Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Planned Parenthood of Southern New England, INC.

Planned Parenthood of Southern New England, INC. was paid $38.09M by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 17% of everything it billed.

33Billing provider infoPLANNED PARENTHOOD OF SOUTHERN NEW ENGLAND, INC.
NEW HAVEN, CT 06511
33aNPI1174633143assigned 08/30/2006
28Total paid$38.09M
24GClaims1,343,441
24DCodes billed64
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service

Paid by month

$0$250K$500K$750K2018201920202021202220232024
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
YearClaimsPaid
2018211,834$5.85M
2019223,039$6.33M
2020162,763$4.89M
2021199,908$6.06M
2022172,438$5.05M
2023214,869$4.71M
2024incomplete158,590$5.21M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 130,095 111,876 $6.45M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 15% 171,934 146,719 $5.73M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 15% 171,821 146,698 $5.73M
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 11% 146,929 135,571 $4.33M
S4993 Contraceptive pills for birth control 9.0% 69,924 59,534 $3.44M
J1050 Injection, medroxyprogesterone acetate, 1 mg 6.2% 44,961 38,335 $2.35M
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 5.3% 25,318 21,990 $2.01M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.7% 31,182 27,611 $1.02M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2.4% 59,808 50,060 $914K
A4267 Contraceptive supply, condom, male, each 2.2% 67,947 62,729 $829K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1.9% 11,490 9,466 $729K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1.9% 14,816 13,526 $723K
52 more codes
81025 1.3% 72,264 $505K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.2% 6,198 $457K
99156 1.0% 11,531 $382K
36415 Collection of venous blood by venipuncture <1% 96,472 $378K
99203 Doctor's office visit, new patient (routine) <1% 4,265 $362K
S5001 Prescription drug, brand name <1% 11,068 $327K
87210 <1% 48,329 $225K
S5000 Prescription drug, generic <1% 18,586 $196K
85018 <1% 41,073 $102K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,519 $98K
87481 <1% 3,309 $96K
59840 <1% 1,738 $89K
81513 <1% 1,242 $83K
96127 <1% 4,927 $73K
J7303 Contraceptive supply, hormone containing vaginal ring, each <1% 1,028 $67K
86901 <1% 19,535 $62K
99204 Doctor's office visit, new patient (more involved) <1% 381 $55K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 995 $29K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 544 $28K
99201 <1% 799 $22K
58300 <1% 517 $21K
81002 <1% 7,467 $21K
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 <1% 1,071 $18K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 53 $18K
99152 <1% 342 $17K
01966 <1% 456 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,357 $12K
99442 <1% 230 $9K
J7295 Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each <1% 438 $7K
11982 <1% 73 $7K
S0190 Mifepristone, oral, 200 mg <1% 1,124 $5K
90656 <1% 241 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 44 $4K
90686 <1% 229 $4K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg <1% 12 $4K
90651 <1% 13 $3K
90688 <1% 253 $2K
99385 <1% 15 $2K
58301 <1% 25 $2K
99215 Doctor's office visit, returning patient (complex) <1% 16 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 116 $2K
11981 <1% 12 $1K
96160 <1% 730 $1K
99000 <1% 16,510 $478.50
S0191 Misoprostol, oral, 200 mcg <1% 1,521 $472.66
87625 <1% 15 $433.72
90756 <1% 13 $341.24
99408 <1% 12 $246.40
83986 <1% 11,868 $152.95
76998 <1% 265 $13.86
J8499 Prescription drug, oral, non chemotherapeutic, nos <1% 6,362 $7.50
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 13 $7.20

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 officialSKINNER, AMANDA (CHIEF EXECUTIVE OFFICER)