Medicaid Provider Spending

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

PLANNED PARENTHOOD MAR MONTE, INC

NPI: 1184677163 · NORTH HIGHLANDS, CA 95660 · Community Health Clinic/Center · NPI assigned 05/18/2006

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

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

$5.69M
Total Medicaid Paid
166,927
Total Claims
157,068
Beneficiaries
45
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOTSIFF, TOM (CFO)
NPI Enumeration Date05/18/2006

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 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
PLANNED PARENTHOOD MAR MONTE, INC MODESTO CA $3.60M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25,081 $1.31M
2019 14,573 $525K
2020 5,706 $267K
2021 16,054 $845K
2022 29,002 $789K
2023 37,686 $964K
2024 38,825 $989K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J3490 Unclassified drugs 21,021 16,855 $627K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,648 8,291 $621K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 881 880 $612K
S4993 Contraceptive pills for birth control 4,510 4,449 $467K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,622 8,406 $380K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3,608 3,601 $349K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,946 2,902 $334K
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 1,152 1,141 $287K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 9,130 8,753 $272K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,663 1,660 $271K
J7304 Contraceptive supply, hormone containing patch, each 294 286 $263K
99201 1,698 1,668 $183K
87806 11,808 10,693 $169K
11981 845 845 $158K
A4267 Contraceptive supply, condom, male, each 7,992 7,827 $94K
58300 1,034 521 $84K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 7,333 7,286 $69K
99401 2,617 2,572 $50K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 90 90 $48K
11976 522 274 $42K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 3,092 3,092 $39K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,527 1,472 $31K
S0190 Mifepristone, oral, 200 mg 1,085 1,083 $30K
81025 10,945 10,769 $24K
58301 814 419 $24K
S5000 Prescription drug, generic 2,864 2,640 $22K
99000 10,041 9,785 $22K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 11,492 11,388 $21K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 11,465 11,361 $21K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 133 133 $20K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 5,344 5,246 $12K
83986 6,391 5,802 $12K
J7303 Contraceptive supply, hormone containing vaginal ring, each 24 24 $6K
11982 411 206 $5K
85018 809 761 $4K
99402 128 128 $4K
J7300 Intrauterine copper contraceptive (paragard) 13 13 $4K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 795 704 $2K
S0191 Misoprostol, oral, 200 mcg 1,172 1,153 $2K
81002 1,372 1,344 $2K
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 147 145 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 336 321 $1K
J8499 Prescription drug, oral, non chemotherapeutic, nos 83 55 $240.81
0270 17 12 $213.75
87210 13 12 $0.00