Medicaid Provider Spending

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

PLANNED PARENTHOOD MAR MONTE, INC.

NPI: 1225426588 · OAKLAND, CA 94621 · Community Health Clinic/Center · NPI assigned 01/08/2015

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

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

$6.04M
Total Medicaid Paid
134,106
Total Claims
122,430
Beneficiaries
50
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOTSIFF, TOM (CFO)
NPI Enumeration Date01/08/2015

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 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
PLANNED PARENTHOOD MAR MONTE, INC MODESTO CA $3.60M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,991 $673K
2019 9,422 $274K
2020 10,439 $365K
2021 27,477 $1.45M
2022 21,934 $1.03M
2023 22,894 $1.10M
2024 24,949 $1.15M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 998 991 $792K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,314 8,038 $652K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,916 4,772 $572K
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 1,494 1,482 $487K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3,187 3,166 $395K
J3490 Unclassified drugs 10,947 9,021 $375K
87806 14,113 11,982 $290K
S4993 Contraceptive pills for birth control 2,403 2,382 $283K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,891 4,735 $272K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,203 1,203 $254K
J7304 Contraceptive supply, hormone containing patch, each 237 236 $199K
11981 932 924 $192K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 7,931 7,444 $182K
59840 1,228 636 $152K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 4,870 4,835 $115K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,616 2,501 $109K
58300 1,091 555 $100K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 349 349 $85K
S0190 Mifepristone, oral, 200 mg 1,161 1,159 $63K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 91 90 $62K
99401 3,204 3,032 $61K
11976 760 392 $46K
A4267 Contraceptive supply, condom, male, each 4,733 4,669 $39K
99000 9,674 9,501 $34K
99201 414 411 $33K
S5000 Prescription drug, generic 4,014 3,637 $32K
58301 859 451 $26K
81025 9,930 9,668 $24K
83986 8,607 7,394 $21K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 6,856 6,641 $20K
99070 3,072 1,515 $17K
11982 250 143 $14K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 694 694 $9K
99402 249 248 $8K
S0191 Misoprostol, oral, 200 mcg 1,729 1,697 $5K
J0696 Injection, ceftriaxone sodium, per 250 mg 527 511 $4K
Q3014 Telehealth originating site facility fee 232 229 $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 294 289 $3K
81002 1,691 1,653 $3K
85018 1,583 1,500 $2K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 480 437 $2K
J3010 Injection, fentanyl citrate, 0.1 mg 264 256 $726.03
86901 398 375 $632.40
J8499 Prescription drug, oral, non chemotherapeutic, nos 45 24 $478.24
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 14 13 $335.73
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 14 13 $314.44
J2250 Injection, midazolam hydrochloride, per 1 mg 286 279 $261.58
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 15 15 $246.51
T1014 Telehealth transmission, per minute, professional services bill separately 233 230 $173.51
99152 13 12 $144.61