Clinic
Planned Parenthood Mar Monte, INC
Planned Parenthood Mar Monte, INC was paid $5.32M by Medicaid between Jan 2018 and Nov 2024, across 60 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
WATSONVILLE, CA 95076
WATSONVILLE, CA 95076
33aNPI1083667323assigned 05/18/2006
33bProvider typeCommunity Health Clinic/Center
28Total paid$5.32M
24GClaims99,203
24DCodes billed60
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Community Health Clinic/Center providers in California
Rank by total paid#78 of 288
Median peer was paid$2.15M
This provider vs. median2.5×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MOTSIFF, TOM controls 20+ related entities in our dataset. Read more
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 | 18,445 | $1.13M | |
| 2019 | 9,406 | $524K | |
| 2020 | 9,959 | $431K | |
| 2021 | 17,156 | $1.02M | |
| 2022 | 13,715 | $702K | |
| 2023 | 17,989 | $959K | |
| 2024incomplete | 12,533 | $545K |
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% | 11,296 | 10,583 | $737K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 12% | 727 | 725 | $626K |
| 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 | 9.6% | 764 | 764 | $509K |
| 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 | 8.6% | 5,960 | 5,687 | $458K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.4% | 5,533 | 5,365 | $339K |
| J3490 | Unclassified drugs | 6.2% | 8,760 | 7,420 | $332K |
| S4993 | Contraceptive pills for birth control | 5.5% | 2,369 | 2,352 | $294K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 5.1% | 1,966 | 1,963 | $271K |
| 87806 | 3.9% | 8,292 | 7,301 | $205K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.8% | 5,786 | 5,641 | $202K |
| 11981 | 3.7% | 783 | 780 | $197K | |
| J7304 | Contraceptive supply, hormone containing patch, each | 3.2% | 162 | 162 | $168K |
48 more codes
| 99203 | Doctor's office visit, new patient (routine) | 2.5% | 608 | $131K |
| 99204 | Doctor's office visit, new patient (more involved) | 2.1% | 452 | $111K |
| 11976 | 1.7% | 1,345 | $91K | |
| 58300 | 1.5% | 717 | $80K | |
| 99201 | 1.3% | 838 | $68K | |
| 90837 | Psychotherapy session, about an hour | 1.0% | 586 | $56K |
| A4267 | Contraceptive supply, condom, male, each | <1% | 3,765 | $51K |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | <1% | 3,833 | $48K |
| S0190 | Mifepristone, oral, 200 mg | <1% | 723 | $43K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 372 | $32K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 1,400 | $30K |
| 99000 | <1% | 6,641 | $23K | |
| 81025 | <1% | 7,058 | $21K | |
| J7300 | Intrauterine copper contraceptive (paragard) | <1% | 25 | $21K |
| 99401 | <1% | 1,015 | $19K | |
| 58301 | <1% | 506 | $17K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 105 | $14K |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 3,666 | $14K |
| 83986 | <1% | 4,283 | $13K | |
| 90686 | <1% | 598 | $12K | |
| 90651 | <1% | 53 | $12K | |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | <1% | 12 | $9K |
| 99402 | <1% | 267 | $8K | |
| S5000 | Prescription drug, generic | <1% | 1,163 | $8K |
| 90682 | <1% | 118 | $6K | |
| 11982 | <1% | 29 | $5K | |
| 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% | 302 | $5K |
| Q3014 | Telehealth originating site facility fee | <1% | 204 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 39 | $3K |
| S0191 | Misoprostol, oral, 200 mcg | <1% | 875 | $3K |
| T1014 | Telehealth transmission, per minute, professional services bill separately | <1% | 218 | $3K |
| 90688 | <1% | 125 | $2K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 1,065 | $2K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 1,065 | $2K |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 356 | $2K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 155 | $2K |
| 81002 | <1% | 1,064 | $2K | |
| 92551 | <1% | 70 | $2K | |
| 90630 | <1% | 65 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | $1K |
| 85018 | <1% | 498 | $1K | |
| 90685 | <1% | 46 | $828.00 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 16 | $666.56 |
| 90715 | <1% | 16 | $462.20 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 25 | $153.34 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 27 | $130.93 |
| 3078F | 0% | 194 | $0.00 | |
| 3074F | 0% | 189 | $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 officialMOTSIFF, TOM (CFO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.