Planned Parenthood California Central Coast

Planned Parenthood California Central Coast was paid $1.11M by Medicaid between Jul 2022 and Dec 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.

33Billing provider infoPLANNED PARENTHOOD CALIFORNIA CENTRAL COAST
OXNARD, CA 93033

33aNPI1073108957assigned 03/03/2021

33bProvider typeCommunity Health Clinic/Center

28Total paid$1.11M

24GClaims26,082

24DCodes billed31

24AFirst – last monthJul 2022 – Dec 2024

Compared with peers

Next to other Community Health Clinic/Center providers in California

Rank by total paid#167 of 288

Median peer was paid$2.15M

This provider vs. median0.5×

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
2022	2,932	$150K
2023	11,891	$501K
2024incomplete	11,259	$461K

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	23%	2,696	2,622	$257K
J3490	Unclassified drugs	10%	3,015	2,942	$115K
87806		10%	4,021	4,011	$114K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	10%	878	876	$111K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	7.5%	1,234	1,199	$84K
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	6.9%	123	123	$77K
S4993	Contraceptive pills for birth control	6.7%	668	661	$75K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	4.0%	942	939	$44K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.4%	167	167	$38K
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	3.3%	284	283	$37K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	2.9%	28	28	$32K
86780		2.6%	2,580	2,577	$29K

19 more codes

A4267	Contraceptive supply, condom, male, each	1.3%	1,277	$15K
S5000	Prescription drug, generic	1.0%	941	$11K
A4649	Surgical supply; miscellaneous	<1%	697	$10K
S9445	Patient education, not otherwise classified, non-physician provider, individual, per session	<1%	759	$10K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	334	$9K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	334	$9K
81025		<1%	2,506	$8K
87808		<1%	625	$7K
11981		<1%	27	$6K
S0190	Mifepristone, oral, 200 mg	<1%	80	$5K
83986		<1%	898	$3K
11976		<1%	28	$3K
87210		<1%	422	$2K
87801	Infectious agent detection by nucleic acid; amplified probe, multiple organisms	<1%	37	$2K
Q0111	Wet mounts, including preparations of vaginal, cervical or skin specimens	<1%	231	$847.46
58301		<1%	24	$773.04
81002		<1%	131	$300.15
86803		<1%	13	$183.49
S0191	Misoprostol, oral, 200 mcg	<1%	82	$76.90

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 officialRISKOWSKI, TIANA (CFO)