Supplier
Planned Parenthood of Wisconsin
Planned Parenthood of Wisconsin was paid $10.36M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is H1010, Non-medical family planning education, per session — 40% of everything it billed.
33Billing provider infoPLANNED PARENTHOOD OF WISCONSIN
MILWAUKEE, WI 53233
MILWAUKEE, WI 53233
33aNPI1093989667assigned 04/15/2008
33bProvider typeNon-Pharmacy Dispensing Site
28Total paid$10.36M
24GClaims250,600
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Non-Pharmacy Dispensing Site providers in Wisconsin
Rank by total paid#3 of 25
Median peer was paid$1.55M
This provider vs. median6.7×
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 | 48,972 | $1.44M | |
| 2019 | 51,940 | $1.61M | |
| 2020 | 32,552 | $1.45M | |
| 2021 | 38,578 | $1.89M | |
| 2022 | 31,751 | $1.41M | |
| 2023 | 25,758 | $1.31M | |
| 2024incomplete | 21,049 | $1.27M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H1010 | Non-medical family planning education, per session | 40% | 49,475 | 44,722 | $4.19M |
| S4993 | Contraceptive pills for birth control | 25% | 37,566 | 23,582 | $2.59M |
| 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 | 7.1% | 13,336 | 12,707 | $739K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.7% | 16,679 | 15,575 | $594K |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | 3.2% | 13,804 | 11,370 | $329K |
| A4267 | Contraceptive supply, condom, male, each | 3.1% | 26,300 | 24,767 | $324K |
| 87806 | 2.1% | 8,959 | 8,612 | $222K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.6% | 4,141 | 4,008 | $165K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1.5% | 8,429 | 8,202 | $153K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 2,416 | 2,328 | $151K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 1.4% | 313 | 306 | $142K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.2% | 1,328 | 1,290 | $126K |
22 more codes
| 99000 | <1% | 25,858 | $91K | |
| 87210 | <1% | 12,565 | $70K | |
| 81025 | <1% | 8,258 | $68K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 4,380 | $62K |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 3,382 | $61K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,921 | $54K |
| J7304 | Contraceptive supply, hormone containing patch, each | <1% | 243 | $44K |
| 90651 | <1% | 209 | $42K | |
| 11982 | <1% | 467 | $40K | |
| J3490 | Unclassified drugs | <1% | 2,914 | $33K |
| 11981 | <1% | 193 | $20K | |
| 86703 | <1% | 1,156 | $14K | |
| 81002 | <1% | 3,921 | $13K | |
| 58300 | <1% | 298 | $10K | |
| 87563 | <1% | 275 | $6K | |
| J7297 | Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg | <1% | 81 | $5K |
| 58301 | <1% | 77 | $3K | |
| 99201 | <1% | 45 | $1K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 1,484 | $1K |
| J7303 | Contraceptive supply, hormone containing vaginal ring, each | <1% | 75 | $1K |
| 86780 | <1% | 40 | $430.80 | |
| Q3014 | Telehealth originating site facility fee | <1% | 12 | $272.28 |
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 officialFOSBINDER, THERESA (PATIENT SERVICES)
| Provider | Location | Paid |
|---|---|---|
| Planned Parenthood of Wisconsin | Milwaukee, WI | $21.98M |
| Planned Parenthood of Wisconsin | Madison, WI | $3.54M |
| Planned Parenthood of Wisconsin | Wisconsin Rapids, WI | $808K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.