SUTTER BAY MEDICAL FOUNDATION
Ambulatory Surgical Clinic/Center · SAN JOSE, CA
Organization Active NPI 1033817168
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,063 | 3,930 | $6,019,771 | $1,732,208 | $1,415,260 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| C9290 | Injection, bupivacaine liposome, 1 mg | 2,128 | $1 | $1 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 516 | $633 | $531 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 362 | $865 | $727 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 282 | $466 | $376 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 89 | $569 | $453 |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 54 | $382 | $304 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 47 | $1,177 | $954 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 36 | $548 | $436 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 25 | $679 | $679 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 22 | $504 | $402 |
| 52356 | Crushing of stone of ureter with insertion of stent using an endoscope | 15 | $3,553 | $2,831 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 14 | $657 | $524 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ✓ | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.