Clinic
Planned Parenthood of Metropolitan NJ
Planned Parenthood of Metropolitan NJ was paid $1.79M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 26% of everything it billed.
33Billing provider infoPLANNED PARENTHOOD OF METROPOLITAN NJ
EAST ORANGE, NJ 07017
EAST ORANGE, NJ 07017
33aNPI1508839804assigned 02/08/2006
33bProvider typeAmbulatory Family Planning Facility
28Total paid$1.79M
24GClaims35,057
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ambulatory Family Planning Facility providers in New Jersey
Rank by total paid#3 of 12
Median peer was paid$1.12M
This provider vs. median1.6×
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 | 5,413 | $239K | |
| 2019 | 6,967 | $294K | |
| 2020 | 4,229 | $192K | |
| 2021 | 5,131 | $244K | |
| 2022 | 5,830 | $301K | |
| 2023 | 4,419 | $252K | |
| 2024incomplete | 3,068 | $267K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 26% | 2,953 | 2,952 | $460K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 16% | 1,909 | 1,907 | $285K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 3,539 | 3,513 | $230K |
| 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 | 11% | 2,769 | 2,749 | $200K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 8.9% | 5,339 | 5,167 | $159K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 6.1% | 1,289 | 1,280 | $109K |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | 5.6% | 4,555 | 4,508 | $100K |
| 86703 | 4.7% | 4,710 | 4,710 | $85K | |
| 81025 | 2.8% | 4,584 | 4,519 | $51K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.3% | 1,022 | 1,015 | $41K |
| 76830 | Ultrasound, transvaginal | 1.2% | 256 | 252 | $21K |
| 81000 | 1.0% | 1,030 | 1,024 | $19K |
10 more codes
| 58300 | <1% | 54 | $12K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 12 | $6K |
| 99201 | <1% | 37 | $5K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 225 | $1K |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 21 | $808.71 |
| J3490 | Unclassified drugs | <1% | 48 | $799.76 |
| 57454 | <1% | 12 | $775.20 | |
| 86901 | <1% | 313 | $622.00 | |
| 85018 | <1% | 367 | $516.96 |
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 officialROGERS-COLLINS, ROSLYN (CEO/PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Planned Parenthood of Metropolitan NJ | Paterson, NJ | $1.83M |
| Planned Parenthood of Metropolitan NJ | Montclair, NJ | $1.47M |
| Planned Parenthood of Metropolitan NJ | Newark, NJ | $1.03M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.