Clinic
Planned Parenthood of Metropolitan NJ
Planned Parenthood of Metropolitan NJ was paid $1.47M by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 29% of everything it billed.
33Billing provider infoPLANNED PARENTHOOD OF METROPOLITAN NJ
MONTCLAIR, NJ 07042
MONTCLAIR, NJ 07042
33aNPI1386617686assigned 02/08/2006
33bProvider typeAmbulatory Family Planning Facility
28Total paid$1.47M
24GClaims28,337
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ambulatory Family Planning Facility providers in New Jersey
Rank by total paid#5 of 12
Median peer was paid$1.12M
This provider vs. median1.3×
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 | 5,113 | $256K | |
| 2019 | 5,077 | $251K | |
| 2020 | 4,578 | $214K | |
| 2021 | 3,775 | $174K | |
| 2022 | 4,244 | $214K | |
| 2023 | 3,893 | $217K | |
| 2024incomplete | 1,657 | $142K |
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 | 29% | 2,760 | 2,760 | $429K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 22% | 2,143 | 2,130 | $326K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 3,925 | 3,878 | $224K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 9.5% | 4,756 | 4,576 | $140K |
| 86703 | 5.1% | 4,179 | 4,177 | $75K | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | 5.0% | 3,403 | 3,364 | $73K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 4.5% | 769 | 764 | $65K |
| 81025 | 2.7% | 3,649 | 3,595 | $39K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 854 | 842 | $35K |
| 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 | 1.6% | 452 | 448 | $24K |
| 81000 | <1% | 710 | 705 | $13K | |
| 76830 | Ultrasound, transvaginal | <1% | 159 | 158 | $12K |
7 more codes
| 99201 | <1% | 45 | $7K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 44 | $4K |
| J3490 | Unclassified drugs | <1% | 113 | $1K |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 16 | $616.16 |
| 85018 | <1% | 185 | $298.56 | |
| 86901 | <1% | 148 | $294.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 27 | $152.40 |
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 (CEO/PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Planned Parenthood of Metropolitan NJ | Paterson, NJ | $1.83M |
| Planned Parenthood of Metropolitan NJ | East Orange, NJ | $1.79M |
| Planned Parenthood of Metropolitan NJ | Newark, NJ | $1.03M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.