Medicaid Provider Spending

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

PLANNED PARENTHOOD MAR MONTE

NPI: 1316221617 · SAN MATEO, CA 94402 · Community Health Clinic/Center · NPI assigned 10/05/2011

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

Authorized official MOTSIFF, TOM controls 20+ related entities in our dataset. Read more

$5.54M
Total Medicaid Paid
94,660
Total Claims
86,808
Beneficiaries
49
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOTSIFF, TOM (CFO)
NPI Enumeration Date10/05/2011

Related Entities

Other providers sharing the same authorized official: MOTSIFF, TOM

ProviderCityStateTotal Paid
PLANNED PARENTHOOD MAR MONTE SAN JOSE CA $26.62M
PLANNED PARENTHOOD MAR MONTE, INC STOCKTON CA $10.87M
PLANNED PARENTHOOD BAKERSFIELD CA $9.76M
PLANNED PARENTHOOD MAR MONTE, INC SAN JOSE CA $9.05M
PLANNED PARENTHOOD MAR MONTE, INC FRESNO CA $8.88M
PLANNED PARENTHOOD MAR MONTE, INC MERCED CA $6.67M
PLANNED PARENTHOOD MAR MONTE, INC STOCKTON CA $6.65M
PLANNED PARENTHOOD MAR MONTE, INC. OAKLAND CA $6.04M
PLANNED PARENTHOOD MAR MONTE, INC FRESNO CA $5.69M
PLANNED PARENTHOOD MAR MONTE, INC NORTH HIGHLANDS CA $5.69M
PLANNED PARENTHOOD MAR MONTE, INC SACRAMENTO CA $5.53M
PLANNED PARENTHOOD MAR MONTE, INC SAN JOSE CA $5.36M
PLANNED PARENTHOOD MAR MONTE, INC WATSONVILLE CA $5.32M
PLANNED PARENTHOOD MAR MONTE, INC ROSEVILLE CA $5.22M
PLANNED PARENTHOOD MAR MONTE, INC. HAYWARD CA $5.02M
PLANNED PARENTHOOD MAR MONTE, INC SAN JOSE CA $4.82M
PLANNED PARENTHOOD MAR MONTE, INC SACRAMENTO CA $4.74M
PLANNED PARENTHOOD MAR MONTE, INC TRACY CA $3.94M
PLANNED PARENTHOOD MAR MONTE INC. REDWOOD CITY CA $3.84M
PLANNED PARENTHOOD MAR MONTE, INC MODESTO CA $3.60M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,994 $1.17M
2019 10,797 $495K
2020 8,690 $495K
2021 16,225 $974K
2022 12,635 $781K
2023 13,520 $835K
2024 13,799 $789K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,601 12,614 $1.10M
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 868 861 $878K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,185 3,942 $383K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,764 5,529 $373K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,418 2,394 $356K
S4993 Contraceptive pills for birth control 2,818 2,798 $350K
J3490 Unclassified drugs 8,988 7,402 $345K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,444 1,435 $318K
J7304 Contraceptive supply, hormone containing patch, each 260 257 $226K
87806 7,766 6,320 $206K
11981 845 838 $200K
58300 1,045 535 $107K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,205 3,061 $84K
99201 848 843 $84K
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 144 144 $76K
99401 2,720 2,613 $52K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,650 1,621 $51K
A4267 Contraceptive supply, condom, male, each 3,570 3,522 $33K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 40 40 $31K
90651 117 117 $30K
11976 471 245 $28K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 337 328 $24K
81025 7,540 7,338 $23K
99402 617 611 $19K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 4,219 4,082 $19K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 1,324 1,324 $17K
58301 514 269 $16K
83986 5,094 4,491 $16K
99000 4,400 4,325 $15K
S5000 Prescription drug, generic 2,063 1,921 $14K
J7303 Contraceptive supply, hormone containing vaginal ring, each 37 37 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 46 46 $11K
S0190 Mifepristone, oral, 200 mg 160 160 $10K
J7300 Intrauterine copper contraceptive (paragard) 13 13 $9K
99070 2,307 1,620 $6K
90686 222 221 $6K
Q3014 Telehealth originating site facility fee 191 190 $4K
59840 24 12 $4K
81002 1,539 1,481 $3K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 190 182 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 74 74 $1K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 31 30 $1K
S0191 Misoprostol, oral, 200 mcg 231 229 $904.93
11982 19 14 $866.76
T1014 Telehealth transmission, per minute, professional services bill separately 189 188 $580.80
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 240 233 $538.10
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 87 79 $246.08
85018 139 135 $245.78
87220 46 44 $143.73