Medicaid Provider Spending

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

PLANNED PARENTHOOD MAR MONTE, INC.

NPI: 1174923684 · HAYWARD, CA 94541 · Clinic Pharmacy · NPI assigned 09/03/2014

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

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

$5.02M
Total Medicaid Paid
100,697
Total Claims
93,297
Beneficiaries
47
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOTSIFF, TOM (CFO)
NPI Enumeration Date09/03/2014

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 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
PLANNED PARENTHOOD MAR MONTE, INC MODESTO CA $3.60M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,214 $843K
2019 16,997 $731K
2020 11,993 $559K
2021 14,517 $814K
2022 10,297 $536K
2023 13,444 $680K
2024 17,235 $852K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 811 806 $646K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,755 4,628 $574K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,636 6,370 $561K
J3490 Unclassified drugs 10,172 8,631 $362K
S4993 Contraceptive pills for birth control 3,114 3,084 $324K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,545 2,539 $304K
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 788 782 $293K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,244 4,177 $252K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 6,639 6,279 $201K
87806 9,227 7,970 $194K
J7304 Contraceptive supply, hormone containing patch, each 230 229 $178K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 862 861 $172K
11981 728 726 $154K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 559 559 $125K
58300 1,093 568 $106K
99201 1,186 1,173 $105K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 2,040 2,026 $50K
99401 2,269 2,218 $43K
11976 587 318 $32K
99402 1,003 992 $32K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 713 684 $31K
S0190 Mifepristone, oral, 200 mg 498 497 $28K
A4267 Contraceptive supply, condom, male, each 3,162 3,129 $28K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 43 43 $26K
58301 770 398 $23K
S5000 Prescription drug, generic 3,065 2,811 $22K
J7300 Intrauterine copper contraceptive (paragard) 25 25 $21K
99000 5,628 5,541 $20K
83986 7,291 6,273 $18K
81025 7,275 7,081 $18K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 5,375 5,165 $16K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 1,057 1,057 $13K
J7303 Contraceptive supply, hormone containing vaginal ring, each 39 38 $11K
Q3014 Telehealth originating site facility fee 398 392 $8K
99070 1,096 652 $7K
11982 104 67 $5K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 835 790 $4K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 305 284 $3K
S0191 Misoprostol, oral, 200 mcg 840 823 $2K
81002 1,148 1,112 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 109 103 $723.34
85018 458 434 $713.33
T1014 Telehealth transmission, per minute, professional services bill separately 398 392 $632.97
J8499 Prescription drug, oral, non chemotherapeutic, nos 16 13 $150.03
86901 85 81 $130.29
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 238 238 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 238 238 $0.00