Supplier
Planned Parenthood Mohawk Hudson, INC
Planned Parenthood Mohawk Hudson, INC was paid $3.39M by Medicaid between Jan 2018 and Feb 2020, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoPLANNED PARENTHOOD MOHAWK HUDSON, INC
SCHENECTADY, NY 12307
SCHENECTADY, NY 12307
33aNPI1376618843assigned 11/21/2006
33bProvider typeNon-Pharmacy Dispensing Site
28Total paid$3.39M
24GClaims64,902
24DCodes billed39
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Non-Pharmacy Dispensing Site providers in New York
Rank by total paid#1 of 5
Median peer was paid$364K
This provider vs. median9.3×
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
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 | 28,407 | $1.06M | |
| 2019 | 32,237 | $2.32M | |
| 2020 | 4,258 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 18,534 | 8,067 | $1.14M |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 12% | 6,083 | 2,455 | $411K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 9.7% | 4,679 | 2,282 | $329K |
| 59840 | 8.3% | 542 | 542 | $282K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.4% | 3,238 | 1,782 | $251K |
| 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 | 6.9% | 5,013 | 1,606 | $234K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 3.6% | 1,565 | 1,273 | $122K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 3.2% | 306 | 306 | $108K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.0% | 1,089 | 510 | $68K |
| 11981 | 1.7% | 268 | 268 | $59K | |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | 1.7% | 243 | 241 | $58K |
| 58300 | 1.6% | 405 | 400 | $53K |
27 more codes
| 76830 | Ultrasound, transvaginal | 1.3% | 355 | $43K |
| 11982 | 1.1% | 162 | $36K | |
| 86703 | <1% | 2,349 | $32K | |
| 58301 | <1% | 223 | $30K | |
| S0190 | Mifepristone, oral, 200 mg | <1% | 395 | $26K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,068 | $23K |
| 81025 | <1% | 5,665 | $19K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 926 | $17K |
| 76998 | <1% | 118 | $16K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 57 | $10K |
| 99385 | <1% | 55 | $8K | |
| 99201 | <1% | 84 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $3K |
| 99406 | <1% | 122 | $2K | |
| 99051 | <1% | 156 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 116 | $1K |
| 87210 | <1% | 2,312 | $795.90 | |
| S0191 | Misoprostol, oral, 200 mcg | <1% | 397 | $664.16 |
| 99156 | <1% | 150 | $534.49 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,009 | $307.91 |
| 83986 | <1% | 3,106 | $171.48 | |
| 81002 | <1% | 523 | $10.54 | |
| 85018 | 0% | 1,347 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 14 | $0.00 |
| 90385 | 0% | 12 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 38 | $0.00 |
| 99152 | 0% | 165 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialMCFADDEN, PATRICE (INSURANCE COORDINATOR)