Planned Parenthood of Northern, Central, and Southern New Jersey, INC.
Planned Parenthood of Northern, Central, and Southern New Jersey, INC. was paid $1.30M by Medicaid between Nov 2018 and Dec 2024, across 18 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 25% of everything it billed.
HAMILTON, NJ 08690
Next to other Ambulatory Family Planning Facility providers in New Jersey
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 401 | $17K | |
| 2019 | 2,919 | $207K | |
| 2020 | 3,542 | $229K | |
| 2021 | 3,875 | $215K | |
| 2022 | 3,376 | $214K | |
| 2023 | 3,622 | $262K | |
| 2024incomplete | 1,885 | $154K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 25% | 2,365 | 2,347 | $323K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 2,891 | 2,824 | $269K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 17% | 1,732 | 1,715 | $225K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 14% | 1,793 | 1,791 | $184K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.5% | 2,019 | 1,965 | $111K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 3.5% | 563 | 559 | $46K |
| 81025 | 3.4% | 4,119 | 4,071 | $45K | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | 2.7% | 1,660 | 1,641 | $35K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.4% | 126 | 126 | $19K |
| 87806 | <1% | 286 | 286 | $12K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 383 | 379 | $12K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,470 | 1,464 | $9K |
6 more codes
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.