Physician
Rocky Mountain Planned Parenthood, INC.
Rocky Mountain Planned Parenthood, INC. was paid $341K by Medicaid between Jul 2019 and Dec 2024, across 23 billing codes. Its largest line is S4993, Contraceptive pills for birth control — 65% of everything it billed.
33Billing provider infoROCKY MOUNTAIN PLANNED PARENTHOOD, INC.
DENVER, CO 80207
DENVER, CO 80207
33aNPI1255977393assigned 11/25/2019
33bProvider typeObstetrics & Gynecology Physician
28Total paid$341K
24GClaims6,899
24DCodes billed23
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Colorado
Rank by total paid#11 of 138
Median peer was paid$8K
This provider vs. median45×
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 HERRERA, MARISSA controls 12+ 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 | |
|---|---|---|---|
| 2019 | 74 | $4K | |
| 2020 | 1,023 | $35K | |
| 2021 | 3,423 | $178K | |
| 2022 | 1,072 | $68K | |
| 2023 | 1,129 | $50K | |
| 2024incomplete | 178 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S4993 | Contraceptive pills for birth control | 65% | 1,630 | 1,317 | $222K |
| 87806 | 8.9% | 1,174 | 929 | $30K | |
| 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 | 7.9% | 265 | 217 | $27K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.4% | 258 | 225 | $19K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 185 | 166 | $8K |
| 81025 | 2.3% | 1,069 | 885 | $8K | |
| 90651 | 1.7% | 26 | 24 | $6K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.7% | 546 | 499 | $6K |
| 87210 | <1% | 658 | 265 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 16 | 14 | $3K |
| A4550 | Surgical trays | <1% | 131 | 98 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 15 | 13 | $1K |
11 more codes
| 58300 | <1% | 34 | $1K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 17 | $1K |
| 83986 | <1% | 329 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $864.00 |
| 36415 | Collection of venous blood by venipuncture | <1% | 311 | $711.27 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 26 | $488.47 |
| 99050 | <1% | 96 | $440.37 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 13 | $360.00 |
| 99459 | <1% | 15 | $334.88 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 23 | $325.71 |
| 99000 | <1% | 49 | $146.40 |
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 officialHERRERA, MARISSA (CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| Planned Parenthood of the Rocky Mountains, INC | Denver, CO | $5.68M |
| Planned Parenthood of the Rocky Mountains, INC | Albuquerque, NM | $3.16M |
| Rocky Mountain Planned Parenthood, INC. | Arvada, CO | $1.10M |
| Rocky Mountain Planned Parenthood, INC. | Denver, CO | $785K |
| Rocky Mountain Planned Parenthood, INC. | Colorado Springs, CO | $676K |
| Rocky Mountain Planned Parenthood, INC. | Fort Collins, CO | $508K |
| Rocky Mountain Planned Parenthood, INC. | Boulder, CO | $308K |
| Rocky Mountain Planned Parenthood, INC. | Greeley, CO | $288K |
| Rocky Mountain Planned Parenthood, INC. | Durango, CO | $41K |
| Rocky Mountain Planned Parenthood, INC. | Salida, CO | $7K |
| Rocky Mountain Planned Parenthood, INC. | Cortez, CO | $3K |
| Rocky Mountain Planned Parenthood, INC. | Glenwood Springs, CO | $227.60 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.