Medicaid Provider Spending

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

PLANNED PARENTHOOD PACIFIC SOUTHWEST

NPI: 1124053111 · SAN DIEGO, CA 92126 · Community Health Clinic/Center · NPI assigned 07/11/2006

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

Authorized official GONZALES, THERESA controls 19+ related entities in our dataset. Read more

$4.92M
Total Medicaid Paid
89,707
Total Claims
80,404
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGONZALES, THERESA (DIRECTOR)
NPI Enumeration Date07/11/2006

Related Entities

Other providers sharing the same authorized official: GONZALES, THERESA

ProviderCityStateTotal Paid
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $35.16M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST COACHELLA CA $33.43M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST SAN DIEGO CA $17.68M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST RIVERSIDE CA $11.22M
PLANNED PARENTHOOD PACIFIC SOUTHWEST MORENO VALLEY CA $10.03M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST CHULA VISTA CA $8.32M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST SAN DIEGO CA $8.03M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST VISTA CA $6.38M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST SAN DIEGO CA $6.04M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST EL CAJON CA $4.91M
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $4.82M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST ESCONDIDO CA $4.53M
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $4.44M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST SAN DIEGO CA $4.02M
PLANNED PARENTHOOD PACIFIC SOUTHWEST RANCHO MIRAGE CA $3.91M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST EL CENTRO CA $3.22M
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $2.85M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST HEMET CA $577K
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $255K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 23,395 $1.35M
2019 14,289 $752K
2020 15,058 $730K
2021 17,181 $922K
2022 8,364 $467K
2023 7,619 $478K
2024 3,801 $219K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,720 10,022 $1.25M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,983 5,554 $1.04M
S4993 Contraceptive pills for birth control 4,501 4,391 $550K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,587 4,147 $396K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,324 1,323 $395K
87806 15,520 11,635 $388K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,111 1,042 $196K
J3490 Unclassified drugs 4,586 3,831 $189K
99201 962 831 $113K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 83 83 $69K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 954 947 $60K
A4267 Contraceptive supply, condom, male, each 3,722 3,679 $38K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 2,665 2,665 $34K
58300 300 159 $31K
S5000 Prescription drug, generic 3,740 3,497 $26K
81025 8,362 8,124 $25K
99000 6,100 5,932 $22K
83986 6,222 4,939 $16K
J7303 Contraceptive supply, hormone containing vaginal ring, each 121 121 $16K
11981 74 74 $16K
87210 3,340 3,237 $11K
J7304 Contraceptive supply, hormone containing patch, each 24 24 $10K
86701 840 608 $5K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 718 476 $4K
11976 40 40 $4K
S5199 Personal care item, nos, each 897 887 $4K
81002 1,439 1,401 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 343 342 $2K
57454 23 12 $2K
58301 29 15 $1K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 343 342 $878.75
99401 12 12 $228.84
36415 Collection of venous blood by venipuncture 22 12 $24.00