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SUTTER BAY MEDICAL FOUNDATION

Clinic/Center, Multi-Specialty·SACRAMENTO, CA·NPI: 1003267196Share

Compared to Clinic/Center, Multi-Specialty Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $18.9M is at the 25th percentile among 12 Clinic/Center, Multi-Specialty providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$18.9M

$18,878,090

Total Claims

438K

Beneficiaries

334K

1.3 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$2.3M
-15%
2019
$1.9M
+5%
2020
$2.0M
+41%
2021
$2.9M
+5%
2022
$3.0M
+18%
2023
$3.5M
-9%
2024
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99233 (Subsequent hospital care, per day, high complexity)) accounts for 10% of total spending.

99233Normal range

Subsequent hospital care, per day, high complexity

$1.9M

36K claims · 10.1%

Your Cost: $53.24/claim|Median: $35.30
1.5× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$1.8M

56K claims · 9.3%

Your Cost: $31.05/claim|Median: $53.41
0.6× median
74177Normal range

CT abdomen and pelvis with contrast

$1.5M

13K claims · 7.8%

Your Cost: $115.40/claim|Median: $65.76
1.8× median
77067Top 25%

Screening mammography, bilateral, including CAD

$1.3M

15K claims · 6.9%

Your Cost: $87.70/claim|Median: $39.33
2.2× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$1.1M

32K claims · 5.7%

Your Cost: $33.86/claim|Median: $58.55
0.6× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.0M

13K claims · 5.4%

Your Cost: $78.26/claim|Median: $54.68
1.4× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$1.0M

9,199 claims · 5.4%

Your Cost: $110.05/claim|Median: $106.79
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$927K

18K claims · 4.9%

Your Cost: $52.94/claim|Median: $74.09
0.7× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$743K

11K claims · 3.9%

Your Cost: $65.33/claim|Median: $74.78
0.9× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$682K

8,567 claims · 3.6%

Your Cost: $79.57/claim|Median: $70.87
1.1× median
77063Top 25%

Screening digital breast tomosynthesis, bilateral

$462K

13K claims · 2.4%

Your Cost: $36.89/claim|Median: $21.41
1.7× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$397K

693 claims · 2.1%

Your Cost: $572.58/claim|Median: $470.36
1.2× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$397K

6,972 claims · 2.1%

Your Cost: $56.91/claim|Median: $58.16
1.0× median
70450Normal range

CT head/brain without contrast

$362K

7,980 claims · 1.9%

Your Cost: $45.43/claim|Median: $45.53
1.0× median
76642Normal range

$358K

7,130 claims · 1.9%

Your Cost: $50.15/claim|Median: $32.06
1.6× median
77066Top 25%

$310K

3,281 claims · 1.6%

Your Cost: $94.54/claim|Median: $43.94
2.2× median
71045Top 25%

Chest X-ray, single view

$290K

28K claims · 1.5%

Your Cost: $10.26/claim|Median: $4.93
2.1× median
99291Normal range

Critical care, first 30-74 minutes

$278K

2,111 claims · 1.5%

Your Cost: $131.81/claim|Median: $101.24
1.3× median
99223Normal range

Initial hospital care, per day, high complexity

$257K

3,070 claims · 1.4%

Your Cost: $83.59/claim|Median: $67.32
1.2× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$252K

21K claims · 1.3%

Your Cost: $11.76/claim|Median: $37.81
0.3× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$193K

4,670 claims · 1.0%

Your Cost: $41.33/claim|Median: $23.99
1.7× median
G0279Top 25%

$185K

5,614 claims · 1.0%

Your Cost: $32.97/claim|Median: $17.77
1.9× median
93010Top 25%

Electrocardiogram, interpretation and report only

$166K

18K claims · 0.9%

Your Cost: $9.03/claim|Median: $5.60
1.6× median
U0003Normal range

Infectious disease detection (COVID-19)

$159K

2,318 claims · 0.8%

Your Cost: $68.70/claim|Median: $63.08
1.1× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$158K

837 claims · 0.8%

Your Cost: $188.55/claim|Median: $108.91
1.7× median
76856Normal range

Ultrasound, pelvic, complete

$152K

3,688 claims · 0.8%

Your Cost: $41.30/claim|Median: $47.58
0.9× median
93000Top 10%

Electrocardiogram, complete, with interpretation and report

$147K

7,735 claims · 0.8%

Your Cost: $18.97/claim|Median: $9.70
2.0× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$144K

2,516 claims · 0.8%

Your Cost: $57.36/claim|Median: $84.03
0.7× median
71275Normal range

CT angiography, chest, with contrast

$142K

1,481 claims · 0.8%

Your Cost: $95.62/claim|Median: $92.96
1.0× median
71046Normal range

Chest X-ray, 2 views

$131K

8,989 claims · 0.7%

Your Cost: $14.54/claim|Median: $8.92
1.6× median
74176Normal range

CT abdomen and pelvis without contrast

$128K

1,355 claims · 0.7%

Your Cost: $94.63/claim|Median: $60.19
1.6× median
76830Normal range

Ultrasound, transvaginal

$118K

2,797 claims · 0.6%

Your Cost: $42.21/claim|Median: $57.47
0.7× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$116K

2,155 claims · 0.6%

Your Cost: $53.62/claim|Median: $47.65
1.1× median
76700Normal range

Ultrasound, abdominal, complete

$111K

2,344 claims · 0.6%

Your Cost: $47.55/claim|Median: $50.69
0.9× median
43239Normal range

Upper GI endoscopy with biopsy

$105K

578 claims · 0.6%

Your Cost: $181.39/claim|Median: $151.68
1.2× median
76705Normal range

Ultrasound, abdominal, limited

$103K

3,105 claims · 0.5%

Your Cost: $33.33/claim|Median: $23.81
1.4× median
76815Normal range

Ultrasound, pregnant uterus, limited

$87K

5,065 claims · 0.5%

Your Cost: $17.09/claim|Median: $36.79
0.5× median
G0108Normal range

Diabetes self-management training, individual

$81K

2,068 claims · 0.4%

Your Cost: $39.36/claim|Median: $35.89
1.1× median
59025Normal range

Fetal non-stress test

$80K

14K claims · 0.4%

Your Cost: $5.76/claim|Median: $26.45
0.2× median
77065Top 25%

$51K

718 claims · 0.3%

Your Cost: $71.28/claim|Median: $35.39
2.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$49K

1,075 claims · 0.3%

Your Cost: $45.35/claim|Median: $37.22
1.2× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$49K

852 claims · 0.3%

Your Cost: $56.95/claim|Median: $43.85
1.3× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$44K

579 claims · 0.2%

Your Cost: $75.85/claim|Median: $51.25
1.5× median
73721Normal range

MRI joint of lower extremity without contrast

$41K

389 claims · 0.2%

Your Cost: $105.00/claim|Median: $127.34
0.8× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$37K

1,055 claims · 0.2%

Your Cost: $35.54/claim|Median: $33.72
1.1× median
S0265Normal range

$37K

1,030 claims · 0.2%

Your Cost: $36.17/claim|Median: $61.95
0.6× median
71260Normal range

CT chest with contrast

$37K

482 claims · 0.2%

Your Cost: $77.14/claim|Median: $48.36
1.6× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$36K

925 claims · 0.2%

Your Cost: $38.76/claim|Median: $36.70
1.1× median
70553Normal range

MRI brain without contrast, then with contrast

$33K

200 claims · 0.2%

Your Cost: $165.58/claim|Median: $133.68
1.2× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$31K

687 claims · 0.2%

Your Cost: $44.58/claim|Median: $75.28
0.6× median

Other Top Providers in California

View all →

Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

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