Planned Parenthood of Western Pennsylvania, INC

Planned Parenthood of Western Pennsylvania, INC was paid $178K by Medicaid between Jan 2018 and Oct 2024, across 18 billing codes. Its largest line is T5999, Supply, not otherwise specified — 35% of everything it billed.

33Billing provider infoPLANNED PARENTHOOD OF WESTERN PENNSYLVANIA, INC
PITTSBURGH, PA 15222

33aNPI1336238120assigned 10/12/2006

33bProvider typeAmbulatory Family Planning Facility

28Total paid$178K

24GClaims7,427

24DCodes billed18

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Ambulatory Family Planning Facility providers in Pennsylvania

Rank by total paid#3 of 10

Median peer was paid$51K

This provider vs. median3.5×

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.

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
2018	1,220	$17K
2019	1,111	$13K
2020	1,300	$38K
2021	1,857	$75K
2022	663	$14K
2023	730	$10K
2024incomplete	546	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T5999	Supply, not otherwise specified	35%	509	425	$62K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	22%	724	696	$40K
81025		13%	2,166	2,081	$23K
J1050	Injection, medroxyprogesterone acetate, 1 mg	12%	462	457	$21K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	4.6%	145	142	$8K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	3.7%	522	511	$7K
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	3.5%	69	68	$6K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.9%	68	65	$5K
G0433	Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening	1.3%	158	158	$2K
87210		<1%	255	239	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	26	26	$800.07
99201		<1%	15	15	$459.76

6 more codes

86703		<1%	12	$280.08
J8499	Prescription drug, oral, non chemotherapeutic, nos	<1%	62	$230.00
99000		<1%	1,568	$88.50
81002		<1%	12	$52.20
36416		<1%	376	$28.16
36415	Collection of venous blood by venipuncture	<1%	278	$19.50

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 officialCAIN, DEBORAH (INTERIM PRESIDENT AND CEO)