Planned Parenthood Pasadena and San Gabriel Valley INC

Planned Parenthood Pasadena and San Gabriel Valley INC was paid $15.73M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 16% of everything it billed.

33Billing provider infoPLANNED PARENTHOOD PASADENA AND SAN GABRIEL VALLEY INC
PASADENA, CA 91104

33aNPI1073669040assigned 01/25/2007

33bProvider typeVoluntary or Charitable Agency

28Total paid$15.73M

24GClaims584,439

24DCodes billed63

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Voluntary or Charitable Agency providers in California

Rank by total paid#1 of 35

Median peer was paid$847K

This provider vs. median19×

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	95,267	$2.94M
2019	68,957	$1.71M
2020	67,765	$2.13M
2021	78,012	$2.29M
2022	69,653	$1.77M
2023	114,950	$2.96M
2024incomplete	89,835	$1.94M

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	16%	35,512	34,748	$2.54M
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	15%	91,662	87,686	$2.40M
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	14%	91,526	87,718	$2.18M
J3490	Unclassified drugs	7.8%	51,482	44,952	$1.23M
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	6.6%	10,054	9,939	$1.03M
S4993	Contraceptive pills for birth control	5.5%	7,955	7,838	$858K
87806		5.2%	43,654	38,771	$810K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.8%	13,027	12,772	$762K
87661	Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe	4.0%	31,320	31,242	$635K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	4.0%	3,178	3,158	$631K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	3.7%	15,555	15,389	$578K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	3.2%	4,353	4,330	$501K

51 more codes

J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	1.4%	385	$223K
81025		1.2%	45,656	$183K
A4267	Contraceptive supply, condom, male, each	<1%	32,066	$135K
Q3014	Telehealth originating site facility fee	<1%	7,805	$132K
99201		<1%	1,326	$120K
99000		<1%	31,774	$113K
S5199	Personal care item, nos, each	<1%	12,160	$82K
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	<1%	228	$81K
59840		<1%	643	$70K
99204	Doctor's office visit, new patient (more involved)	<1%	295	$66K
11981		<1%	388	$64K
S5000	Prescription drug, generic	<1%	6,676	$37K
S9445	Patient education, not otherwise classified, non-physician provider, individual, per session	<1%	2,638	$34K
83986		<1%	14,190	$33K
58300		<1%	518	$33K
87210		<1%	9,392	$25K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	411	$20K
11976		<1%	426	$17K
Q0144	Azithromycin dihydrate, oral, capsules/powder, 1 gram	<1%	3,128	$17K
S5001	Prescription drug, brand name	<1%	4,695	$14K
J7300	Intrauterine copper contraceptive (paragard)	<1%	25	$12K
90651		<1%	53	$11K
J7298	Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg	<1%	16	$9K
81002		<1%	3,679	$6K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	910	$6K
85018		<1%	733	$4K
S0190	Mifepristone, oral, 200 mg	<1%	84	$3K
82120		<1%	1,219	$3K
J8499	Prescription drug, oral, non chemotherapeutic, nos	<1%	1,889	$3K
57454		<1%	48	$3K
J7303	Contraceptive supply, hormone containing vaginal ring, each	<1%	12	$2K
58301		<1%	81	$2K
99152		<1%	75	$2K
87624	Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types	<1%	70	$2K
99215	Doctor's office visit, returning patient (complex)	<1%	28	$1K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	67	$850.09
Q0111	Wet mounts, including preparations of vaginal, cervical or skin specimens	<1%	232	$843.82
11982		<1%	23	$723.91
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	13	$654.92
0012A		<1%	15	$600.00
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	124	$519.74
S0191	Misoprostol, oral, 200 mcg	<1%	220	$470.51
36415	Collection of venous blood by venipuncture	<1%	519	$392.75
90756		<1%	21	$298.48
86901		<1%	103	$290.24
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	<1%	12	$178.08
96127		<1%	36	$152.97
99406		<1%	14	$96.73
J3010	Injection, fentanyl citrate, 0.1 mg	<1%	12	$50.32
86592		<1%	14	$21.40
A4268	Contraceptive supply, condom, female, each	0%	14	$0.00

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 officialBONNER, SHERI (PRESIDENT CEO)