Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST

NPI: 1427081652 · SAN DIEGO, CA 92115 · Community Health Clinic/Center · NPI assigned 07/09/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GONZALES, THERESA controls 19+ related entities in our dataset. Read more

$6.04M
Total Medicaid Paid
113,469
Total Claims
104,199
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGONZALES, THERESA (DIRECTOR OF BILLING)
NPI Enumeration Date07/09/2006

Related Entities

Other providers sharing the same authorized official: GONZALES, THERESA

ProviderCityStateTotal Paid
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $35.16M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST COACHELLA CA $33.43M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST SAN DIEGO CA $17.68M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST RIVERSIDE CA $11.22M
PLANNED PARENTHOOD PACIFIC SOUTHWEST MORENO VALLEY CA $10.03M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST CHULA VISTA CA $8.32M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST SAN DIEGO CA $8.03M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST VISTA CA $6.38M
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $4.92M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST EL CAJON CA $4.91M
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $4.82M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST ESCONDIDO CA $4.53M
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $4.44M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST SAN DIEGO CA $4.02M
PLANNED PARENTHOOD PACIFIC SOUTHWEST RANCHO MIRAGE CA $3.91M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST EL CENTRO CA $3.22M
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $2.85M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST HEMET CA $577K
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $255K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 37,636 $2.07M
2019 18,696 $949K
2020 10,976 $527K
2021 14,245 $729K
2022 10,875 $578K
2023 12,713 $718K
2024 8,328 $470K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,524 12,911 $1.47M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,668 8,059 $1.40M
S4993 Contraceptive pills for birth control 5,602 5,498 $639K
87806 21,283 17,127 $540K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,716 5,132 $433K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,247 1,204 $341K
J3490 Unclassified drugs 6,469 5,595 $313K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,061 978 $174K
99201 1,464 1,307 $150K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,147 2,113 $111K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 118 118 $93K
S0199 Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs 163 162 $87K
A4267 Contraceptive supply, condom, male, each 4,326 4,281 $41K
81025 13,022 12,727 $41K
99000 8,543 8,340 $31K
58300 264 140 $25K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 1,891 1,891 $24K
S5000 Prescription drug, generic 3,390 3,227 $22K
11981 106 106 $21K
83986 4,999 4,570 $14K
S0190 Mifepristone, oral, 200 mg 182 179 $12K
87210 3,584 3,517 $12K
S5199 Personal care item, nos, each 1,613 1,596 $8K
86701 1,138 850 $7K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 227 222 $6K
J7303 Contraceptive supply, hormone containing vaginal ring, each 40 40 $5K
57454 90 46 $5K
J7304 Contraceptive supply, hormone containing patch, each 13 13 $5K
11976 40 40 $4K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 663 442 $4K
58301 95 50 $2K
81002 1,181 1,146 $2K
99401 80 80 $2K
11982 13 13 $1K
J1050 Injection, medroxyprogesterone acetate, 1 mg 12 12 $976.87
S0191 Misoprostol, oral, 200 mcg 220 205 $710.78
85018 181 178 $95.82
J0696 Injection, ceftriaxone sodium, per 250 mg 13 13 $64.90
36415 Collection of venous blood by venipuncture 81 71 $63.00