Medicaid Provider Spending

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

PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST

NPI: 1245257708 · VISTA, CA 92081 · Community Health Clinic/Center · NPI assigned 07/17/2006

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

Authorized official GONZALES, THERESA controls 19+ related entities in our dataset. Read more

$6.38M
Total Medicaid Paid
109,565
Total Claims
98,370
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGONZALES, THERESA (DIRECTIOR OF BILLING)
NPI Enumeration Date07/17/2006

Related Entities

Other providers sharing the same authorized official: GONZALES, THERESA

ProviderCityStateTotal Paid
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $35.16M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST COACHELLA CA $33.43M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST SAN DIEGO CA $17.68M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST RIVERSIDE CA $11.22M
PLANNED PARENTHOOD PACIFIC SOUTHWEST MORENO VALLEY CA $10.03M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST CHULA VISTA CA $8.32M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST SAN DIEGO CA $8.03M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST SAN DIEGO CA $6.04M
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $4.92M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST EL CAJON CA $4.91M
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $4.82M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST ESCONDIDO CA $4.53M
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $4.44M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST SAN DIEGO CA $4.02M
PLANNED PARENTHOOD PACIFIC SOUTHWEST RANCHO MIRAGE CA $3.91M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST EL CENTRO CA $3.22M
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $2.85M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST HEMET CA $577K
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $255K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 38,281 $2.36M
2019 16,362 $953K
2020 14,126 $821K
2021 13,499 $753K
2022 9,649 $504K
2023 9,204 $492K
2024 8,444 $494K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,663 10,005 $1.25M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,262 5,711 $1.13M
S4993 Contraceptive pills for birth control 6,026 5,907 $738K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,049 6,125 $582K
87806 19,621 15,266 $495K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,551 1,506 $452K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 420 396 $357K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,794 1,651 $324K
J3490 Unclassified drugs 6,702 5,584 $303K
99201 1,595 1,304 $159K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,489 1,469 $92K
11981 394 393 $88K
J7303 Contraceptive supply, hormone containing vaginal ring, each 281 278 $59K
58300 574 306 $55K
81025 13,214 12,783 $42K
99000 8,860 8,568 $32K
S5000 Prescription drug, generic 4,605 4,338 $30K
A4267 Contraceptive supply, condom, male, each 3,390 3,369 $29K
11976 256 254 $27K
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 50 50 $26K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 2,002 2,002 $25K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 13 12 $15K
83986 5,285 4,443 $14K
J7304 Contraceptive supply, hormone containing patch, each 25 25 $10K
87210 3,027 2,942 $9K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 1,137 715 $6K
58301 181 100 $6K
86701 807 603 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $4K
S5199 Personal care item, nos, each 710 709 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 72 72 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 72 72 $2K
81002 1,047 1,028 $2K
99401 95 95 $2K
S0190 Mifepristone, oral, 200 mg 26 26 $2K
J1050 Injection, medroxyprogesterone acetate, 1 mg 20 20 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 53 52 $878.22
J0696 Injection, ceftriaxone sodium, per 250 mg 40 40 $143.72
S0191 Misoprostol, oral, 200 mcg 42 39 $115.30
85018 73 71 $44.45
36415 Collection of venous blood by venipuncture 13 12 $30.00
86901 17 17 $0.00