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SUTTER VALLEY MEDICAL FOUNDATION

Clinic/Center, Multi-Specialty·SACRAMENTO, CA·NPI: 1952327256Share

Compared to Clinic/Center, Multi-Specialty Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $41.2M is at the 25th percentile among 12 Clinic/Center, Multi-Specialty providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$41.2M

$41,248,404

Total Claims

1.2M

Beneficiaries

1.0M

1.2 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$6.3M
-9%
2019
$5.7M
-21%
2020
$4.5M
+6%
2021
$4.8M
+11%
2022
$5.3M
+35%
2023
$7.2M
+3%
2024
$7.5M

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 16% of total spending.

99214Normal range

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

$6.5M

129K claims · 15.8%

Your Cost: $50.42/claim|Median: $53.41
0.9× median
99213Normal range

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

$3.5M

93K claims · 8.5%

Your Cost: $37.29/claim|Median: $37.81
1.0× median
78815Normal range

PET imaging for limited area

$2.6M

5,781 claims · 6.2%

Your Cost: $445.93/claim|Median: $325.10
1.4× median
74177Normal range

CT abdomen and pelvis with contrast

$2.4M

37K claims · 5.8%

Your Cost: $64.73/claim|Median: $65.76
1.0× median
99233Normal range

Subsequent hospital care, per day, high complexity

$2.0M

64K claims · 4.9%

Your Cost: $31.81/claim|Median: $35.30
0.9× median
70450Normal range

CT head/brain without contrast

$1.3M

55K claims · 3.2%

Your Cost: $24.02/claim|Median: $45.53
0.5× median
77067Normal range

Screening mammography, bilateral, including CAD

$1.2M

25K claims · 2.9%

Your Cost: $48.45/claim|Median: $39.33
1.2× median
70553Normal range

MRI brain without contrast, then with contrast

$1.2M

9,502 claims · 2.8%

Your Cost: $122.36/claim|Median: $133.68
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$992K

19K claims · 2.4%

Your Cost: $51.27/claim|Median: $54.68
0.9× median
99291Top 25%

Critical care, first 30-74 minutes

$918K

6,689 claims · 2.2%

Your Cost: $137.24/claim|Median: $101.24
1.4× median
99223Normal range

Initial hospital care, per day, high complexity

$820K

16K claims · 2.0%

Your Cost: $52.78/claim|Median: $67.32
0.8× median
71046Normal range

Chest X-ray, 2 views

$819K

101K claims · 2.0%

Your Cost: $8.08/claim|Median: $8.92
0.9× median
71045Normal range

Chest X-ray, single view

$807K

143K claims · 2.0%

Your Cost: $5.65/claim|Median: $4.93
1.1× median
70551Normal range

MRI brain without contrast

$615K

9,763 claims · 1.5%

Your Cost: $62.95/claim|Median: $85.39
0.7× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$594K

5,556 claims · 1.4%

Your Cost: $106.92/claim|Median: $103.70
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$592K

8,821 claims · 1.4%

Your Cost: $67.12/claim|Median: $74.09
0.9× median
H1001Normal range

$584K

8,048 claims · 1.4%

Your Cost: $72.59/claim|Median: $60.48
1.2× median
74176Normal range

CT abdomen and pelvis without contrast

$574K

12K claims · 1.4%

Your Cost: $47.10/claim|Median: $60.19
0.8× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$541K

5,210 claims · 1.3%

Your Cost: $103.92/claim|Median: $98.15
1.1× median
A9552Normal range

$486K

3,446 claims · 1.2%

Your Cost: $140.95/claim|Median: $89.01
1.6× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$478K

19K claims · 1.2%

Your Cost: $25.18/claim|Median: $23.99
1.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$458K

29K claims · 1.1%

Your Cost: $15.68/claim|Median: $17.85
0.9× median
72148Normal range

MRI lumbar spine without contrast

$447K

7,210 claims · 1.1%

Your Cost: $62.03/claim|Median: $101.03
0.6× median
Z0104Normal range

$402K

3,032 claims · 1.0%

Your Cost: $132.64/claim|Median: $141.22
0.9× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$397K

12K claims · 1.0%

Your Cost: $33.47/claim|Median: $43.85
0.8× median
59425Normal range

Antepartum care only, 4-6 visits

$357K

9,539 claims · 0.9%

Your Cost: $37.45/claim|Median: $63.63
0.6× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$352K

24K claims · 0.9%

Your Cost: $14.79/claim|Median: $21.41
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$352K

5,633 claims · 0.9%

Your Cost: $62.46/claim|Median: $75.18
0.8× median
76642Normal range

$318K

17K claims · 0.8%

Your Cost: $18.98/claim|Median: $32.06
0.6× median
76856Normal range

Ultrasound, pelvic, complete

$314K

13K claims · 0.8%

Your Cost: $23.26/claim|Median: $47.58
0.5× median
99204Normal range

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

$305K

3,554 claims · 0.7%

Your Cost: $85.88/claim|Median: $84.03
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$286K

4,334 claims · 0.7%

Your Cost: $65.92/claim|Median: $74.82
0.9× median
73721Normal range

MRI joint of lower extremity without contrast

$269K

4,587 claims · 0.7%

Your Cost: $58.63/claim|Median: $127.34
0.5× median
59409Normal range

Vaginal delivery only

$252K

364 claims · 0.6%

Your Cost: $691.81/claim|Median: $619.91
1.1× median
76700Normal range

Ultrasound, abdominal, complete

$251K

8,194 claims · 0.6%

Your Cost: $30.59/claim|Median: $50.69
0.6× median
92551Top 5%

Screening audiometry, pure tone, air only

$247K

15K claims · 0.6%

Your Cost: $16.25/claim|Median: $6.61
2.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$245K

3,540 claims · 0.6%

Your Cost: $69.21/claim|Median: $69.35
1.0× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$244K

1,697 claims · 0.6%

Your Cost: $143.82/claim|Median: $293.45
0.5× median
76705Normal range

Ultrasound, abdominal, limited

$233K

12K claims · 0.6%

Your Cost: $19.82/claim|Median: $23.81
0.8× median
72125Normal range

CT cervical spine without contrast

$230K

7,287 claims · 0.6%

Your Cost: $31.59/claim|Median: $32.30
1.0× median
97110Normal range

Therapeutic exercises, each 15 min

$229K

13K claims · 0.6%

Your Cost: $17.26/claim|Median: $24.49
0.7× median
S9083Normal range

Global fee, urgent care centers

$228K

3,050 claims · 0.6%

Your Cost: $74.89/claim|Median: $103.99
0.7× median
G0108Top 10%

Diabetes self-management training, individual

$217K

2,628 claims · 0.5%

Your Cost: $82.76/claim|Median: $35.89
2.3× median
76830Normal range

Ultrasound, transvaginal

$211K

10K claims · 0.5%

Your Cost: $20.67/claim|Median: $57.47
0.4× median
Z1034Normal range

$206K

3,785 claims · 0.5%

Your Cost: $54.33/claim|Median: $54.74
1.0× median
71275Normal range

CT angiography, chest, with contrast

$188K

3,575 claims · 0.5%

Your Cost: $52.67/claim|Median: $92.96
0.6× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$159K

3,904 claims · 0.4%

Your Cost: $40.64/claim|Median: $106.14
0.4× median
71260Normal range

CT chest with contrast

$155K

5,135 claims · 0.4%

Your Cost: $30.19/claim|Median: $48.36
0.6× median
Z0102Normal range

$146K

799 claims · 0.4%

Your Cost: $183.18/claim|Median: $193.72
0.9× median
93010Normal range

Electrocardiogram, interpretation and report only

$139K

21K claims · 0.3%

Your Cost: $6.50/claim|Median: $5.60
1.2× median