Planned Parenthood Southeastern PA

Planned Parenthood Southeastern PA was paid $4K by Medicaid between Mar 2018 and Mar 2022, across 5 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 45% of everything it billed.

33Billing provider infoPLANNED PARENTHOOD SOUTHEASTERN PA
UPPER DARBY, PA 19082

33aNPI1548601537assigned 07/08/2013

33bProvider typeAmbulatory Family Planning Facility

28Total paid$4K

24GClaims194

24DCodes billed5

24AFirst – last monthMar 2018 – Mar 2022

Compared with peers

Next to other Ambulatory Family Planning Facility providers in Pennsylvania

Rank by total paid#9 of 10

Median peer was paid$51K

This provider vs. median0.1×

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	14	$129.12
2021	141	$3K
2022	39	$311.04

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	45%	89	88	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	29%	40	38	$1K
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%	12	12	$561.53
81025		6.5%	26	24	$247.60
87210		5.1%	27	27	$192.56

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 officialMARKER, ILENE (VICE PRESIDENT FOR PATIENT SERVICES)