Planned Parenthood Los Angeles - Santa Monica Center
Planned Parenthood Los Angeles - Santa Monica Center was paid $4.43M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 16% of everything it billed.
SANTA MONICA, CA 90401
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 | 26,667 | $1.10M | |
| 2019 | 11,896 | $546K | |
| 2020 | 9,251 | $380K | |
| 2021 | 13,105 | $630K | |
| 2022 | 9,213 | $448K | |
| 2023 | 11,052 | $681K | |
| 2024incomplete | 9,809 | $654K |
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 | 16% | 5,501 | 4,979 | $731K |
| 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 | 14% | 2,911 | 2,746 | $617K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 1,755 | 1,687 | $552K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.9% | 4,483 | 4,258 | $439K |
| S4993 | Contraceptive pills for birth control | 8.4% | 3,190 | 3,181 | $372K |
| J3490 | Unclassified drugs | 8.0% | 10,893 | 9,239 | $356K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 7.1% | 1,636 | 1,605 | $313K |
| 87806 | 4.2% | 7,409 | 5,613 | $188K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 4.1% | 2,705 | 2,637 | $184K |
| 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 | 3.1% | 350 | 350 | $137K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 1.5% | 79 | 79 | $68K |
| 58300 | 1.4% | 676 | 331 | $62K |
27 more codes
| 99401 | 1.4% | 3,233 | $62K | |
| A4267 | Contraceptive supply, condom, male, each | 1.2% | 7,186 | $51K |
| 99201 | 1.0% | 360 | $45K | |
| S5000 | Prescription drug, generic | <1% | 4,788 | $30K |
| 81025 | <1% | 8,500 | $27K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 2,099 | $27K |
| 58301 | <1% | 631 | $21K | |
| 90651 | <1% | 71 | $20K | |
| 83986 | <1% | 7,531 | $20K | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 5,151 | $19K |
| J7303 | Contraceptive supply, hormone containing vaginal ring, each | <1% | 225 | $19K |
| 99000 | <1% | 4,485 | $16K | |
| 99402 | <1% | 488 | $16K | |
| 11981 | <1% | 67 | $15K | |
| 86703 | <1% | 941 | $10K | |
| 81002 | <1% | 2,269 | $4K | |
| 57454 | <1% | 53 | $3K | |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 808 | $3K |
| 76857 | <1% | 41 | $2K | |
| 11976 | <1% | 24 | $1K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 33 | $782.66 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 33 | $773.79 |
| 86592 | <1% | 135 | $447.59 | |
| 82120 | <1% | 91 | $328.10 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 57 | $298.01 |
| 87210 | <1% | 90 | $297.21 | |
| S5001 | Prescription drug, brand name | <1% | 15 | $188.00 |
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.