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NPI 1982845186 · Mountain View, CA · Ambulatory Surgical Clinic/Center
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Sutter Bay Medical Foundation is a ambulatory surgical clinic/center provider located in Mountain View, California. This profile covers 37 Medicare and 3 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 Bay Medical Foundation |
| Address | 701 E El Camino Real |
| City | Mountain View |
| State | CA |
| ZIP | 94040 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | March 18, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.8M |
| Medicaid | $22.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
37 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 910 | $680 | $616.1K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 870 | $470 | $412.5K |
| 52356 | The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into… | 70 | $2,550 | $186.2K |
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 370 | $480 | $177.2K |
| 64561 | The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve. | 30 | $5,740 | $149.3K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 380 | $360 | $137.6K |
| 29827 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and… | 30 | $3,000 | $95.8K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 150 | $620 | $93.3K |
| 25609 | The provider surgically repairs a fracture of the lower radius, the larger of the two lower arm bones, beyond the joint or a separation of the radius from the joint through an incision and fixes… | 20 | $4,940 | $89K |
| 28750 | In this procedure, the provider surgically immobilizes the metatarsophalangeal joint of the great toe. A metatarsophalangeal joint is a joint between the first metatarsal of the foot and the first… | 20 | $5,200 | $88.4K |
Showing 1–10 of 37
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 37 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
37 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 64590 | 5 | 30 | 20 | $7,280 | $131.1K |
| 64561 | 8 | 30 | 20 | $2,560 | $58.8K |
| 25607 | 4 | 10 | 20 | $3,270 | $52.4K |
| 25609 | 27 | 60 | 20 | $2,220 | $40K |
| 45385 | 8 | 1,410 | 60 | $340 | $33.9K |
| 15823 | 20 | 190 | 30 | $640 | $30.9K |
| 29827 | 50 | 290 | 20 | $1,320 | $30.3K |
| 64483 | 47 | 790 | 60 | $240 | $28.5K |
| 28750 | 5 | 20 | 20 | $1,510 | $24.2K |
| 45380 | 7 | 1,460 | 60 | $230 | $23.8K |
Showing 1–10 of 37
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 140 | $120 | $16.8K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 50 | $70 | $3.5K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 90 | $20 | $2.1K |
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
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 563 | 780 | 350 | $180 | $200.7K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 284 | 410 | 180 | $310 | $178.8K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 320 | 570 | 210 | $250 | $160.5K |
Other providers in the same ZIP code as Sutter Bay Medical Foundation, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| James Joye | CA | Interventional Cardiology Physician | $4.5M | $0 |
| Peninsula Eye Surgery Center LLC | CA | Ophthalmologic Surgery Clinic/Center | $4.2M | $0 |
| Rahul Khurana | CA | Ophthalmology Physician | $2.3M | $1.8M |
| Edmund Tai | CA | Anatomic Pathology & Clinical Pathology Physician | $3.8M | $0 |
| Mark Wieland | CA | Ophthalmology Physician | $3.1M | $52.6K |
| James Palmer | CA | Ophthalmology Physician | $3M | $103.2K |
| Jesus Borrillo | CA | Ophthalmology Physician | $1.6M | $924.5K |
| Derrick Wong | CA | Hematology & Oncology Physician | $2.1M | $0 |
| Hanhsing Wu | CA | Hematology & Oncology Physician | $1.7M | $0 |
| Theodore Chow | CA | Clinical Cardiac Electrophysiology Physician | $1.2M | $0 |
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