Clinic
Planned Parenthood of the Pacific Southwest
Planned Parenthood of the Pacific Southwest was paid $4.02M by Medicaid between Jan 2018 and Nov 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoPLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST
SAN DIEGO, CA 92114
SAN DIEGO, CA 92114
33aNPI1245265230assigned 07/11/2006
33bProvider typeCommunity Health Clinic/Center
28Total paid$4.02M
24GClaims84,509
24DCodes billed31
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Community Health Clinic/Center providers in California
Rank by total paid#105 of 288
Median peer was paid$2.15M
This provider vs. median1.9×
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.
Entity ProliferationAuthorized official GONZALES, THERESA controls 19+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 5,246 | $274K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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% | 9,595 | 9,062 | $1.01M |
| 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 | 24% | 6,376 | 5,874 | $979K |
| 87806 | 9.4% | 14,916 | 11,981 | $377K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.1% | 1,313 | 1,241 | $365K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.3% | 4,228 | 3,893 | $292K |
| J3490 | Unclassified drugs | 7.0% | 5,950 | 5,154 | $281K |
| S4993 | Contraceptive pills for birth control | 6.0% | 2,190 | 2,106 | $240K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.3% | 816 | 760 | $133K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.4% | 1,729 | 1,712 | $95K |
| A4267 | Contraceptive supply, condom, male, each | 1.2% | 4,366 | 4,278 | $48K |
| 81025 | <1% | 11,554 | 11,229 | $36K | |
| 99201 | <1% | 296 | 262 | $32K |
19 more codes
| 99000 | <1% | 6,780 | $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 | <1% | 42 | $23K |
| S5000 | Prescription drug, generic | <1% | 2,445 | $17K |
| 83986 | <1% | 4,769 | $13K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 979 | $12K |
| 87210 | <1% | 3,098 | $10K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 12 | $10K |
| 11981 | <1% | 24 | $5K | |
| 86701 | <1% | 607 | $4K | |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 701 | $4K |
| S5199 | Personal care item, nos, each | <1% | 470 | $3K |
| 81002 | <1% | 960 | $2K | |
| S0190 | Mifepristone, oral, 200 mg | <1% | 28 | $2K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 57 | $2K |
| 99401 | <1% | 44 | $839.08 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 20 | $688.00 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 20 | $492.16 |
| S0191 | Misoprostol, oral, 200 mcg | <1% | 27 | $87.41 |
| 85018 | <1% | 97 | $75.25 |
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.
From NPPES
Who's on the registration
Authorized officialGONZALES, THERESA (DIRECTOR OF BILLING)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.