Medicaid Provider Spending

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

PLANNED PARENTHOOD MAR MONTE, INC

NPI: 1225081227 · SANTA CRUZ, CA 95060 · 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

$3.36M
Total Medicaid Paid
79,117
Total Claims
73,173
Beneficiaries
56
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, 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 15,649 $825K
2019 7,553 $265K
2020 8,702 $309K
2021 12,679 $535K
2022 10,766 $476K
2023 13,537 $564K
2024 10,231 $389K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,102 8,595 $586K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,750 6,198 $443K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,128 2,125 $292K
S4993 Contraceptive pills for birth control 2,155 2,145 $248K
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 321 319 $232K
J3490 Unclassified drugs 6,226 5,250 $225K
87806 6,781 5,875 $173K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,997 2,908 $167K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 587 587 $122K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,894 3,625 $116K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 117 117 $97K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 354 354 $77K
99201 744 740 $72K
90837 Psychotherapy, 53 minutes with patient 610 285 $48K
58300 423 212 $47K
A4267 Contraceptive supply, condom, male, each 3,832 3,812 $41K
90834 Psychotherapy, 45 minutes with patient 498 286 $35K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 2,575 1,931 $32K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 40 40 $29K
99401 1,511 1,456 $29K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 824 819 $25K
99000 6,807 6,672 $25K
11981 95 95 $22K
99402 632 625 $20K
S0190 Mifepristone, oral, 200 mg 330 329 $19K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 178 172 $16K
J7303 Contraceptive supply, hormone containing vaginal ring, each 65 65 $16K
81025 3,751 3,724 $11K
11976 189 105 $11K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 802 802 $10K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 2,659 2,600 $10K
83986 3,391 2,974 $10K
J7300 Intrauterine copper contraceptive (paragard) 12 12 $8K
J7304 Contraceptive supply, hormone containing patch, each 14 14 $6K
S5000 Prescription drug, generic 891 849 $6K
Q3014 Telehealth originating site facility fee 268 220 $6K
90651 26 26 $5K
58301 119 63 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 79 79 $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 220 211 $3K
90686 96 96 $2K
81002 974 958 $2K
T1014 Telehealth transmission, per minute, professional services bill separately 268 219 $2K
S0191 Misoprostol, oral, 200 mcg 415 406 $1K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 231 226 $1K
90832 Psychotherapy, 30 minutes with patient 14 12 $949.62
99215 Prolong outpt/office vis 12 12 $685.36
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 127 125 $613.36
85018 227 221 $542.78
90630 15 15 $358.40
86901 12 12 $39.84
3078F 1,902 1,808 $0.00
3077F 31 29 $0.00
3074F 1,679 1,604 $0.00
3079F 39 38 $0.00
3075F 78 76 $0.00