Planned Parenthood of the Pacific Southwest
Planned Parenthood of the Pacific Southwest was paid $3.22M by Medicaid between Jan 2018 and Aug 2023, across 31 billing codes. Its largest line is J7307, Etonogestrel (contraceptive) implant system, including implant and supplies — 18% of everything it billed.
EL CENTRO, CA 92243
Next to other Community Health Clinic/Center providers in California
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.
Paid by month
By year, as a table
| Year | Claims | 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 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 18% | 571 | 557 | $573K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 5,635 | 5,407 | $476K |
| 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 | 9.8% | 2,473 | 2,327 | $317K |
| J3490 | Unclassified drugs | 8.6% | 3,325 | 3,020 | $276K |
| S4993 | Contraceptive pills for birth control | 8.1% | 2,189 | 2,170 | $263K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.7% | 3,960 | 3,742 | $247K |
| 87806 | 6.4% | 8,101 | 6,686 | $206K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.0% | 919 | 910 | $193K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 5.6% | 1,361 | 1,296 | $181K |
| 11981 | 4.8% | 570 | 567 | $154K | |
| J7304 | Contraceptive supply, hormone containing patch, each | 2.9% | 220 | 217 | $93K |
| 11976 | 2.0% | 408 | 407 | $63K |
19 more codes
| 81025 | 1.6% | 11,817 | $52K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.0% | 676 | $33K |
| A4267 | Contraceptive supply, condom, male, each | <1% | 2,577 | $31K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 1,028 | $13K |
| 58300 | <1% | 79 | $12K | |
| 99000 | <1% | 1,733 | $7K | |
| 83986 | <1% | 2,087 | $6K | |
| 86701 | <1% | 775 | $5K | |
| S5199 | Personal care item, nos, each | <1% | 906 | $5K |
| 87210 | <1% | 1,438 | $5K | |
| S5000 | Prescription drug, generic | <1% | 788 | $5K |
| 58301 | <1% | 38 | $3K | |
| J7303 | Contraceptive supply, hormone containing vaginal ring, each | <1% | 12 | $2K |
| 81002 | <1% | 467 | $923.14 | |
| 99201 | <1% | 14 | $758.14 | |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 129 | $690.55 |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 24 | $332.55 |
| 99401 | <1% | 13 | $247.91 | |
| 85018 | <1% | 55 | $64.62 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.