Medicaid Provider Spending

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

PLANNED PARENTHOOD MAR MONTE, INC

NPI: 1316991714 · SACRAMENTO, CA 95814 · Community Health Clinic/Center · NPI assigned 05/20/2006

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

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

$2.72M
Total Medicaid Paid
68,410
Total Claims
62,299
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOTSIFF, TOM (CFO)
NPI Enumeration Date05/20/2006

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 SAN MATEO CA $5.54M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,541 $606K
2019 13,302 $472K
2020 5,611 $197K
2021 10,028 $441K
2022 5,606 $262K
2023 8,261 $335K
2024 9,061 $407K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,796 5,491 $549K
J3490 Unclassified drugs 9,470 7,323 $308K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,551 1,512 $250K
S4993 Contraceptive pills for birth control 1,907 1,830 $199K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 771 769 $181K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,248 1,237 $170K
87806 7,123 5,896 $156K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 217 212 $149K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,954 1,851 $141K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,185 3,945 $134K
99201 1,139 1,124 $110K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,775 1,762 $49K
11981 230 222 $45K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 113 113 $38K
A4267 Contraceptive supply, condom, male, each 4,095 3,830 $38K
99401 1,508 1,490 $29K
99000 5,295 5,218 $20K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 1,500 1,500 $19K
99402 574 574 $18K
81025 4,715 4,576 $16K
58300 184 87 $15K
S5000 Prescription drug, generic 1,822 1,706 $14K
11976 248 123 $13K
J7304 Contraceptive supply, hormone containing patch, each 13 13 $11K
83986 4,433 3,750 $11K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 2,935 2,830 $9K
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 16 15 $8K
58301 227 118 $5K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 634 623 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,002 995 $3K
S0190 Mifepristone, oral, 200 mg 39 38 $2K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 802 658 $2K
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 119 118 $1K
81002 626 613 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 13 13 $525.99
J0696 Injection, ceftriaxone sodium, per 250 mg 80 74 $311.18
S0191 Misoprostol, oral, 200 mcg 51 50 $147.20