Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PLANNED PARENTHOOD MAR MONTE, INC

NPI: 1003860446 · MADERA, CA 93637 · Community Health Clinic/Center · NPI assigned 05/20/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MOTSIFF, TOM controls 20+ related entities in our dataset. Read more

$2.69M
Total Medicaid Paid
104,557
Total Claims
94,412
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOTSIFF, TOM (CFO)
NPI Enumeration Date05/20/2006

Related Entities

Other providers sharing the same authorized official: MOTSIFF, TOM

ProviderCityStateTotal Paid
PLANNED PARENTHOOD MAR MONTE SAN JOSE CA $26.62M
PLANNED PARENTHOOD MAR MONTE, INC STOCKTON CA $10.87M
PLANNED PARENTHOOD BAKERSFIELD CA $9.76M
PLANNED PARENTHOOD MAR MONTE, INC SAN JOSE CA $9.05M
PLANNED PARENTHOOD MAR MONTE, INC FRESNO CA $8.88M
PLANNED PARENTHOOD MAR MONTE, INC MERCED CA $6.67M
PLANNED PARENTHOOD MAR MONTE, INC STOCKTON CA $6.65M
PLANNED PARENTHOOD MAR MONTE, INC. OAKLAND CA $6.04M
PLANNED PARENTHOOD MAR MONTE, INC FRESNO CA $5.69M
PLANNED PARENTHOOD MAR MONTE, INC NORTH HIGHLANDS CA $5.69M
PLANNED PARENTHOOD MAR MONTE SAN MATEO CA $5.54M
PLANNED PARENTHOOD MAR MONTE, INC SACRAMENTO CA $5.53M
PLANNED PARENTHOOD MAR MONTE, INC SAN JOSE CA $5.36M
PLANNED PARENTHOOD MAR MONTE, INC WATSONVILLE CA $5.32M
PLANNED PARENTHOOD MAR MONTE, INC ROSEVILLE CA $5.22M
PLANNED PARENTHOOD MAR MONTE, INC. HAYWARD CA $5.02M
PLANNED PARENTHOOD MAR MONTE, INC SAN JOSE CA $4.82M
PLANNED PARENTHOOD MAR MONTE, INC SACRAMENTO CA $4.74M
PLANNED PARENTHOOD MAR MONTE, INC TRACY CA $3.94M
PLANNED PARENTHOOD MAR MONTE INC. REDWOOD CITY CA $3.84M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27,533 $846K
2019 15,940 $367K
2020 8,734 $168K
2021 13,300 $318K
2022 12,151 $279K
2023 13,248 $314K
2024 13,651 $394K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J3490 Unclassified drugs 18,969 14,569 $326K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,976 4,766 $309K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,920 2,778 $278K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 10,725 9,783 $258K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,189 2,174 $220K
S4993 Contraceptive pills for birth control 2,977 2,904 $219K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,543 4,377 $216K
S0199 Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs 1,134 1,127 $162K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 223 221 $147K
87806 7,320 6,424 $105K
99201 1,291 1,265 $93K
A4267 Contraceptive supply, condom, male, each 8,950 8,398 $83K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 342 342 $73K
11981 174 173 $31K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,326 1,320 $26K
S0190 Mifepristone, oral, 200 mg 1,049 1,037 $16K
11976 304 153 $15K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 1,161 1,161 $15K
S5000 Prescription drug, generic 1,967 1,824 $14K
81025 9,027 8,642 $12K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,076 1,044 $12K
99000 4,731 4,624 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 51 51 $11K
99401 422 417 $8K
83986 4,634 4,117 $8K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 3,656 3,465 $7K
99402 99 98 $3K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 826 737 $2K
Q3014 Telehealth originating site facility fee 75 74 $1K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 162 160 $1K
S0191 Misoprostol, oral, 200 mcg 1,200 1,166 $1K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 353 235 $975.00
0270 2,463 1,602 $769.81
81002 316 303 $417.14
85018 470 454 $312.65
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,146 1,141 $141.95
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,107 1,102 $110.12
86901 86 85 $73.80
J0696 Injection, ceftriaxone sodium, per 250 mg 16 15 $70.72
T1014 Telehealth transmission, per minute, professional services bill separately 59 58 $63.84
99070 42 26 $0.00