Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidSutter Bay Hospitals
    Ask Trek AI about this page

    Sutter Bay Hospitals — Billing Profile & Reimbursement Data

    NPI 1952634008 · Lakeport, CA · Critical Access Hospital

    Customize your policy alerts

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

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Sutter Bay Hospitals is a critical access hospital provider located in Lakeport, California. This profile covers 0 Medicare and 228 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSutter Bay Hospitals
    Address5176 Hill Rd. E
    CityLakeport
    StateCA
    ZIP95453
    TaxonomyCritical Access Hospital
    NPI EnumeratedSeptember 8, 2009

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$39.5M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    228 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99283The 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.51,270$250$12.8M
    99281The provider sees a patient for the lowest level emergency department visit.31,080$250$7.9M
    74177The 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.2,900$700$2M
    70450The 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.2,460$660$1.6M
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…3,970$250$1M
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.7,910$130$989.3K
    96375Following 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…7,740$100$773.7K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…2,520$260$644.6K
    99201Deleted code, effective Jan. 1, 20213,020$180$530.8K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…8,570$60$522.8K

    Showing 1–10 of 228

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    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

    228 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0450N/A37945016,140$90$3.6M
    81220The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR…91110190$140$1.6M
    99283The 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.941,570680$110$1.1M
    U0003Infectious 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…262750950$50$890K
    99281The provider sees a patient for the lowest level emergency department visit.274301,140$90$769.9K
    87637The 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)…125250800$110$625.7K
    74177The 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.2727801,160$130$576.2K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.1686601,490$30$417.2K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.1785103,760$50$383.4K
    70450The 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.3719001,400$60$342.7K

    Showing 1–10 of 228

    • More pages

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sutter Bay HospitalsCAGeneral Acute Care Hospital$0$52.6M
    Sutter Bay HospitalsCAGeneral Acute Care Hospital$0$46.8M
    Sutter Bay HospitalsCAGeneral Acute Care Hospital$0$43.8M
    Sutter Bay HospitalsCAGeneral Acute Care Hospital$0$35.3M
    Sutter Bay HospitalsCAGeneral Acute Care Hospital$0$29.4M
    Daniel BrennerCACardiovascular Disease Physician$332.7K$0
    Matthew McquaidCAFoot & Ankle Surgery Podiatrist$167.4K$0
    Akbar HussainiTXOrthopaedic Surgery Physician$157K$0
    Alexander LeightonORInternal 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.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lake County Tribal Health Consortium Inc.CAFederally Qualified Health Center (FQHC)$0$140.6M
    Lake County Tribal Health Consortium, Inc.CAFederally Qualified Health Center (FQHC)$0$28.5M
    Mendocino Community Health Clinic, Inc.CAFederally Qualified Health Center (FQHC)$0$23.7M
    Gregory HadfieldCAMedical Physician Assistant$439.9K$0
    Kinston CummingsCAPhysician Assistant$206.9K$0
    Keith DonaldCASurgery Physician$104.9K$76.3K
    Fareed AsfourCAInfectious Disease Physician$31.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. California Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    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