Clinic
Planned Parenthood Mar Monte, INC
Planned Parenthood Mar Monte, INC was paid $3.60M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is J3490, Unclassified drugs — 17% of everything it billed.
33Billing provider infoPLANNED PARENTHOOD MAR MONTE, INC
MODESTO, CA 95350
MODESTO, CA 95350
33aNPI1154375624assigned 05/20/2006
33bProvider typeCommunity Health Clinic/Center
28Total paid$3.60M
24GClaims68,269
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community Health Clinic/Center providers in California
Rank by total paid#117 of 288
Median peer was paid$2.15M
This provider vs. median1.7×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MOTSIFF, TOM controls 20+ related entities in our dataset. Read more
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 | 16,976 | $821K | |
| 2019 | 13,508 | $614K | |
| 2020 | 3,054 | $138K | |
| 2021 | 8,408 | $481K | |
| 2022 | 9,326 | $558K | |
| 2023 | 6,662 | $314K | |
| 2024incomplete | 10,335 | $670K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J3490 | Unclassified drugs | 17% | 13,119 | 10,758 | $602K |
| S4993 | Contraceptive pills for birth control | 11% | 3,554 | 3,516 | $410K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.1% | 4,728 | 4,647 | $327K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.6% | 3,682 | 3,599 | $311K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 8.4% | 303 | 302 | $300K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 7.8% | 6,603 | 6,468 | $281K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 5.9% | 1,804 | 1,799 | $213K |
| 99201 | 5.6% | 2,369 | 2,342 | $200K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.3% | 900 | 900 | $190K |
| 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 | 5.3% | 370 | 369 | $189K |
| 87806 | 3.1% | 4,583 | 4,116 | $110K | |
| A4267 | Contraceptive supply, condom, male, each | 2.3% | 6,760 | 6,668 | $83K |
26 more codes
| 11981 | 1.8% | 283 | $65K | |
| 99214 | Doctor's office visit, returning patient (more involved) | 1.8% | 502 | $64K |
| J7304 | Contraceptive supply, hormone containing patch, each | 1.2% | 64 | $44K |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | <1% | 2,066 | $30K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 870 | $26K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 367 | $21K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 81 | $21K |
| S0190 | Mifepristone, oral, 200 mg | <1% | 338 | $20K |
| 99000 | <1% | 3,976 | $16K | |
| 58300 | <1% | 112 | $13K | |
| 81025 | <1% | 4,568 | $13K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 941 | $12K |
| 11976 | <1% | 98 | $7K | |
| J7303 | Contraceptive supply, hormone containing vaginal ring, each | <1% | 24 | $5K |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 1,433 | $5K |
| 83986 | <1% | 1,673 | $5K | |
| S5000 | Prescription drug, generic | <1% | 493 | $4K |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 430 | $2K |
| 58301 | <1% | 46 | $2K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 139 | $1K |
| 99401 | <1% | 68 | $1K | |
| S0191 | Misoprostol, oral, 200 mcg | <1% | 381 | $1K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 97 | $592.23 |
| 85018 | <1% | 192 | $483.64 | |
| 81002 | <1% | 204 | $406.01 | |
| 86901 | <1% | 48 | $95.94 |
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 officialMOTSIFF, TOM (CFO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.