Medicaid Provider Spending

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

PLANNED PARENTHOOD MAR MONTE, INC

NPI: 1023062593 · FRESNO, CA 93710 · 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

$5.69M
Total Medicaid Paid
230,072
Total Claims
204,287
Beneficiaries
69
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 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
PLANNED PARENTHOOD MAR MONTE, INC MODESTO CA $3.60M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 63,235 $1.61M
2019 36,168 $801K
2020 15,816 $339K
2021 29,507 $958K
2022 29,799 $724K
2023 20,126 $482K
2024 35,421 $785K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,042 15,468 $708K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 1,320 1,316 $671K
S4993 Contraceptive pills for birth control 8,522 7,989 $573K
J3490 Unclassified drugs 34,229 25,859 $545K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 22,249 19,993 $464K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,041 8,191 $411K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 4,297 4,196 $359K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9,327 8,740 $329K
99201 4,205 3,841 $230K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,514 1,513 $212K
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 2,083 2,051 $185K
11981 1,219 1,215 $169K
87806 13,349 11,595 $164K
A4267 Contraceptive supply, condom, male, each 14,930 13,557 $110K
58300 874 439 $61K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 390 390 $55K
11976 1,194 612 $51K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 3,209 3,190 $47K
J7304 Contraceptive supply, hormone containing patch, each 74 70 $47K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 3,401 3,401 $43K
99402 772 762 $24K
S5000 Prescription drug, generic 3,604 3,286 $24K
S0190 Mifepristone, oral, 200 mg 2,075 2,026 $22K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 39 39 $19K
99401 1,131 1,101 $18K
99000 10,109 9,851 $18K
81025 14,176 13,457 $17K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,879 1,800 $16K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 9,670 8,676 $13K
J7303 Contraceptive supply, hormone containing vaginal ring, each 90 89 $13K
J7300 Intrauterine copper contraceptive (paragard) 26 26 $12K
83986 8,507 7,321 $11K
Q3014 Telehealth originating site facility fee 854 844 $10K
99403 132 132 $6K
58301 377 188 $6K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 2,979 2,511 $5K
0270 4,827 3,203 $4K
J0696 Injection, ceftriaxone sodium, per 250 mg 838 770 $3K
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 423 399 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 195 182 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,163 3,101 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,565 2,534 $2K
81002 2,156 1,994 $2K
Z6406 140 136 $1K
T1014 Telehealth transmission, per minute, professional services bill separately 778 769 $1K
11982 228 123 $1K
85018 1,139 1,087 $962.88
S0191 Misoprostol, oral, 200 mcg 2,111 2,043 $934.05
Z6410 106 100 $827.47
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 12 12 $661.23
J8499 Prescription drug, oral, non chemotherapeutic, nos 175 116 $604.24
Z7610 26 26 $245.39
90715 15 12 $145.01
83036 Hemoglobin; glycosylated (A1C) 70 69 $100.38
90686 167 152 $70.24
90688 13 13 $44.60
99070 754 494 $33.80
86901 153 152 $22.14
82948 14 13 $0.00
59425 67 55 $0.00
H1003 Prenatal care, at-risk enhanced service; education 90 78 $0.00
3078F 15 15 $0.00
H1001 Prenatal care, at-risk enhanced service; antepartum management 79 67 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 314 294 $0.00
1220F 340 336 $0.00
0250 14 14 $0.00
3074F 74 74 $0.00
3079F 17 15 $0.00
3351F 105 104 $0.00