Clinic
Planned Parenthood Mar Monte, INC
Planned Parenthood Mar Monte, INC was paid $3.92M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 14% of everything it billed.
33Billing provider infoPLANNED PARENTHOOD MAR MONTE, INC
GILROY, CA 95020
GILROY, CA 95020
33aNPI1053364109assigned 05/18/2006
33bProvider typeCommunity Health Clinic/Center
28Total paid$3.92M
24GClaims81,765
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community Health Clinic/Center providers in California
Rank by total paid#107 of 288
Median peer was paid$2.15M
This provider vs. median1.8×
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 | 10,870 | $469K | |
| 2019 | 11,480 | $490K | |
| 2020 | 9,986 | $468K | |
| 2021 | 14,280 | $824K | |
| 2022 | 10,711 | $572K | |
| 2023 | 14,556 | $683K | |
| 2024incomplete | 9,882 | $413K |
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 | 14% | 6,709 | 6,295 | $567K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 12% | 402 | 402 | $452K |
| J3490 | Unclassified drugs | 9.6% | 8,899 | 7,411 | $377K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.5% | 5,551 | 5,369 | $333K |
| 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 | 7.5% | 778 | 774 | $295K |
| S4993 | Contraceptive pills for birth control | 7.5% | 2,929 | 2,901 | $293K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 6.6% | 2,173 | 2,169 | $259K |
| 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 | 6.5% | 1,949 | 1,924 | $253K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 6.0% | 6,931 | 6,577 | $235K |
| 87806 | 3.2% | 6,121 | 5,168 | $125K | |
| 11981 | 3.1% | 438 | 438 | $122K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 484 | 484 | $98K |
31 more codes
| 99201 | 2.4% | 1,152 | $92K | |
| 58300 | 1.8% | 583 | $70K | |
| J7304 | Contraceptive supply, hormone containing patch, each | 1.5% | 69 | $59K |
| A4267 | Contraceptive supply, condom, male, each | 1.2% | 3,971 | $49K |
| 11976 | <1% | 486 | $35K | |
| S0190 | Mifepristone, oral, 200 mg | <1% | 688 | $32K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 1,212 | $29K |
| 81025 | <1% | 6,443 | $16K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 512 | $16K |
| 58301 | <1% | 345 | $13K | |
| 99000 | <1% | 4,545 | $12K | |
| 83986 | <1% | 4,956 | $12K | |
| 99401 | <1% | 588 | $11K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 880 | $11K |
| S5000 | Prescription drug, generic | <1% | 1,387 | $11K |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 3,518 | $11K |
| J7300 | Intrauterine copper contraceptive (paragard) | <1% | 14 | $10K |
| 99402 | <1% | 134 | $4K | |
| Q3014 | Telehealth originating site facility fee | <1% | 203 | $4K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $3K |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | <1% | 225 | $3K |
| S0191 | Misoprostol, oral, 200 mcg | <1% | 737 | $2K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 1,799 | $2K |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | <1% | 775 | $1K |
| 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 | <1% | 131 | $1K |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 343 | $1K |
| 81002 | <1% | 629 | $906.12 | |
| T1014 | Telehealth transmission, per minute, professional services bill separately | <1% | 203 | $331.87 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 1,754 | $272.91 |
| 85018 | <1% | 89 | $131.42 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 18 | $69.41 |
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 officialMOSTIFF, TOM (CFO)
| Provider | Location | Paid |
|---|---|---|
| Planned Parenthood Mar Monte, INC | Salinas, CA | $9.01M |
| Planned Parenthood Mar Monte, INC | Seaside, CA | $3.62M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.