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

Planned Parenthood Southeastern Pennsylvania

Planned Parenthood Southeastern Pennsylvania was paid $105K by Medicaid between Oct 2020 and Oct 2022, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.

33Billing provider infoPLANNED PARENTHOOD SOUTHEASTERN PENNSYLVANIA
POTTSTOWN, PA 19464
33aNPI1336281500assigned 02/13/2007
33bProvider typeGynecology Physician
28Total paid$105K
24GClaims2,639
24DCodes billed9
24AFirst – last monthOct 2020 – Oct 2022
Compared with peers

Next to other Gynecology Physician providers in Pennsylvania

Rank by total paid#4 of 23
Median peer was paid$32K
This provider vs. median3.3×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
2020130$6K
20211,332$58K
20221,177$41K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31% 518 507 $32K
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 17% 190 187 $18K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 15% 260 260 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13% 258 256 $13K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 8.6% 444 441 $9K
J1050 Injection, medroxyprogesterone acetate, 1 mg 7.8% 246 246 $8K
S4993 Contraceptive pills for birth control 2.8% 128 124 $3K
81025 2.6% 255 248 $3K
87210 2.4% 340 333 $3K

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 officialBAILEY, VERA (CFO)
Same official

Other billing entities under BAILEY, VERA

Full network →

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