Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Rocky Mountain Planned Parenthood, INC.

Rocky Mountain Planned Parenthood, INC. was paid $308K by Medicaid between Dec 2020 and Oct 2024, across 17 billing codes. Its largest line is S4993, Contraceptive pills for birth control — 55% of everything it billed.

33Billing provider infoROCKY MOUNTAIN PLANNED PARENTHOOD, INC.
BOULDER, CO 80302
33aNPI1306482880assigned 11/20/2019
28Total paid$308K
24GClaims6,259
24DCodes billed17
24AFirst – last monthDec 2020 – Oct 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Colorado

Rank by total paid#14 of 138
Median peer was paid$8K
This provider vs. median40×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2020166$7K
20212,161$102K
20221,483$73K
20231,801$92K
2024incomplete648$34K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S4993 Contraceptive pills for birth control 55% 937 857 $171K
87806 16% 1,749 1,644 $49K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.9% 362 332 $27K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6.8% 426 417 $21K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 3.6% 1,053 1,003 $11K
81025 2.7% 1,061 977 $8K
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 2.5% 83 66 $8K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1.5% 55 55 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 38 37 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 114 112 $2K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 14 12 $2K
36415 Collection of venous blood by venipuncture <1% 161 148 $435.38
5 more codes
87210 <1% 82 $431.36
99050 <1% 41 $252.00
99459 <1% 12 $239.20
83986 <1% 41 $146.22
A4550 Surgical trays <1% 30 $114.92

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)
Same official

Other billing entities under HERRERA, MARISSA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.