Clinic
Planned Parenthood of the Mid-Hudson Valley INC
Planned Parenthood of the Mid-Hudson Valley INC was paid $1.39M by Medicaid between Jan 2018 and Oct 2022, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoPLANNED PARENTHOOD OF THE MID-HUDSON VALLEY INC
NEWBURGH, NY 12550
NEWBURGH, NY 12550
33aNPI1013035112assigned 03/27/2007
33bProvider typeNon-Surgical Family Planning Clinic/Center
28Total paid$1.39M
24GClaims25,554
24DCodes billed32
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers
Next to other Non-Surgical Family Planning Clinic/Center providers in New York
Rank by total paid#3 of 6
Median peer was paid$462K
This provider vs. median3.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 9,816 | $395K | |
| 2019 | 15,495 | $987K | |
| 2020 | 34 | $2K | |
| 2021 | 39 | $2K | |
| 2022 | 170 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 46% | 10,106 | 3,192 | $637K |
| 59840 | 11% | 221 | 220 | $157K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 9.1% | 2,790 | 693 | $126K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 7.5% | 926 | 834 | $104K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5.6% | 809 | 452 | $77K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.1% | 636 | 441 | $71K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.8% | 647 | 315 | $66K |
| 99201 | 2.7% | 293 | 216 | $38K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 2.0% | 636 | 632 | $28K |
| 86703 | 1.8% | 1,622 | 1,586 | $25K | |
| S0190 | Mifepristone, oral, 200 mg | 1.2% | 248 | 246 | $17K |
| 58300 | 1.0% | 83 | 83 | $15K |
20 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 793 | $11K |
| 81025 | <1% | 2,096 | $8K | |
| 99385 | <1% | 24 | $5K | |
| 11981 | <1% | 13 | $4K | |
| S0191 | Misoprostol, oral, 200 mcg | <1% | 203 | $1K |
| 99406 | <1% | 30 | $596.28 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 20 | $378.00 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 176 | $85.52 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 175 | $18.39 |
| 87210 | <1% | 552 | $16.22 | |
| 83986 | <1% | 505 | $9.38 | |
| 81002 | <1% | 185 | $5.89 | |
| 85018 | <1% | 764 | $3.90 | |
| 36416 | 0% | 264 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 216 | $0.00 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 47 | $0.00 |
| A4550 | Surgical trays | 0% | 231 | $0.00 |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | 0% | 32 | $0.00 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 47 | $0.00 |
| 99152 | 0% | 164 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialRADFORD, MARY (VP OF FINANCE)