Medicaid Provider Spending

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

PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST

NPI: 1063447050 · ESCONDIDO, CA 92025 · 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

$4.53M
Total Medicaid Paid
82,598
Total Claims
74,497
Beneficiaries
31
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 PACIFIC SOUTHWEST MORENO VALLEY CA $10.03M
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 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 31,808 $1.90M
2019 15,706 $823K
2020 9,503 $424K
2021 8,718 $424K
2022 6,868 $369K
2023 7,321 $452K
2024 2,674 $139K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,350 9,416 $1.17M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,396 4,918 $930K
S4993 Contraceptive pills for birth control 3,828 3,763 $414K
87806 14,362 11,392 $362K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,133 1,045 $327K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,778 1,563 $307K
J3490 Unclassified drugs 5,202 4,344 $248K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,834 2,608 $226K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 201 178 $165K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,700 1,670 $104K
11981 182 182 $39K
A4267 Contraceptive supply, condom, male, each 3,625 3,565 $37K
99201 347 311 $35K
81025 10,127 9,825 $32K
99000 6,370 6,179 $24K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 1,475 1,475 $19K
S5000 Prescription drug, generic 2,945 2,713 $19K
58300 207 107 $18K
83986 4,384 3,721 $12K
87210 2,409 2,325 $8K
86701 880 643 $6K
J7303 Contraceptive supply, hormone containing vaginal ring, each 40 40 $6K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 771 493 $4K
S5199 Personal care item, nos, each 1,040 1,038 $4K
11976 41 41 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 111 111 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 111 111 $3K
81002 693 679 $1K
58301 29 15 $708.03
J0696 Injection, ceftriaxone sodium, per 250 mg 14 14 $51.70
36415 Collection of venous blood by venipuncture 13 12 $0.00