Medicaid Provider Spending

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

PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST

NPI: 1255366241 · CHULA VISTA, CA 91911 · 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

$8.32M
Total Medicaid Paid
158,350
Total Claims
146,416
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-12
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 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 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 46,142 $2.65M
2019 24,320 $1.36M
2020 18,647 $866K
2021 16,375 $846K
2022 14,084 $745K
2023 26,543 $1.15M
2024 12,239 $701K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,865 10,105 $1.72M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,524 15,558 $1.70M
S4993 Contraceptive pills for birth control 6,692 6,517 $753K
87806 25,663 20,762 $633K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,114 2,078 $557K
J3490 Unclassified drugs 10,783 9,294 $508K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,349 6,090 $493K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 483 455 $407K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,766 1,652 $280K
99201 1,972 1,835 $202K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,376 3,331 $195K
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 269 268 $136K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,963 2,938 $119K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,964 2,939 $96K
11981 426 426 $92K
A4267 Contraceptive supply, condom, male, each 7,868 7,791 $72K
81025 18,060 17,672 $59K
99000 13,356 12,960 $48K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 2,252 2,236 $44K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 2,601 2,601 $33K
S5000 Prescription drug, generic 3,185 3,034 $21K
S0190 Mifepristone, oral, 200 mg 335 332 $21K
J7304 Contraceptive supply, hormone containing patch, each 41 39 $20K
83986 6,045 5,288 $17K
87210 3,975 3,896 $13K
11976 131 131 $12K
58300 120 67 $12K
86701 1,535 1,116 $10K
J7303 Contraceptive supply, hormone containing vaginal ring, each 54 54 $8K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 282 273 $7K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 1,315 824 $7K
S5199 Personal care item, nos, each 1,250 1,232 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 148 145 $4K
90651 13 13 $3K
81002 1,443 1,414 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 19 19 $3K
58301 65 39 $2K
S0191 Misoprostol, oral, 200 mcg 357 349 $1K
87529 27 27 $778.16
85018 367 354 $432.39
36415 Collection of venous blood by venipuncture 297 262 $53.47