Medicaid Provider Spending

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

PLANNED PARENTHOOD PACIFIC SOUTHWEST

NPI: 1033144027 · MORENO VALLEY, CA 92553 · Community Health Clinic/Center · NPI assigned 07/11/2006

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

Authorized official GONZALES, THERESA controls 19+ related entities in our dataset. Read more

$10.03M
Total Medicaid Paid
227,375
Total Claims
214,798
Beneficiaries
49
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGONZALES, THERESA (DIRECTOR)
NPI Enumeration Date07/11/2006

Related Entities

Other providers sharing the same authorized official: GONZALES, THERESA

ProviderCityStateTotal Paid
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $35.16M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST COACHELLA CA $33.43M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST SAN DIEGO CA $17.68M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST RIVERSIDE CA $11.22M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST CHULA VISTA CA $8.32M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST SAN DIEGO CA $8.03M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST VISTA CA $6.38M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST SAN DIEGO CA $6.04M
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $4.92M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST EL CAJON CA $4.91M
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $4.82M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST ESCONDIDO CA $4.53M
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $4.44M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST SAN DIEGO CA $4.02M
PLANNED PARENTHOOD PACIFIC SOUTHWEST RANCHO MIRAGE CA $3.91M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST EL CENTRO CA $3.22M
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $2.85M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST HEMET CA $577K
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $255K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 54,202 $3.32M
2019 31,983 $1.29M
2020 20,966 $752K
2021 23,187 $870K
2022 27,224 $958K
2023 35,614 $1.47M
2024 34,199 $1.38M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24,534 23,466 $1.97M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,805 9,205 $1.26M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,336 4,235 $995K
87806 34,375 29,541 $764K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11,165 10,729 $660K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 4,422 4,122 $597K
S4993 Contraceptive pills for birth control 4,904 4,872 $556K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 608 578 $468K
J3490 Unclassified drugs 9,824 8,522 $432K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 13,969 13,743 $416K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 13,980 13,753 $380K
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 522 514 $262K
99201 1,972 1,834 $174K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,384 3,338 $172K
J7304 Contraceptive supply, hormone containing patch, each 251 246 $146K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 6,655 6,579 $141K
11981 466 466 $91K
81025 26,290 25,849 $74K
58300 608 377 $61K
99000 17,941 17,612 $60K
J1050 Injection, medroxyprogesterone acetate, 1 mg 668 663 $53K
A4267 Contraceptive supply, condom, male, each 7,197 7,085 $51K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 2,428 2,428 $31K
J7300 Intrauterine copper contraceptive (paragard) 45 41 $28K
S0190 Mifepristone, oral, 200 mg 380 355 $23K
83986 8,799 8,122 $23K
S5000 Prescription drug, generic 3,262 3,087 $22K
87210 6,056 5,979 $17K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 64 64 $16K
J7303 Contraceptive supply, hormone containing vaginal ring, each 155 153 $14K
11976 138 138 $12K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 348 338 $11K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 12 12 $9K
58301 286 183 $8K
J7297 Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg 12 12 $8K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 1,353 816 $8K
86701 1,337 1,045 $7K
S5199 Personal care item, nos, each 827 819 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 94 91 $2K
81002 932 911 $2K
11982 13 13 $1K
S0191 Misoprostol, oral, 200 mcg 401 374 $1K
87529 14 13 $653.29
99401 33 33 $629.31
J0696 Injection, ceftriaxone sodium, per 250 mg 142 138 $405.06
36415 Collection of venous blood by venipuncture 1,987 1,932 $386.61
85018 272 265 $224.30
86901 96 94 $59.06
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 13 13 $42.94