Medicaid Provider Spending

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

PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST

NPI: 1336174325 · COACHELLA, CA 92236 · 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

$33.43M
Total Medicaid Paid
599,979
Total Claims
584,639
Beneficiaries
59
Codes Billed
2018-01
First Month
2024-11
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 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 CHULA VISTA CA $8.32M
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 20,994 $1.21M
2019 79,658 $5.33M
2020 77,110 $5.51M
2021 82,475 $4.39M
2022 105,755 $5.36M
2023 116,133 $5.87M
2024 117,854 $5.77M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 6,757 6,743 $3.58M
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 3,420 3,403 $3.26M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 46,977 45,657 $2.94M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 54,911 54,093 $2.58M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 54,901 54,093 $2.57M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 25,020 24,346 $2.46M
S4993 Contraceptive pills for birth control 15,076 14,929 $1.76M
J3490 Unclassified drugs 37,628 35,526 $1.60M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9,733 9,656 $1.53M
87806 50,442 48,084 $1.30M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 28,373 27,664 $1.29M
59840 3,056 3,048 $943K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 27,792 27,601 $871K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 9,940 9,809 $858K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 683 683 $653K
S0190 Mifepristone, oral, 200 mg 9,387 9,351 $582K
J7304 Contraceptive supply, hormone containing patch, each 712 705 $554K
J7300 Intrauterine copper contraceptive (paragard) 566 562 $480K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 10,228 9,906 $438K
J7303 Contraceptive supply, hormone containing vaginal ring, each 450 447 $428K
11981 1,666 1,658 $336K
A4267 Contraceptive supply, condom, male, each 24,104 22,780 $292K
58300 1,630 1,577 $235K
J1050 Injection, medroxyprogesterone acetate, 1 mg 2,478 2,458 $205K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 5,586 5,483 $183K
J7301 Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg 209 206 $166K
81025 52,533 51,461 $149K
99000 40,011 38,816 $147K
J7296 Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg 147 147 $137K
99152 2,856 2,841 $134K
11982 929 922 $102K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 454 451 $83K
99201 1,802 1,775 $80K
87529 999 998 $59K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,041 3,030 $57K
83986 17,794 17,217 $56K
59841 111 109 $53K
Q3014 Telehealth originating site facility fee 2,227 2,189 $52K
58301 933 901 $40K
87210 10,859 10,664 $38K
S0191 Misoprostol, oral, 200 mcg 8,451 8,256 $26K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 127 127 $13K
85018 10,778 10,465 $12K
90651 41 39 $11K
57454 155 103 $10K
86701 1,403 1,334 $10K
S5000 Prescription drug, generic 1,876 1,796 $10K
90385 200 200 $10K
S5199 Personal care item, nos, each 2,120 2,108 $10K
81002 3,953 3,885 $9K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 573 573 $7K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 116 114 $7K
11976 57 52 $6K
86901 2,027 2,017 $2K
76998 26 26 $2K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 276 225 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 655 644 $729.37
A4268 Contraceptive supply, condom, female, each 16 16 $39.52
36415 Collection of venous blood by venipuncture 708 670 $0.00