Planned Parenthood of Greater New York

Planned Parenthood of Greater New York was paid $1.23M by Medicaid between Jan 2018 and Mar 2021, across 45 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 26% of everything it billed.

33Billing provider infoPLANNED PARENTHOOD OF GREATER NEW YORK
HEMPSTEAD, NY 11550

33aNPI1427090190assigned 06/10/2006

33bProvider typeHealth Service Clinic/Center

28Total paid$1.23M

24GClaims30,031

24DCodes billed45

24AFirst – last monthJan 2018 – Mar 2021

Compared with peers

Next to other Health Service Clinic/Center providers in New York

Rank by total paid#19 of 54

Median peer was paid$410K

This provider vs. median3.0×

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
2018	13,906	$570K
2019	16,113	$659K
2021	12	$879.50

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	26%	4,838	1,898	$320K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	24%	5,955	1,787	$296K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	12%	3,244	791	$146K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	9.8%	2,728	780	$121K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	7.3%	2,685	443	$90K
59840		4.5%	70	70	$56K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	3.4%	387	351	$42K
99201		3.2%	534	205	$40K
99401		1.9%	669	641	$23K
J1050	Injection, medroxyprogesterone acetate, 1 mg	1.5%	448	441	$18K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	1.3%	26	26	$16K
87661	Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe	<1%	339	338	$10K

33 more codes

76830	Ultrasound, transvaginal	<1%	52	$7K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	358	$7K
99051		<1%	565	$7K
99385		<1%	191	$5K
86901		<1%	145	$5K
81025		<1%	1,184	$4K
S0190	Mifepristone, oral, 200 mg	<1%	47	$4K
11981		<1%	12	$3K
87806		<1%	252	$3K
90651		<1%	37	$2K
86703		<1%	233	$2K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	56	$727.65
36415	Collection of venous blood by venipuncture	<1%	477	$362.56
81002		<1%	441	$307.59
87210		<1%	612	$291.14
96127		<1%	558	$261.88
88174		<1%	12	$231.44
84702		<1%	21	$227.46
85018		<1%	385	$174.60
86701		<1%	13	$115.93
87086	Culture, bacterial; quantitative colony count, urine	<1%	205	$113.51
36416		<1%	944	$102.00
83986		<1%	541	$88.33
86803		<1%	14	$32.14
86592		<1%	94	$26.15
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	41	$22.58
S0191	Misoprostol, oral, 200 mcg	<1%	12	$13.90
96160		<1%	520	$9.15
J3010	Injection, fentanyl citrate, 0.1 mg	0%	15	$0.00
J2250	Injection, midazolam hydrochloride, per 1 mg	0%	15	$0.00
64435		0%	14	$0.00
A4550	Surgical trays	0%	27	$0.00
99152		0%	15	$0.00

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.

From NPPES

Who's on the registration

Authorized officialNORDENBERG, MARY (ASSOCIATE VICE PRESIDENT)