Medicaid Provider Spending

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

PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST

NPI: 1154356145 · EL CAJON, CA 92021 · 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

$4.91M
Total Medicaid Paid
101,439
Total Claims
92,594
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGONZALES, THERESA (DIRECTOR OF BILLING)
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 PACIFIC SOUTHWEST SAN DIEGO CA $4.92M
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 32,586 $1.74M
2019 16,432 $741K
2020 11,664 $513K
2021 14,758 $683K
2022 11,282 $517K
2023 9,685 $441K
2024 5,032 $273K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,077 7,392 $1.23M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,913 8,402 $933K
S4993 Contraceptive pills for birth control 4,390 4,222 $514K
87806 17,205 13,738 $435K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,946 5,391 $417K
J3490 Unclassified drugs 6,714 5,764 $336K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 970 943 $260K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 980 872 $158K
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 167 167 $93K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 104 98 $86K
99201 955 871 $83K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,562 1,539 $82K
81025 13,247 12,935 $44K
A4267 Contraceptive supply, condom, male, each 3,424 3,375 $41K
99000 8,335 8,082 $32K
11981 111 111 $23K
58300 246 134 $23K
S5000 Prescription drug, generic 3,120 2,879 $20K
83986 6,045 5,366 $17K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 1,183 1,183 $15K
87210 4,291 4,169 $14K
S0190 Mifepristone, oral, 200 mg 181 181 $12K
S5199 Personal care item, nos, each 1,182 1,166 $7K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 234 223 $6K
86701 661 545 $4K
J7303 Contraceptive supply, hormone containing vaginal ring, each 41 41 $4K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 710 446 $4K
11976 41 41 $4K
81002 1,662 1,623 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 59 59 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 59 59 $2K
57454 26 14 $2K
58301 57 30 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 44 44 $1K
S0191 Misoprostol, oral, 200 mcg 204 204 $714.27
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 14 14 $371.12
85018 251 243 $175.76
J0696 Injection, ceftriaxone sodium, per 250 mg 28 28 $103.73