Medicaid Provider Spending

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

PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST

NPI: 1518361435 · EL CENTRO, CA 92243 · Community Health Clinic/Center · NPI assigned 10/21/2014

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

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

$3.22M
Total Medicaid Paid
54,388
Total Claims
50,934
Beneficiaries
31
Codes Billed
2018-01
First Month
2023-08
Last Month

Provider Details

Authorized OfficialGONZALES, THERESA (DIRECTOR OF BILLING)
NPI Enumeration Date10/21/2014

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 SAN DIEGO CA $17.68M
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 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 17,848 $1.09M
2019 9,111 $503K
2020 6,727 $349K
2021 9,136 $734K
2022 6,062 $274K
2023 5,504 $272K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 571 557 $573K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,635 5,407 $476K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,473 2,327 $317K
J3490 Unclassified drugs 3,325 3,020 $276K
S4993 Contraceptive pills for birth control 2,189 2,170 $263K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,960 3,742 $247K
87806 8,101 6,686 $206K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 919 910 $193K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,361 1,296 $181K
11981 570 567 $154K
J7304 Contraceptive supply, hormone containing patch, each 220 217 $93K
11976 408 407 $63K
81025 11,817 11,465 $52K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 676 665 $33K
A4267 Contraceptive supply, condom, male, each 2,577 2,561 $31K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 1,028 1,028 $13K
58300 79 53 $12K
99000 1,733 1,687 $7K
83986 2,087 1,901 $6K
86701 775 569 $5K
S5199 Personal care item, nos, each 906 904 $5K
87210 1,438 1,404 $5K
S5000 Prescription drug, generic 788 701 $5K
58301 38 26 $3K
J7303 Contraceptive supply, hormone containing vaginal ring, each 12 12 $2K
81002 467 461 $923.14
99201 14 12 $758.14
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 129 88 $690.55
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 24 24 $332.55
99401 13 13 $247.91
85018 55 54 $64.62