Medicaid Provider Spending

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

PLANNED PARENTHOOD MAR MONTE, INC

NPI: 1083667323 · WATSONVILLE, CA 95076 · Community Health Clinic/Center · NPI assigned 05/18/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MOTSIFF, TOM controls 20+ related entities in our dataset. Read more

$5.32M
Total Medicaid Paid
99,203
Total Claims
91,788
Beneficiaries
60
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMOTSIFF, TOM (CFO)
NPI Enumeration Date05/18/2006

Related Entities

Other providers sharing the same authorized official: MOTSIFF, TOM

ProviderCityStateTotal Paid
PLANNED PARENTHOOD MAR MONTE SAN JOSE CA $26.62M
PLANNED PARENTHOOD MAR MONTE, INC STOCKTON CA $10.87M
PLANNED PARENTHOOD BAKERSFIELD CA $9.76M
PLANNED PARENTHOOD MAR MONTE, INC SAN JOSE CA $9.05M
PLANNED PARENTHOOD MAR MONTE, INC FRESNO CA $8.88M
PLANNED PARENTHOOD MAR MONTE, INC MERCED CA $6.67M
PLANNED PARENTHOOD MAR MONTE, INC STOCKTON CA $6.65M
PLANNED PARENTHOOD MAR MONTE, INC. OAKLAND CA $6.04M
PLANNED PARENTHOOD MAR MONTE, INC FRESNO CA $5.69M
PLANNED PARENTHOOD MAR MONTE, INC NORTH HIGHLANDS CA $5.69M
PLANNED PARENTHOOD MAR MONTE SAN MATEO CA $5.54M
PLANNED PARENTHOOD MAR MONTE, INC SACRAMENTO CA $5.53M
PLANNED PARENTHOOD MAR MONTE, INC SAN JOSE CA $5.36M
PLANNED PARENTHOOD MAR MONTE, INC ROSEVILLE CA $5.22M
PLANNED PARENTHOOD MAR MONTE, INC. HAYWARD CA $5.02M
PLANNED PARENTHOOD MAR MONTE, INC SAN JOSE CA $4.82M
PLANNED PARENTHOOD MAR MONTE, INC SACRAMENTO CA $4.74M
PLANNED PARENTHOOD MAR MONTE, INC TRACY CA $3.94M
PLANNED PARENTHOOD MAR MONTE INC. REDWOOD CITY CA $3.84M
PLANNED PARENTHOOD MAR MONTE, INC MODESTO CA $3.60M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 12,533 $545K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,296 10,583 $737K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 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 764 764 $509K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,960 5,687 $458K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,533 5,365 $339K
J3490 Unclassified drugs 8,760 7,420 $332K
S4993 Contraceptive pills for birth control 2,369 2,352 $294K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,966 1,963 $271K
87806 8,292 7,301 $205K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 5,786 5,641 $202K
11981 783 780 $197K
J7304 Contraceptive supply, hormone containing patch, each 162 162 $168K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 608 605 $131K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 452 452 $111K
11976 1,345 698 $91K
58300 717 367 $80K
99201 838 837 $68K
90837 Psychotherapy, 53 minutes with patient 586 309 $56K
A4267 Contraceptive supply, condom, male, each 3,765 3,741 $51K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 3,833 2,849 $48K
S0190 Mifepristone, oral, 200 mg 723 723 $43K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 372 358 $32K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,400 1,387 $30K
99000 6,641 6,487 $23K
81025 7,058 6,913 $21K
J7300 Intrauterine copper contraceptive (paragard) 25 25 $21K
99401 1,015 999 $19K
58301 506 262 $17K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 105 105 $14K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 3,666 3,582 $14K
83986 4,283 3,833 $13K
90686 598 598 $12K
90651 53 53 $12K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 12 12 $9K
99402 267 267 $8K
S5000 Prescription drug, generic 1,163 1,104 $8K
90682 118 117 $6K
11982 29 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 302 271 $5K
Q3014 Telehealth originating site facility fee 204 118 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 39 39 $3K
S0191 Misoprostol, oral, 200 mcg 875 869 $3K
T1014 Telehealth transmission, per minute, professional services bill separately 218 126 $3K
90688 125 125 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,065 1,063 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,065 1,063 $2K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 356 332 $2K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 155 155 $2K
81002 1,064 1,031 $2K
92551 70 70 $2K
90630 65 65 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13 13 $1K
85018 498 489 $1K
90685 46 45 $828.00
90832 Psychotherapy, 30 minutes with patient 16 12 $666.56
90715 16 16 $462.20
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 25 24 $153.34
J0696 Injection, ceftriaxone sodium, per 250 mg 27 26 $130.93
3078F 194 193 $0.00
3074F 189 188 $0.00