Planned Parenthood Pacific Southwest
Planned Parenthood Pacific Southwest was paid $4.82M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
SAN DIEGO, CA 92109
Next to other Community Health Clinic/Center providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 28,857 | $1.96M | |
| 2019 | 11,168 | $698K | |
| 2020 | 8,934 | $454K | |
| 2021 | 11,592 | $573K | |
| 2022 | 6,988 | $369K | |
| 2023 | 6,710 | $364K | |
| 2024incomplete | 6,538 | $404K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 29% | 7,391 | 6,603 | $1.38M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 10,140 | 9,272 | $1.23M |
| S4993 | Contraceptive pills for birth control | 8.4% | 3,240 | 3,201 | $407K |
| 87806 | 7.9% | 14,988 | 11,479 | $379K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.8% | 1,214 | 1,153 | $373K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 5.5% | 1,479 | 1,274 | $264K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.0% | 2,164 | 2,020 | $195K |
| J3490 | Unclassified drugs | 2.4% | 3,071 | 2,497 | $114K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 2.0% | 120 | 115 | $98K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.1% | 796 | 789 | $53K |
| 99201 | 1.0% | 438 | 348 | $48K | |
| 58300 | <1% | 499 | 256 | $44K |
17 more codes
| J7303 | Contraceptive supply, hormone containing vaginal ring, each | <1% | 282 | $43K |
| S5000 | Prescription drug, generic | <1% | 4,619 | $30K |
| 99000 | <1% | 8,177 | $29K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 2,206 | $28K |
| 81025 | <1% | 8,373 | $27K | |
| 11981 | <1% | 116 | $24K | |
| 57454 | <1% | 225 | $15K | |
| 83986 | <1% | 4,824 | $13K | |
| A4267 | Contraceptive supply, condom, male, each | <1% | 1,231 | $9K |
| 87210 | <1% | 2,673 | $8K | |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 661 | $4K |
| 86701 | <1% | 497 | $3K | |
| 58301 | <1% | 78 | $2K | |
| 81002 | <1% | 1,185 | $2K | |
| 11976 | <1% | 13 | $1K | |
| S5199 | Personal care item, nos, each | <1% | 73 | $276.60 |
| 99401 | <1% | 14 | $266.98 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.