Clinic
Family Planning Associates Medical Group INC
Family Planning Associates Medical Group INC was paid $889K by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 34% of everything it billed.
33Billing provider infoFAMILY PLANNING ASSOCIATES MEDICAL GROUP INC
BERKELEY, CA 94705
BERKELEY, CA 94705
33aNPI1336432947assigned 05/16/2011
33bProvider typeAmbulatory Family Planning Facility
28Total paid$889K
24GClaims22,029
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ambulatory Family Planning Facility providers in California
Rank by total paid#4 of 13
Median peer was paid$402K
This provider vs. median2.2×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official FELDKAMP IV, IRVING controls 20+ related entities in our dataset. Read more
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 | 1,722 | $74K | |
| 2019 | 1,244 | $65K | |
| 2020 | 4,528 | $186K | |
| 2021 | 4,288 | $147K | |
| 2022 | 2,549 | $81K | |
| 2023 | 2,917 | $104K | |
| 2024incomplete | 4,781 | $231K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 34% | 5,018 | 4,893 | $306K |
| 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 | 27% | 716 | 695 | $240K |
| J3490 | Unclassified drugs | 9.3% | 2,784 | 2,381 | $83K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 4.2% | 442 | 441 | $37K |
| 87806 | 4.1% | 1,927 | 1,690 | $37K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 3.8% | 38 | 38 | $34K |
| A4267 | Contraceptive supply, condom, male, each | 3.5% | 2,083 | 2,070 | $31K |
| S4993 | Contraceptive pills for birth control | 3.1% | 198 | 194 | $28K |
| S0190 | Mifepristone, oral, 200 mg | 2.8% | 535 | 525 | $25K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.8% | 272 | 264 | $16K |
| 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 | 1.2% | 100 | 97 | $11K |
| 81025 | 1.1% | 3,844 | 3,654 | $9K |
19 more codes
| 11981 | <1% | 38 | $7K | |
| G9920 | Screening performed and negative | <1% | 279 | $5K |
| 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 | <1% | 255 | $3K |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 345 | $3K |
| T1014 | Telehealth transmission, per minute, professional services bill separately | <1% | 1,987 | $3K |
| 99201 | <1% | 33 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 38 | $2K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 91 | $1K |
| S0191 | Misoprostol, oral, 200 mcg | <1% | 611 | $1K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 13 | $540.68 |
| 99402 | <1% | 13 | $413.27 | |
| 86592 | <1% | 110 | $242.81 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 13 | $223.64 |
| 83986 | <1% | 64 | $186.09 | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 68 | $185.88 |
| 99000 | <1% | 57 | $181.42 | |
| 87210 | <1% | 28 | $93.96 | |
| 81002 | <1% | 14 | $21.71 |
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 officialFELDKAMP IV, IRVING (OWNER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.