Rocky Mountain Planned Parenthood, INC.
Rocky Mountain Planned Parenthood, INC. was paid $676K by Medicaid between Oct 2020 and Dec 2024, across 18 billing codes. Its largest line is S4993, Contraceptive pills for birth control — 42% of everything it billed.
COLORADO SPRINGS, CO 80907
Next to other Obstetrics & Gynecology Physician providers in Colorado
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 | |
|---|---|---|---|
| 2020 | 189 | $7K | |
| 2021 | 4,368 | $218K | |
| 2022 | 3,549 | $161K | |
| 2023 | 4,612 | $192K | |
| 2024incomplete | 2,312 | $98K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S4993 | Contraceptive pills for birth control | 42% | 1,662 | 1,544 | $281K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 943 | 913 | $76K |
| 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 | 11% | 646 | 613 | $73K |
| 87806 | 8.2% | 1,908 | 1,851 | $56K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 6.3% | 563 | 553 | $43K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 4.3% | 2,642 | 2,527 | $29K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.9% | 538 | 531 | $26K |
| 81025 | 3.7% | 3,120 | 3,000 | $25K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.9% | 164 | 161 | $20K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 1.9% | 13 | 12 | $13K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.5% | 678 | 659 | $10K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.3% | 111 | 107 | $9K |
6 more codes
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
| Provider | Location | Paid |
|---|---|---|
| Planned Parenthood of the Rocky Mountains, INC | Denver, CO | $5.68M |
| Planned Parenthood of the Rocky Mountains, INC | Albuquerque, NM | $3.16M |
| Rocky Mountain Planned Parenthood, INC. | Arvada, CO | $1.10M |
| Rocky Mountain Planned Parenthood, INC. | Denver, CO | $785K |
| Rocky Mountain Planned Parenthood, INC. | Fort Collins, CO | $508K |
| Rocky Mountain Planned Parenthood, INC. | Denver, CO | $341K |
| Rocky Mountain Planned Parenthood, INC. | Boulder, CO | $308K |
| Rocky Mountain Planned Parenthood, INC. | Greeley, CO | $288K |
| Rocky Mountain Planned Parenthood, INC. | Durango, CO | $41K |
| Rocky Mountain Planned Parenthood, INC. | Salida, CO | $7K |
| Rocky Mountain Planned Parenthood, INC. | Cortez, CO | $3K |
| Rocky Mountain Planned Parenthood, INC. | Glenwood Springs, CO | $227.60 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.