Planned Parenthood of Wisconsin
Planned Parenthood of Wisconsin was paid $826K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is H1010, Non-medical family planning education, per session — 53% of everything it billed.
WEST BEND, WI 53090
Next to other Non-Pharmacy Dispensing Site providers in Wisconsin
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,751 | $125K | |
| 2019 | 3,477 | $122K | |
| 2020 | 3,014 | $157K | |
| 2021 | 2,437 | $155K | |
| 2022 | 1,620 | $104K | |
| 2023 | 1,466 | $96K | |
| 2024incomplete | 806 | $67K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H1010 | Non-medical family planning education, per session | 53% | 5,113 | 4,743 | $437K |
| S4993 | Contraceptive pills for birth control | 31% | 3,497 | 2,163 | $258K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.8% | 1,394 | 1,320 | $40K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 2.4% | 1,063 | 1,033 | $19K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.2% | 557 | 525 | $18K |
| A4267 | Contraceptive supply, condom, male, each | 1.9% | 1,286 | 1,212 | $16K |
| 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 | 1.5% | 286 | 273 | $12K |
| 87806 | 1.0% | 349 | 324 | $8K | |
| 99000 | <1% | 2,174 | 2,052 | $8K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 489 | 478 | $6K |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | <1% | 39 | 36 | $1K |
| 81025 | <1% | 140 | 134 | $1K |
3 more codes
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Planned Parenthood of Wisconsin | Milwaukee, WI | $10.62M |
| Planned Parenthood of Wisconsin | Milwaukee, WI | $5.55M |
| Planned Parenthood of Wisconsin | West Allis, WI | $5.25M |
| Planned Parenthood of Wi, INC | Milwaukee, WI | $4.76M |
| Planned Parenthood of Wisconsin | Racine, WI | $3.33M |
| Planned Parenthood of Wi, INC. | Kenosha, WI | $3.05M |
| Planned Parenthood of Wisconsin | Waukesha, WI | $2.48M |
| Planned Parenthood of Wi, INC | Green Bay, WI | $2.28M |
| Planned Parenthood of Wisconsin | La Crosse, WI | $1.75M |
| Planned Parenthood of Wisconsin | Eau Claire, WI | $1.55M |
| Planned Parenthood of Wisconsin | Appleton, WI | $1.43M |
| Planned Parenthood of Wisconsin | Sheboygan, WI | $1.23M |
| Planned Parenthood of Wisconsin | Oshkosh, WI | $1.14M |
| Planned Parenthood of Wisconsin | Madison, WI | $1.08M |
| Planned Parenthood of Wisconsin | Delavan, WI | $743K |
| Planned Parenthood of Wisconsin | Manitowoc, WI | $577K |
| Planned Parenthood of Wi, INC | Portage, WI | $329K |
| Planned Parenthood of Wisconsin | Sparta, WI | $34K |
| Planned Parenthood of Wisconsin | Blair, WI | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.