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 1811946734)

Field	Value
Entity Type	Organization
Organization	Sutter Valley Hospitals
Address	2825 Capitol Avenue
City	Sacramento
State	CA
ZIP	95816
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 8, 2006

Payer Source	Total Paid
Medicaid	$105.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

385 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0450	N/A	160,210	$90	$14.1M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	84,830	$110	$9.4M
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	7,360	$560	$4.1M
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.	9,480	$360	$3.4M
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.	13,140	$230	$3M
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)…	10,240	$230	$2.4M
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.	21,500	$110	$2.3M
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	4,650	$440	$2M
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…	9,720	$200	$2M
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.	19,030	$100	$1.9M

Showing 1–10 of 385

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 — 12 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

385 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	21	450	16,140	$90	$3.6M
G9002	Coordinated care fee, maintenance rate	27	40	4,330	$310	$3M
0121	N/A	69	70	130	$4,600	$2.6M
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.	222	1,570	680	$110	$1.1M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	28	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.	345	1,300	510	$100	$943K
Z5946	N/A	2	10	90	$2,710	$893.8K
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…	134	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.	380	1,400	470	$80	$884.5K
0510	N/A	58	230	930	$40	$854K

Showing 1–10 of 385

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sutter Valley Hospitals	CA	General Acute Care Hospital	$0	$81.2M
Sutter Valley Hospitals	CA	General Acute Care Hospital	$0	$76.1M
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

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elica Health Centers	CA	Federally Qualified Health Center (FQHC)	$0	$94.3M
City Of Sacramento	CA	Ambulance	$3.4M	$44.8M
Sutter Valley Medical Foundation	CA	Clinical Medical Laboratory	$4.4M	$3.8M
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

Sutter Valley Hospitals — Billing Profile & Reimbursement Data

Sign up for Sutter Valley Hospitals — Billing Profile & Reimbursement Data policy alerts

Sutter Valley Hospitals — Billing Profile & Reimbursement Data

Sign up for Sutter Valley Hospitals — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References