Agency
Planned Parenthood of the North Country New York, INC.
Planned Parenthood of the North Country New York, INC. was paid $3.95M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoPLANNED PARENTHOOD OF THE NORTH COUNTRY NEW YORK, INC.
WATERTOWN, NY 13601
WATERTOWN, NY 13601
33aNPI1407907215assigned 01/16/2007
33bProvider typeCase Management Agency
28Total paid$3.95M
24GClaims94,887
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in New York
Rank by total paid#71 of 180
Median peer was paid$1.76M
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 | 4,835 | $306K | |
| 2019 | 9,457 | $365K | |
| 2020 | 9,567 | $415K | |
| 2021 | 16,259 | $624K | |
| 2022 | 18,044 | $668K | |
| 2023 | 20,071 | $794K | |
| 2024incomplete | 16,654 | $781K |
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 | 30% | 11,140 | 8,505 | $1.18M |
| 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 | 16% | 5,591 | 4,757 | $613K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 8.4% | 2,865 | 2,494 | $334K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.6% | 2,287 | 1,906 | $302K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.1% | 2,236 | 1,960 | $279K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 6.0% | 7,667 | 6,951 | $236K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 4.5% | 1,807 | 1,159 | $179K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 3.5% | 7,642 | 6,923 | $140K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 3.1% | 4,851 | 4,691 | $123K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 3.1% | 1,247 | 1,170 | $122K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.1% | 616 | 615 | $84K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.9% | 5,981 | 5,593 | $76K |
35 more codes
| 81025 | 1.3% | 13,650 | $53K | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 1.2% | 2,275 | $49K |
| S0190 | Mifepristone, oral, 200 mg | <1% | 705 | $33K |
| 88142 | <1% | 761 | $21K | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 707 | $21K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,097 | $20K |
| 11981 | <1% | 65 | $18K | |
| 87521 | Neg quan hep c or qual rna | <1% | 579 | $12K |
| 88141 | <1% | 748 | $11K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 29 | $11K |
| 58300 | <1% | 42 | $6K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 26 | $6K |
| 86703 | <1% | 357 | $4K | |
| 11982 | <1% | 12 | $3K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 147 | $3K |
| 86901 | <1% | 67 | $2K | |
| 87210 | <1% | 2,749 | $2K | |
| S0191 | Misoprostol, oral, 200 mcg | <1% | 759 | $2K |
| 84702 | <1% | 197 | $2K | |
| 76830 | Ultrasound, transvaginal | <1% | 13 | $2K |
| 83986 | <1% | 2,634 | $1K | |
| 80076 | <1% | 51 | $1K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 1,914 | $953.69 |
| 85018 | <1% | 1,391 | $469.68 | |
| 86780 | <1% | 781 | $388.17 | |
| 87660 | <1% | 1,172 | $363.60 | |
| 87480 | <1% | 1,540 | $361.15 | |
| 87510 | <1% | 1,541 | $331.87 | |
| 86592 | <1% | 1,147 | $247.32 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 56 | $208.56 |
| 86803 | <1% | 513 | $134.30 | |
| 99051 | <1% | 12 | $130.32 | |
| 82670 | <1% | 25 | $47.83 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 384 | $38.76 |
| 81002 | <1% | 811 | $34.93 |
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 officialOLECK, CHRISTIAN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Planned Parenthood of Central and Western New York, INC | Rochester, NY | $20.80M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.