Medicaid Provider Spending

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

PLANNED PARENTHOOD MAR MONTE, INC

NPI: 1043263189 · SAN JOSE, CA 95126 · Non-Pharmacy Dispensing Site · NPI assigned 05/18/2006

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

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

$9.05M
Total Medicaid Paid
225,865
Total Claims
210,364
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOTSIFF, TOM (CFO)
NPI Enumeration Date05/18/2006

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 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
PLANNED PARENTHOOD MAR MONTE, INC MODESTO CA $3.60M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 37,870 $1.96M
2019 20,649 $734K
2020 26,308 $883K
2021 43,506 $1.31M
2022 16,630 $660K
2023 26,712 $1.30M
2024 54,190 $2.21M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 1,491 1,486 $1.18M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,336 14,658 $923K
S4993 Contraceptive pills for birth control 6,663 6,619 $659K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,791 6,577 $645K
J3490 Unclassified drugs 22,818 18,776 $592K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 5,593 5,565 $521K
J7304 Contraceptive supply, hormone containing patch, each 602 597 $440K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 18,695 17,977 $413K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,954 6,795 $401K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,812 1,807 $364K
11981 1,545 1,540 $272K
87806 15,558 13,683 $262K
J7300 Intrauterine copper contraceptive (paragard) 356 353 $234K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 984 983 $233K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 348 345 $228K
58300 2,830 1,441 $228K
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 871 869 $217K
99201 2,280 2,246 $162K
90651 580 578 $145K
57454 1,976 1,002 $103K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 5,025 4,984 $85K
11976 1,527 790 $83K
A4267 Contraceptive supply, condom, male, each 11,525 11,368 $73K
99402 2,015 1,985 $64K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 12,090 11,898 $55K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,279 2,213 $54K
58301 2,057 1,061 $51K
99401 2,162 2,132 $41K
99403 774 766 $34K
81025 15,087 14,809 $34K
S5000 Prescription drug, generic 3,980 3,778 $29K
J7303 Contraceptive supply, hormone containing vaginal ring, each 152 151 $29K
59840 280 145 $28K
99000 12,968 12,682 $27K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 2,109 2,109 $27K
S0190 Mifepristone, oral, 200 mg 776 775 $21K
83986 8,734 7,700 $18K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 12,058 11,865 $18K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 6,669 6,520 $17K
11982 412 207 $9K
J8499 Prescription drug, oral, non chemotherapeutic, nos 861 547 $9K
57460 50 25 $6K
Q3014 Telehealth originating site facility fee 473 469 $6K
81002 2,307 2,229 $3K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 1,038 972 $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 224 216 $2K
85018 1,380 1,350 $1K
S0191 Misoprostol, oral, 200 mcg 948 938 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 317 312 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 391 389 $1K
99152 32 28 $1K
76830 Ultrasound, transvaginal 13 13 $723.28
T1014 Telehealth transmission, per minute, professional services bill separately 475 471 $624.19
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 12 12 $507.88
86901 168 167 $219.45
Z7610 28 24 $189.58
99070 23 13 $51.40
90686 56 56 $46.98
J3010 Injection, fentanyl citrate, 0.1 mg 14 14 $39.00
J2250 Injection, midazolam hydrochloride, per 1 mg 13 13 $19.00
3079F 34 31 $0.00
3074F 138 136 $0.00
1220F 13 13 $0.00
3078F 80 78 $0.00
3077F 15 13 $0.00