NP / PA
Planned Parenthood of Metropolitan Washington DC
Planned Parenthood of Metropolitan Washington DC was paid $793K by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoPLANNED PARENTHOOD OF METROPOLITAN WASHINGTON DC
WASHINGTON, DC 20002
WASHINGTON, DC 20002
33aNPI1538253786assigned 10/03/2006
33bProvider typeNurse Practitioner
28Total paid$793K
24GClaims27,251
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in District of Columbia
Rank by total paid#1 of 7
Median peer was paid$66K
This provider vs. median12×
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 | 1,573 | $22K | |
| 2019 | 1,107 | $10K | |
| 2020 | 5,615 | $95K | |
| 2021 | 5,839 | $236K | |
| 2022 | 4,584 | $127K | |
| 2023 | 5,295 | $193K | |
| 2024incomplete | 3,238 | $109K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 28% | 1,942 | 1,862 | $220K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 2,954 | 2,675 | $196K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 11% | 106 | 105 | $88K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 9.8% | 1,333 | 1,136 | $78K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.7% | 1,673 | 1,517 | $69K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.9% | 2,012 | 1,772 | $23K |
| 36415 | Collection of venous blood by venipuncture | 2.5% | 7,001 | 6,519 | $20K |
| 81025 | 2.2% | 3,401 | 3,105 | $17K | |
| 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 | 1.8% | 99 | 95 | $14K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 118 | 114 | $12K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.5% | 109 | 105 | $12K |
| 11981 | 1.1% | 88 | 87 | $9K |
19 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.1% | 156 | $8K |
| 87210 | <1% | 2,075 | $8K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 334 | $7K |
| 99201 | <1% | 234 | $6K | |
| 11982 | <1% | 60 | $5K | |
| 58300 | <1% | 14 | $1K | |
| 81002 | <1% | 36 | $83.19 | |
| 86901 | <1% | 20 | $52.74 | |
| 85018 | <1% | 68 | $50.10 | |
| 36416 | <1% | 2,601 | $33.00 | |
| S0191 | Misoprostol, oral, 200 mcg | 0% | 85 | $0.00 |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | 0% | 122 | $0.00 |
| S0190 | Mifepristone, oral, 200 mg | 0% | 19 | $0.00 |
| 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 | 0% | 19 | $0.00 |
| 59840 | 0% | 46 | $0.00 | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 0% | 236 | $0.00 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 0% | 234 | $0.00 |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 0% | 40 | $0.00 |
| 64435 | 0% | 16 | $0.00 |
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 officialWILSON, TAKINA (CHIEF OPERATING OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Planned Parenthood of Metropolitan Washington DC | Washington, DC | $0.00 |
| Planned Parenthood of Metropolitan Washington DC | Suitland, MD | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.