Clinic
Planned Parenthood Southeastern Pennsylvania
Planned Parenthood Southeastern Pennsylvania was paid $2.31M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 18% of everything it billed.
33Billing provider infoPLANNED PARENTHOOD SOUTHEASTERN PENNSYLVANIA
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
33aNPI1447301122assigned 01/16/2007
33bProvider typeAmbulatory Family Planning Facility
28Total paid$2.31M
24GClaims74,164
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ambulatory Family Planning Facility providers in Pennsylvania
Rank by total paid#1 of 10
Median peer was paid$51K
This provider vs. median45×
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 | 658 | $17K | |
| 2019 | 1,468 | $24K | |
| 2020 | 3,051 | $111K | |
| 2021 | 16,103 | $689K | |
| 2022 | 17,076 | $549K | |
| 2023 | 23,611 | $721K | |
| 2024incomplete | 12,197 | $197K |
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 | 18% | 7,389 | 7,088 | $422K |
| 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 | 15% | 4,039 | 3,817 | $356K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 11% | 4,197 | 4,147 | $245K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.5% | 5,834 | 5,696 | $220K |
| 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 | 5.5% | 837 | 799 | $128K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.3% | 1,360 | 1,325 | $122K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 5.0% | 1,082 | 1,059 | $117K |
| 81025 | 4.7% | 10,546 | 10,182 | $108K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 4.5% | 5,482 | 5,202 | $104K |
| 11982 | 3.1% | 573 | 561 | $71K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 2.7% | 954 | 951 | $63K |
| 87210 | 2.5% | 8,531 | 8,157 | $57K |
21 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.5% | 4,598 | $57K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 2.3% | 7,814 | $54K |
| 11981 | 1.8% | 406 | $41K | |
| S4993 | Contraceptive pills for birth control | 1.4% | 1,638 | $33K |
| 58300 | 1.2% | 468 | $28K | |
| 58301 | 1.2% | 353 | $28K | |
| 99385 | 1.1% | 213 | $26K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 60 | $7K |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | <1% | 95 | $7K |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | <1% | 3,830 | $6K |
| 81002 | <1% | 1,128 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,277 | $2K |
| 99401 | <1% | 319 | $2K | |
| 99201 | <1% | 38 | $1K | |
| 85018 | <1% | 190 | $747.44 | |
| 86703 | <1% | 14 | $274.23 | |
| J3490 | Unclassified drugs | <1% | 128 | $18.50 |
| 36416 | <1% | 45 | $4.50 | |
| 99070 | 0% | 627 | $0.00 | |
| T5999 | Supply, not otherwise specified | 0% | 87 | $0.00 |
| A4550 | Surgical trays | 0% | 12 | $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 officialBAILEY, VERA (CFO)
| Provider | Location | Paid |
|---|---|---|
| Planned Parenthood Southeastern Pennsylvania | Philadelphia, PA | $172K |
| Planned Parenthood Southeastern Pennsylvania | Yeadon, PA | $167K |
| Planned Parenthood Southeastern Pennsylvania | Pottstown, PA | $105K |
| Planned Parenthood Southeastern Pennsylvania | Norristown, PA | $103K |
| Planned Parenthood Southeastern Pennsylvania | Media, PA | $67K |
| Planned Parenthood Southeastern Pennsylvania | Coatesville, PA | $51K |
| Planned Parenthood Southeastern Pennsylvania | West Chester, PA | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.