Medicaid Provider Spending

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

PLANNED PARENTHOOD MAR MONTE, INC

NPI: 1154375624 · MODESTO, CA 95350 · Community Health Clinic/Center · NPI assigned 05/20/2006

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

Authorized official MOTSIFF, TOM controls 20+ related entities in our dataset. Read more

$3.60M
Total Medicaid Paid
68,269
Total Claims
63,904
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOTSIFF, TOM (CFO)
NPI Enumeration Date05/20/2006

Related Entities

Other providers sharing the same authorized official: MOTSIFF, TOM

ProviderCityStateTotal Paid
PLANNED PARENTHOOD MAR MONTE SAN JOSE CA $26.62M
PLANNED PARENTHOOD MAR MONTE, INC STOCKTON CA $10.87M
PLANNED PARENTHOOD BAKERSFIELD CA $9.76M
PLANNED PARENTHOOD MAR MONTE, INC SAN JOSE CA $9.05M
PLANNED PARENTHOOD MAR MONTE, INC FRESNO CA $8.88M
PLANNED PARENTHOOD MAR MONTE, INC MERCED CA $6.67M
PLANNED PARENTHOOD MAR MONTE, INC STOCKTON CA $6.65M
PLANNED PARENTHOOD MAR MONTE, INC. OAKLAND CA $6.04M
PLANNED PARENTHOOD MAR MONTE, INC FRESNO CA $5.69M
PLANNED PARENTHOOD MAR MONTE, INC NORTH HIGHLANDS CA $5.69M
PLANNED PARENTHOOD MAR MONTE SAN MATEO CA $5.54M
PLANNED PARENTHOOD MAR MONTE, INC SACRAMENTO CA $5.53M
PLANNED PARENTHOOD MAR MONTE, INC SAN JOSE CA $5.36M
PLANNED PARENTHOOD MAR MONTE, INC WATSONVILLE CA $5.32M
PLANNED PARENTHOOD MAR MONTE, INC ROSEVILLE CA $5.22M
PLANNED PARENTHOOD MAR MONTE, INC. HAYWARD CA $5.02M
PLANNED PARENTHOOD MAR MONTE, INC SAN JOSE CA $4.82M
PLANNED PARENTHOOD MAR MONTE, INC SACRAMENTO CA $4.74M
PLANNED PARENTHOOD MAR MONTE, INC TRACY CA $3.94M
PLANNED PARENTHOOD MAR MONTE INC. REDWOOD CITY CA $3.84M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 10,335 $670K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J3490 Unclassified drugs 13,119 10,758 $602K
S4993 Contraceptive pills for birth control 3,554 3,516 $410K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,728 4,647 $327K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,682 3,599 $311K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 303 302 $300K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 6,603 6,468 $281K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,804 1,799 $213K
99201 2,369 2,342 $200K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 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 370 369 $189K
87806 4,583 4,116 $110K
A4267 Contraceptive supply, condom, male, each 6,760 6,668 $83K
11981 283 283 $65K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 502 496 $64K
J7304 Contraceptive supply, hormone containing patch, each 64 64 $44K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 2,066 1,443 $30K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 870 866 $26K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 367 357 $21K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 81 81 $21K
S0190 Mifepristone, oral, 200 mg 338 336 $20K
99000 3,976 3,923 $16K
58300 112 58 $13K
81025 4,568 4,518 $13K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 941 941 $12K
11976 98 50 $7K
J7303 Contraceptive supply, hormone containing vaginal ring, each 24 24 $5K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 1,433 1,416 $5K
83986 1,673 1,537 $5K
S5000 Prescription drug, generic 493 478 $4K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 430 411 $2K
58301 46 24 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 139 138 $1K
99401 68 68 $1K
S0191 Misoprostol, oral, 200 mcg 381 376 $1K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 97 97 $592.23
85018 192 183 $483.64
81002 204 204 $406.01
86901 48 48 $95.94