Medicaid Provider Spending

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

PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST

NPI: 1497780480 · SAN DIEGO, CA 92101 · Non-Pharmacy Dispensing Site · NPI assigned 07/11/2006

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

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

$17.68M
Total Medicaid Paid
397,644
Total Claims
385,631
Beneficiaries
50
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGONZALES, THERESA (DIRECTOR OF BILLING)
NPI Enumeration Date07/11/2006

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 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 OF THE PACIFIC SOUTHWEST SAN DIEGO CA $6.04M
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 41,853 $2.60M
2019 49,240 $2.18M
2020 51,323 $2.11M
2021 61,787 $2.73M
2022 83,729 $3.43M
2023 72,519 $2.82M
2024 37,193 $1.80M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 53,634 52,450 $2.43M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 53,652 52,471 $2.31M
59840 6,036 5,698 $2.20M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21,000 20,644 $1.70M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31,775 31,237 $1.63M
J3490 Unclassified drugs 20,002 19,156 $1.18M
S4993 Contraceptive pills for birth control 8,325 8,266 $958K
87806 33,827 33,533 $802K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 17,276 16,970 $667K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 20,357 20,052 $605K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 654 636 $529K
58300 2,624 1,815 $342K
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 581 579 $310K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 7,500 6,110 $292K
99152 5,599 4,932 $283K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,658 1,658 $197K
A4267 Contraceptive supply, condom, male, each 14,409 14,224 $176K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,362 4,289 $118K
81025 37,441 36,503 $99K
11981 650 642 $93K
J7300 Intrauterine copper contraceptive (paragard) 110 109 $76K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,160 1,158 $74K
59841 118 117 $65K
J7297 Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg 107 107 $60K
55250 378 189 $56K
87529 944 939 $55K
99201 1,071 1,071 $47K
S0190 Mifepristone, oral, 200 mg 726 726 $41K
J1050 Injection, medroxyprogesterone acetate, 1 mg 430 430 $38K
87210 10,778 10,629 $38K
99000 10,776 10,502 $35K
83986 10,706 10,552 $33K
Q3014 Telehealth originating site facility fee 1,749 1,730 $30K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 32 32 $23K
S5199 Personal care item, nos, each 2,221 2,191 $17K
J7296 Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg 13 13 $16K
85018 8,846 7,295 $8K
99401 330 330 $6K
86701 814 805 $6K
57460 47 28 $6K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 94 92 $5K
J7304 Contraceptive supply, hormone containing patch, each 13 13 $5K
81002 2,195 2,158 $5K
11976 43 43 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 140 140 $3K
86901 1,166 1,138 $2K
76998 43 41 $2K
S0191 Misoprostol, oral, 200 mcg 788 779 $2K
36415 Collection of venous blood by venipuncture 432 397 $158.55
S5000 Prescription drug, generic 12 12 $27.95