Clinic
Planned Parenthood Mar Monte INC.
Planned Parenthood Mar Monte INC. was paid $3.84M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 16% of everything it billed.
33Billing provider infoPLANNED PARENTHOOD MAR MONTE INC.
REDWOOD CITY, CA 94061
REDWOOD CITY, CA 94061
33aNPI1477977973assigned 02/05/2014
33bProvider typeCommunity Health Clinic/Center
28Total paid$3.84M
24GClaims86,300
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community Health Clinic/Center providers in California
Rank by total paid#109 of 288
Median peer was paid$2.15M
This provider vs. median1.8×
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.
Entity ProliferationAuthorized official MOTSIFF, TOM controls 20+ related entities in our dataset. Read more
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 | 17,536 | $775K | |
| 2019 | 12,487 | $515K | |
| 2020 | 10,249 | $372K | |
| 2021 | 15,044 | $630K | |
| 2022 | 4,453 | $169K | |
| 2023 | 13,183 | $673K | |
| 2024incomplete | 13,348 | $709K |
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 | 16% | 8,742 | 8,006 | $601K |
| 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 | 12% | 4,481 | 4,210 | $463K |
| J3490 | Unclassified drugs | 11% | 10,780 | 8,423 | $430K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 9.4% | 359 | 350 | $360K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 7.7% | 2,184 | 2,174 | $297K |
| S4993 | Contraceptive pills for birth control | 6.8% | 2,321 | 2,300 | $260K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.3% | 3,941 | 3,784 | $241K |
| 87806 | 5.7% | 8,209 | 6,936 | $218K | |
| 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% | 532 | 531 | $112K |
| J7304 | Contraceptive supply, hormone containing patch, each | 2.9% | 202 | 201 | $110K |
| 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 | 2.7% | 385 | 381 | $103K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.3% | 3,439 | 3,225 | $90K |
34 more codes
| 99201 | 2.0% | 785 | $77K | |
| 11981 | 1.8% | 292 | $68K | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 1.3% | 1,622 | $50K |
| 99401 | 1.3% | 2,625 | $50K | |
| A4267 | Contraceptive supply, condom, male, each | 1.3% | 5,253 | $50K |
| 90651 | 1.1% | 147 | $41K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 2,393 | $30K |
| 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 | <1% | 55 | $27K |
| 81025 | <1% | 7,146 | $22K | |
| 11976 | <1% | 279 | $17K | |
| 99000 | <1% | 5,268 | $16K | |
| 99402 | <1% | 501 | $16K | |
| Q3014 | Telehealth originating site facility fee | <1% | 631 | $15K |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 3,082 | $14K |
| 83986 | <1% | 4,337 | $13K | |
| S5000 | Prescription drug, generic | <1% | 1,702 | $12K |
| 58300 | <1% | 105 | $9K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 81 | $5K |
| 90686 | <1% | 192 | $5K | |
| 99070 | <1% | 1,494 | $4K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 267 | $4K |
| S0190 | Mifepristone, oral, 200 mg | <1% | 48 | $3K |
| 81002 | <1% | 1,132 | $2K | |
| 58301 | <1% | 48 | $2K | |
| T1014 | Telehealth transmission, per minute, professional services bill separately | <1% | 629 | $1K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 33 | $1K |
| 99403 | <1% | 15 | $667.65 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 219 | $462.04 |
| 90656 | <1% | 13 | $422.38 | |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 100 | $302.42 |
| 85018 | <1% | 143 | $285.65 | |
| S0191 | Misoprostol, oral, 200 mcg | <1% | 50 | $165.92 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 26 | $133.57 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | $94.50 |
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 officialMOTSIFF, TOM (CFO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.