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SUTTER BAY MEDICAL FOUNDATION

Clinic/Center, Multi-Specialty·PALO ALTO, CA·NPI: 1013950807Share

Compared to Clinic/Center, Multi-Specialty Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.6M is at the 25th percentile among 12 Clinic/Center, Multi-Specialty providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$19.6M

$19,646,727

Total Claims

839K

Beneficiaries

781K

1.1 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$2.9M
-8%
2019
$2.7M
-18%
2020
$2.2M
+52%
2021
$3.3M
-8%
2022
$3.1M
+5%
2023
$3.2M
-30%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 19% of total spending.

99214Normal range

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

$3.7M

79K claims · 18.6%

Your Cost: $46.34/claim|Median: $53.41
0.9× median
99213Normal range

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

$1.4M

45K claims · 6.9%

Your Cost: $30.36/claim|Median: $37.81
0.8× median
U0003Top 25%

Infectious disease detection (COVID-19)

$1.3M

16K claims · 6.4%

Your Cost: $80.29/claim|Median: $63.08
1.3× median
99233Normal range

Subsequent hospital care, per day, high complexity

$743K

15K claims · 3.8%

Your Cost: $50.25/claim|Median: $35.30
1.4× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$591K

9,978 claims · 3.0%

Your Cost: $59.20/claim|Median: $54.68
1.1× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$448K

10K claims · 2.3%

Your Cost: $42.76/claim|Median: $24.95
1.7× median
87591Top 10%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$437K

10K claims · 2.2%

Your Cost: $42.68/claim|Median: $23.39
1.8× median
90961Top 10%

$433K

3,107 claims · 2.2%

Your Cost: $139.49/claim|Median: $47.22
3.0× median
80053Normal range

Comprehensive metabolic panel

$399K

45K claims · 2.0%

Your Cost: $8.88/claim|Median: $7.24
1.2× median
82306Normal range

Vitamin D, 25 hydroxy

$396K

15K claims · 2.0%

Your Cost: $25.63/claim|Median: $18.18
1.4× median
86481Top 25%

$375K

4,224 claims · 1.9%

Your Cost: $88.78/claim|Median: $52.45
1.7× median
80061Normal range

Lipid panel

$369K

34K claims · 1.9%

Your Cost: $10.80/claim|Median: $8.41
1.3× median
84443Normal range

Thyroid stimulating hormone (TSH)

$330K

24K claims · 1.7%

Your Cost: $14.00/claim|Median: $9.87
1.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$301K

45K claims · 1.5%

Your Cost: $6.63/claim|Median: $4.71
1.4× median
77067Top 5%

Screening mammography, bilateral, including CAD

$295K

2,177 claims · 1.5%

Your Cost: $135.55/claim|Median: $39.33
3.4× median
99215Normal range

Office/outpatient visit, high complexity

$282K

5,145 claims · 1.4%

Your Cost: $54.72/claim|Median: $74.09
0.7× median
95004Top 25%

Percutaneous allergy skin tests, each

$270K

1,213 claims · 1.4%

Your Cost: $222.98/claim|Median: $134.97
1.7× median
90960Top 10%

End-stage renal disease services, per month, age 20+

$264K

1,728 claims · 1.3%

Your Cost: $152.80/claim|Median: $52.76
2.9× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$258K

33K claims · 1.3%

Your Cost: $7.71/claim|Median: $5.50
1.4× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$244K

2,150 claims · 1.2%

Your Cost: $113.33/claim|Median: $58.82
1.9× median
86003Top 10%

Allergen specific IgE blood test, each allergen

$221K

1,612 claims · 1.1%

Your Cost: $137.07/claim|Median: $40.67
3.4× median
59425Normal range

Antepartum care only, 4-6 visits

$221K

2,930 claims · 1.1%

Your Cost: $75.36/claim|Median: $63.63
1.2× median
88305Normal range

Surgical pathology, gross and microscopic examination

$219K

5,023 claims · 1.1%

Your Cost: $43.70/claim|Median: $35.80
1.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$218K

5,888 claims · 1.1%

Your Cost: $36.96/claim|Median: $23.99
1.5× median
87389Top 25%

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$173K

6,216 claims · 0.9%

Your Cost: $27.84/claim|Median: $18.03
1.5× median
87624Top 10%

HPV detection, high-risk types, nucleic acid

$166K

3,939 claims · 0.8%

Your Cost: $42.23/claim|Median: $25.57
1.7× median
99291Normal range

Critical care, first 30-74 minutes

$165K

1,380 claims · 0.8%

Your Cost: $119.23/claim|Median: $101.24
1.2× median
88175Top 10%

Cytopathology, cervical or vaginal, ThinPrep

$152K

4,606 claims · 0.8%

Your Cost: $32.95/claim|Median: $19.06
1.7× median
99223Normal range

Initial hospital care, per day, high complexity

$151K

1,782 claims · 0.8%

Your Cost: $84.64/claim|Median: $67.32
1.3× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$146K

8,850 claims · 0.7%

Your Cost: $16.47/claim|Median: $7.18
2.3× median
80307Top 10%

Drug test, presumptive, by chemistry analyzers

$142K

2,126 claims · 0.7%

Your Cost: $66.82/claim|Median: $35.43
1.9× median
87480Top 25%

$137K

5,883 claims · 0.7%

Your Cost: $23.23/claim|Median: $14.31
1.6× median
87510Top 10%

$136K

5,804 claims · 0.7%

Your Cost: $23.36/claim|Median: $13.48
1.7× median
87660Top 10%

$133K

5,710 claims · 0.7%

Your Cost: $23.22/claim|Median: $13.84
1.7× median
87637Top 10%

Respiratory virus detection, 3-5 targets, nucleic acid

$128K

813 claims · 0.6%

Your Cost: $156.99/claim|Median: $100.62
1.6× median
90834Normal range

Psychotherapy, 45 minutes

$122K

2,135 claims · 0.6%

Your Cost: $57.22/claim|Median: $63.65
0.9× median
U0005Top 25%

Infectious disease detection, COVID-19, antigen

$117K

5,370 claims · 0.6%

Your Cost: $21.81/claim|Median: $15.76
1.4× median
95117Top 25%

$117K

9,207 claims · 0.6%

Your Cost: $12.67/claim|Median: $8.34
1.5× median
86803Top 25%

Hepatitis C antibody

$116K

6,835 claims · 0.6%

Your Cost: $16.96/claim|Median: $10.17
1.7× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$114K

3,824 claims · 0.6%

Your Cost: $29.74/claim|Median: $21.41
1.4× median
87086Normal range

Urine culture, colony count, with identification

$113K

15K claims · 0.6%

Your Cost: $7.29/claim|Median: $5.31
1.4× median
71046Top 25%

Chest X-ray, 2 views

$106K

4,891 claims · 0.5%

Your Cost: $21.77/claim|Median: $8.92
2.4× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$106K

9,460 claims · 0.5%

Your Cost: $11.17/claim|Median: $9.70
1.2× median
80048Normal range

Basic metabolic panel

$101K

17K claims · 0.5%

Your Cost: $5.94/claim|Median: $5.78
1.0× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$99K

1,850 claims · 0.5%

Your Cost: $53.36/claim|Median: $43.85
1.2× median
82728Normal range

Ferritin

$87K

8,051 claims · 0.4%

Your Cost: $10.80/claim|Median: $6.00
1.8× median
99244Top 10%

Office or other outpatient consultation, moderate complexity

$80K

423 claims · 0.4%

Your Cost: $189.25/claim|Median: $121.58
1.6× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$76K

1,953 claims · 0.4%

Your Cost: $38.78/claim|Median: $36.70
1.1× median
90837Normal range

Psychotherapy, 60 minutes

$75K

846 claims · 0.4%

Your Cost: $89.19/claim|Median: $85.66
1.0× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$75K

1,392 claims · 0.4%

Your Cost: $54.05/claim|Median: $39.70
1.4× 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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