Clinic
Planned Parenthood of Metropolitan New Jersey
Planned Parenthood of Metropolitan New Jersey was paid $2.40M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 23% of everything it billed.
33Billing provider infoPLANNED PARENTHOOD OF METROPOLITAN NEW JERSEY
NEWARK, NJ 07102
NEWARK, NJ 07102
33aNPI1346213337assigned 02/09/2006
33bProvider typeAmbulatory Family Planning Facility
28Total paid$2.40M
24GClaims48,294
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ambulatory Family Planning Facility providers in New Jersey
Rank by total paid#1 of 12
Median peer was paid$1.12M
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.
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 | 9,820 | $445K | |
| 2019 | 8,890 | $373K | |
| 2020 | 6,331 | $285K | |
| 2021 | 5,789 | $259K | |
| 2022 | 6,297 | $305K | |
| 2023 | 7,514 | $431K | |
| 2024incomplete | 3,653 | $303K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 23% | 3,443 | 3,442 | $542K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 18% | 2,809 | 2,798 | $428K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 5,139 | 5,088 | $311K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 8.7% | 6,970 | 6,749 | $208K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.2% | 2,926 | 2,847 | $172K |
| 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 | 6.1% | 1,735 | 1,725 | $146K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 6.0% | 1,714 | 1,681 | $144K |
| 86703 | 4.9% | 6,484 | 6,482 | $117K | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | 4.7% | 5,268 | 5,187 | $113K |
| 81025 | 3.4% | 7,384 | 7,235 | $81K | |
| 81000 | 1.8% | 2,420 | 2,393 | $44K | |
| 99201 | 1.5% | 249 | 249 | $36K |
10 more codes
| 76830 | Ultrasound, transvaginal | 1.1% | 358 | $27K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 26 | $15K |
| 58300 | <1% | 41 | $5K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 48 | $5K |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 39 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 211 | $1K |
| 85018 | <1% | 534 | $1K | |
| 11981 | <1% | 12 | $1K | |
| 86901 | <1% | 418 | $834.00 | |
| J3490 | Unclassified drugs | <1% | 66 | $590.70 |
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 officialROGERS COLLINS, ROSLYN (PRESIDENT AND CEO)