Clinic
Planned Parenthood Mar Monte, INC
Planned Parenthood Mar Monte, INC was paid $5.36M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 15% of everything it billed.
33Billing provider infoPLANNED PARENTHOOD MAR MONTE, INC
SAN JOSE, CA 95123
SAN JOSE, CA 95123
33aNPI1558314609assigned 05/18/2006
33bProvider typeCommunity Health Clinic/Center
28Total paid$5.36M
24GClaims145,822
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community Health Clinic/Center providers in California
Rank by total paid#77 of 288
Median peer was paid$2.15M
This provider vs. median2.5×
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.
Entity ProliferationAuthorized official MOTSIFF, TOM controls 20+ related entities in our dataset. Read more
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 | 23,900 | $967K | |
| 2019 | 17,242 | $503K | |
| 2020 | 26,116 | $1.01M | |
| 2021 | 24,358 | $918K | |
| 2022 | 13,685 | $464K | |
| 2023 | 20,436 | $819K | |
| 2024incomplete | 20,085 | $675K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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% | 13,284 | 12,623 | $827K |
| 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 | 13% | 9,119 | 8,680 | $702K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 8.9% | 600 | 599 | $476K |
| J3490 | Unclassified drugs | 8.0% | 14,728 | 11,844 | $428K |
| S4993 | Contraceptive pills for birth control | 7.2% | 4,045 | 4,017 | $387K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.0% | 5,653 | 5,526 | $322K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.3% | 1,397 | 1,395 | $286K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 5.2% | 9,289 | 8,868 | $277K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 4.6% | 2,356 | 2,342 | $245K |
| 87806 | 3.8% | 10,862 | 9,081 | $202K | |
| 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 | 2.6% | 547 | 543 | $141K |
| 99201 | 2.4% | 1,429 | 1,418 | $126K |
53 more codes
| 11981 | 2.1% | 587 | $111K | |
| J7304 | Contraceptive supply, hormone containing patch, each | 1.5% | 188 | $79K |
| 58300 | 1.4% | 935 | $76K | |
| 99204 | Doctor's office visit, new patient (more involved) | 1.2% | 308 | $65K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 1.2% | 6,055 | $62K |
| 99401 | <1% | 2,717 | $52K | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 2,205 | $51K |
| J7300 | Intrauterine copper contraceptive (paragard) | <1% | 62 | $50K |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | <1% | 62 | $49K |
| A4267 | Contraceptive supply, condom, male, each | <1% | 5,650 | $38K |
| 90651 | <1% | 163 | $32K | |
| 99402 | <1% | 950 | $30K | |
| 81025 | <1% | 11,331 | $25K | |
| 11976 | <1% | 533 | $25K | |
| S5000 | Prescription drug, generic | <1% | 3,160 | $24K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 5,942 | $18K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 781 | $18K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 1,376 | $17K |
| 83986 | <1% | 7,912 | $17K | |
| 99000 | <1% | 6,985 | $17K | |
| 58301 | <1% | 694 | $16K | |
| S0190 | Mifepristone, oral, 200 mg | <1% | 493 | $15K |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 5,461 | $14K |
| Q3014 | Telehealth originating site facility fee | <1% | 624 | $10K |
| J7303 | Contraceptive supply, hormone containing vaginal ring, each | <1% | 65 | $9K |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | <1% | 300 | $3K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 457 | $3K |
| 11982 | <1% | 91 | $3K | |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 943 | $2K |
| 81002 | <1% | 1,783 | $2K | |
| 99403 | <1% | 44 | $2K | |
| S0191 | Misoprostol, oral, 200 mcg | <1% | 524 | $941.48 |
| T1014 | Telehealth transmission, per minute, professional services bill separately | <1% | 620 | $928.07 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 121 | $395.21 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 557 | $357.18 |
| 85018 | <1% | 338 | $277.88 | |
| 86901 | <1% | 13 | $23.12 | |
| 90688 | <1% | 67 | $22.30 | |
| 90686 | <1% | 128 | $9.00 | |
| 3075F | 0% | 71 | $0.00 | |
| 3074F | 0% | 417 | $0.00 | |
| 3080F | 0% | 29 | $0.00 | |
| 3079F | 0% | 248 | $0.00 | |
| 92551 | 0% | 14 | $0.00 | |
| 3353F | 0% | 13 | $0.00 | |
| 90656 | 0% | 29 | $0.00 | |
| 1220F | 0% | 52 | $0.00 | |
| 3351F | 0% | 18 | $0.00 | |
| 90630 | 0% | 13 | $0.00 | |
| 3078F | 0% | 295 | $0.00 | |
| 3077F | 0% | 44 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 13 | $0.00 |
| 90662 | 0% | 32 | $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 officialMOTSIFF, TOM (CFO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.