Agency
Planned Parenthood Pasadena and San Gabriel Valley INC
Planned Parenthood Pasadena and San Gabriel Valley INC was paid $1.65M by Medicaid between Jan 2021 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.
33Billing provider infoPLANNED PARENTHOOD PASADENA AND SAN GABRIEL VALLEY INC
HIGHLAND PARK, CA 90042
HIGHLAND PARK, CA 90042
33aNPI1407406630assigned 09/19/2019
33bProvider typeVoluntary or Charitable Agency
28Total paid$1.65M
24GClaims58,294
24DCodes billed30
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Voluntary or Charitable Agency providers in California
Rank by total paid#11 of 35
Median peer was paid$847K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2021 | 12,211 | $405K | |
| 2022 | 14,909 | $407K | |
| 2023 | 16,636 | $448K | |
| 2024incomplete | 14,538 | $395K |
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 | 20% | 4,161 | 4,031 | $336K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 12% | 6,781 | 5,912 | $206K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 12% | 6,717 | 5,906 | $190K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 10% | 724 | 723 | $167K |
| J3490 | Unclassified drugs | 9.8% | 6,318 | 5,780 | $161K |
| 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 | 7.9% | 1,115 | 1,096 | $131K |
| 87806 | 7.1% | 5,741 | 5,254 | $118K | |
| S4993 | Contraceptive pills for birth control | 5.0% | 816 | 809 | $82K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.2% | 1,248 | 1,239 | $53K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 2.6% | 1,517 | 1,514 | $43K |
| 81025 | 1.8% | 6,856 | 6,672 | $30K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 516 | 510 | $29K |
18 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 1.6% | 87 | $26K |
| S5199 | Personal care item, nos, each | 1.2% | 2,543 | $19K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.1% | 131 | $18K |
| 99000 | <1% | 4,191 | $13K | |
| S5000 | Prescription drug, generic | <1% | 1,151 | $9K |
| A4267 | Contraceptive supply, condom, male, each | <1% | 4,101 | $9K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 682 | $4K |
| 83986 | <1% | 1,190 | $3K | |
| 87210 | <1% | 684 | $2K | |
| Q3014 | Telehealth originating site facility fee | <1% | 76 | $2K |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | <1% | 187 | $847.83 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 49 | $763.88 |
| 82120 | <1% | 242 | $702.68 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 205 | $461.80 |
| 81002 | <1% | 149 | $243.27 | |
| S5001 | Prescription drug, brand name | <1% | 61 | $162.00 |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 42 | $152.61 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 13 | $71.04 |
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 officialMCCOY, MIRELLA (REVENUE CYCLE DIRECTOR)
Parent organizationPLANNED PARENTHOOD PASADENA AND SAN GABRIEL VALLEY INC
| Provider | Location | Paid |
|---|---|---|
| Planned Parenthood Pasadena and San Gabriel Valley INC | Alhambra, CA | $5.22M |
| Planned Parenthood Pasadena and San Gabriel Valley INC | Baldwin Park, CA | $2.34M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.