Planned Parenthood Minnesota, North Dakota, South Dakota
Planned Parenthood Minnesota, North Dakota, South Dakota was paid $2.56M by Medicaid between Jan 2018 and Nov 2024, across 33 billing codes. Its largest line is 76815, Ultrasound, pregnant uterus, real time with image documentation, limited — 32% of everything it billed.
33Billing provider infoPLANNED PARENTHOOD MINNESOTA, NORTH DAKOTA, SOUTH DAKOTA
SAINT PAUL, MN 55114
SAINT PAUL, MN 55114
33aNPI1447700596assigned 10/12/2016
33bProvider typeSpecialist
28Total paid$2.56M
24GClaims85,987
24DCodes billed33
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Minnesota
Rank by total paid#5 of 41
Median peer was paid$27K
This provider vs. median96×
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 | 16,271 | $156K | |
| 2019 | 18,193 | $448K | |
| 2020 | 14,028 | $486K | |
| 2021 | 13,696 | $519K | |
| 2022 | 8,617 | $322K | |
| 2023 | 5,916 | $209K | |
| 2024incomplete | 9,266 | $417K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 32% | 15,676 | 14,856 | $829K |
| S4993 | Contraceptive pills for birth control | 29% | 7,755 | 5,744 | $752K |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | 10% | 11,251 | 9,869 | $262K |
| 59841 | 6.6% | 935 | 869 | $170K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 4.3% | 2,223 | 2,099 | $109K |
| J3490 | Unclassified drugs | 4.2% | 1,204 | 1,179 | $106K |
| A4267 | Contraceptive supply, condom, male, each | 3.6% | 7,848 | 7,440 | $93K |
| S0190 | Mifepristone, oral, 200 mg | 1.7% | 1,103 | 1,055 | $44K |
| 36416 | 1.0% | 8,870 | 8,324 | $27K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 679 | 659 | $23K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 677 | 657 | $23K |
| 87806 | <1% | 709 | 681 | $22K |
21 more codes
| 85018 | <1% | 10,200 | $20K | |
| 86901 | <1% | 6,705 | $16K | |
| 99152 | <1% | 479 | $14K | |
| 84702 | <1% | 872 | $9K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 100 | $8K |
| 86780 | <1% | 518 | $7K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,884 | $7K |
| 58300 | <1% | 83 | $6K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 504 | $5K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 218 | $4K |
| 59200 | <1% | 13 | $801.46 | |
| S0191 | Misoprostol, oral, 200 mcg | <1% | 1,293 | $759.52 |
| 81025 | <1% | 77 | $581.29 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 447 | $260.08 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 97 | $186.75 |
| 86592 | <1% | 36 | $152.79 | |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | <1% | 1,823 | $135.38 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 127 | $69.73 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 480 | $37.61 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 89 | $5.76 |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | 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 officialMARTINSON, NICOLE (DIRECTOR, REVENUE MANAGEMENT)
| Provider | Location | Paid |
|---|---|---|
| Planned Parenthood Minnesota, North Dakota, South Dakota | Saint Paul, MN | $38.35M |
| Planned Parenthood of the Heartland, INC | Iowa City, IA | $2.92M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.