is quantitative or… | 1,740 | $70 | $123.8K |
Showing 1–10 of 184
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
184 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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. | 1,002 | 1,570 | 680 | $110 | $1.1M |
| 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… | 145 | 750 | 950 | $50 | $890K |
| 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)… | 156 | 250 | 800 | $110 | $625.7K |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by… | 135 | 150 | 580 | $60 | $608.7K |
| 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. | 352 | 780 | 1,160 | $130 | $576.2K |
| 80081 | The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen test, a single–result test for HIV–1 antigens… | 15 | 50 | 190 | $40 | $483.7K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 455 | 660 | 1,490 | $30 | $417.2K |
| 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. | 377 | 900 | 1,400 | $60 | $342.7K |
| 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… | 207 | 280 | 730 | $90 | $315.5K |
| 70553 | In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows… | 318 | 330 | 250 | $260 | $311.4K |
Showing 1–10 of 184
Other providers in the same ZIP code as Sutter Valley Medical Foundation, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Sutter Valley Hospitals | CA | General Acute Care Hospital | $0 | $105.1M |
| Elica Health Centers | CA | Federally Qualified Health Center (FQHC) | $0 | $94.3M |
| City Of Sacramento | CA | Ambulance | $3.4M | $44.8M |
| Fort Sutter Surgery Center A California Limited Partnership | CA | Ambulatory Surgical Clinic/Center | $5.2M | $152.6K |
| Northern California P.e.t. Imaging Center | CA | Radiology Clinic/Center | $1.2M | $473.5K |
| Elma Abella | CA | Nuclear Radiology Physician | $1.7M | $0 |
| Simon Trubek | CA | Nuclear Medicine Physician | $1.5M | $0 |
| Pain Diagnostic And Treatment Center LP | CA | Ambulatory Surgical Clinic/Center | $1.5M | $0 |
| Stephen Malutich | CA | Nuclear Medicine Physician | $1.4M | $0 |
| C O R E Medical Clinic Inc | CA | Methadone Clinic | $869.9K | $231.4K |
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