Medicaid Provider Spending

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

PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST

NPI: 1245265230 · SAN DIEGO, CA 92114 · Community Health Clinic/Center · NPI assigned 07/11/2006

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

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

$4.02M
Total Medicaid Paid
84,509
Total Claims
77,297
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGONZALES, THERESA (DIRECTOR OF BILLING)
NPI Enumeration Date07/11/2006

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 VISTA CA $6.38M
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 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 24,046 $1.25M
2019 11,754 $512K
2020 10,854 $458K
2021 12,610 $592K
2022 10,292 $485K
2023 9,707 $453K
2024 5,246 $274K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,595 9,062 $1.01M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,376 5,874 $979K
87806 14,916 11,981 $377K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,313 1,241 $365K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,228 3,893 $292K
J3490 Unclassified drugs 5,950 5,154 $281K
S4993 Contraceptive pills for birth control 2,190 2,106 $240K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 816 760 $133K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,729 1,712 $95K
A4267 Contraceptive supply, condom, male, each 4,366 4,278 $48K
81025 11,554 11,229 $36K
99201 296 262 $32K
99000 6,780 6,582 $26K
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 42 42 $23K
S5000 Prescription drug, generic 2,445 2,281 $17K
83986 4,769 4,173 $13K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 979 979 $12K
87210 3,098 3,038 $10K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 12 12 $10K
11981 24 24 $5K
86701 607 479 $4K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 701 450 $4K
S5199 Personal care item, nos, each 470 464 $3K
81002 960 931 $2K
S0190 Mifepristone, oral, 200 mg 28 28 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 57 56 $2K
99401 44 44 $839.08
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 20 20 $688.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 20 20 $492.16
S0191 Misoprostol, oral, 200 mcg 27 27 $87.41
85018 97 95 $75.25