Planned Parenthood Mar Monte, INC
Planned Parenthood Mar Monte, INC was paid $10.87M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is J7307, Etonogestrel (contraceptive) implant system, including implant and supplies — 16% of everything it billed.
STOCKTON, CA 95207
Next to other Community Health Clinic/Center providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 40,014 | $2.25M | |
| 2019 | 32,177 | $1.67M | |
| 2020 | 13,810 | $718K | |
| 2021 | 16,060 | $1.04M | |
| 2022 | 16,572 | $1.21M | |
| 2023 | 24,238 | $1.63M | |
| 2024incomplete | 34,217 | $2.35M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 16% | 1,756 | 1,743 | $1.76M |
| J3490 | Unclassified drugs | 9.8% | 23,716 | 19,675 | $1.07M |
| 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 | 9.3% | 1,981 | 1,962 | $1.01M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.4% | 9,957 | 9,607 | $806K |
| S4993 | Contraceptive pills for birth control | 6.9% | 6,188 | 6,126 | $751K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.2% | 11,220 | 10,944 | $675K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 4.2% | 3,831 | 3,793 | $454K |
| 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 | 4.2% | 3,805 | 3,758 | $454K |
| J7304 | Contraceptive supply, hormone containing patch, each | 4.1% | 460 | 459 | $450K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.9% | 12,199 | 11,783 | $428K |
| 11981 | 3.7% | 1,633 | 1,621 | $399K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.7% | 1,479 | 1,478 | $297K |
40 more codes
| 87806 | 2.5% | 11,048 | $274K | |
| 59840 | 1.8% | 1,232 | $200K | |
| 58300 | 1.6% | 1,775 | $173K | |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | 1.5% | 10,534 | $168K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.5% | 2,673 | $166K |
| 99201 | 1.5% | 1,923 | $158K | |
| 99204 | Doctor's office visit, new patient (more involved) | 1.4% | 663 | $156K |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | 1.3% | 160 | $139K |
| A4267 | Contraceptive supply, condom, male, each | 1.2% | 10,644 | $130K |
| S0190 | Mifepristone, oral, 200 mg | 1.1% | 2,000 | $118K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 3,064 | $90K |
| 11976 | <1% | 1,210 | $80K | |
| 11982 | <1% | 1,053 | $69K | |
| J7300 | Intrauterine copper contraceptive (paragard) | <1% | 57 | $54K |
| 58301 | <1% | 1,520 | $47K | |
| J7303 | Contraceptive supply, hormone containing vaginal ring, each | <1% | 133 | $43K |
| 99000 | <1% | 10,217 | $42K | |
| 81025 | <1% | 11,952 | $34K | |
| 99401 | <1% | 1,365 | $26K | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 5,965 | $21K |
| 83986 | <1% | 6,808 | $20K | |
| S5000 | Prescription drug, generic | <1% | 2,098 | $18K |
| J7295 | Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each | <1% | 12 | $15K |
| 99402 | <1% | 417 | $13K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 971 | $12K |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 1,529 | $8K |
| S0191 | Misoprostol, oral, 200 mcg | <1% | 2,097 | $6K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 194 | $6K |
| 85018 | <1% | 2,054 | $4K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 45 | $4K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 641 | $3K |
| 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% | 205 | $3K |
| 0270 | <1% | 353 | $2K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 76 | $2K |
| 81002 | <1% | 1,002 | $2K | |
| 86901 | <1% | 720 | $2K | |
| 99152 | <1% | 30 | $1K | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 173 | $526.50 |
| J0561 | Injection, penicillin g benzathine, 100,000 units | <1% | 48 | $498.63 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 202 | $205.00 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.