Medicaid Provider Spending

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

PLANNED PARENTHOOD MAR MONTE, INC

NPI: 1558314609 · SAN JOSE, CA 95123 · Community Health Clinic/Center · NPI assigned 05/18/2006

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

Authorized official MOTSIFF, TOM controls 20+ related entities in our dataset. Read more

$5.36M
Total Medicaid Paid
145,822
Total Claims
135,549
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOTSIFF, TOM (CFO)
NPI Enumeration Date05/18/2006

Related Entities

Other providers sharing the same authorized official: MOTSIFF, TOM

ProviderCityStateTotal Paid
PLANNED PARENTHOOD MAR MONTE SAN JOSE CA $26.62M
PLANNED PARENTHOOD MAR MONTE, INC STOCKTON CA $10.87M
PLANNED PARENTHOOD BAKERSFIELD CA $9.76M
PLANNED PARENTHOOD MAR MONTE, INC SAN JOSE CA $9.05M
PLANNED PARENTHOOD MAR MONTE, INC FRESNO CA $8.88M
PLANNED PARENTHOOD MAR MONTE, INC MERCED CA $6.67M
PLANNED PARENTHOOD MAR MONTE, INC STOCKTON CA $6.65M
PLANNED PARENTHOOD MAR MONTE, INC. OAKLAND CA $6.04M
PLANNED PARENTHOOD MAR MONTE, INC FRESNO CA $5.69M
PLANNED PARENTHOOD MAR MONTE, INC NORTH HIGHLANDS CA $5.69M
PLANNED PARENTHOOD MAR MONTE SAN MATEO CA $5.54M
PLANNED PARENTHOOD MAR MONTE, INC SACRAMENTO CA $5.53M
PLANNED PARENTHOOD MAR MONTE, INC WATSONVILLE CA $5.32M
PLANNED PARENTHOOD MAR MONTE, INC ROSEVILLE CA $5.22M
PLANNED PARENTHOOD MAR MONTE, INC. HAYWARD CA $5.02M
PLANNED PARENTHOOD MAR MONTE, INC SAN JOSE CA $4.82M
PLANNED PARENTHOOD MAR MONTE, INC SACRAMENTO CA $4.74M
PLANNED PARENTHOOD MAR MONTE, INC TRACY CA $3.94M
PLANNED PARENTHOOD MAR MONTE INC. REDWOOD CITY CA $3.84M
PLANNED PARENTHOOD MAR MONTE, INC MODESTO CA $3.60M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 20,085 $675K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,284 12,623 $827K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,119 8,680 $702K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 600 599 $476K
J3490 Unclassified drugs 14,728 11,844 $428K
S4993 Contraceptive pills for birth control 4,045 4,017 $387K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,653 5,526 $322K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,397 1,395 $286K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 9,289 8,868 $277K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,356 2,342 $245K
87806 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 547 543 $141K
99201 1,429 1,418 $126K
11981 587 586 $111K
J7304 Contraceptive supply, hormone containing patch, each 188 185 $79K
58300 935 473 $76K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 308 308 $65K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 6,055 5,990 $62K
99401 2,717 2,581 $52K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 2,205 2,187 $51K
J7300 Intrauterine copper contraceptive (paragard) 62 62 $50K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 62 61 $49K
A4267 Contraceptive supply, condom, male, each 5,650 5,578 $38K
90651 163 163 $32K
99402 950 934 $30K
81025 11,331 11,066 $25K
11976 533 287 $25K
S5000 Prescription drug, generic 3,160 2,907 $24K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 5,942 5,878 $18K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 781 745 $18K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 1,376 1,376 $17K
83986 7,912 6,647 $17K
99000 6,985 6,829 $17K
58301 694 363 $16K
S0190 Mifepristone, oral, 200 mg 493 488 $15K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 5,461 5,261 $14K
Q3014 Telehealth originating site facility fee 624 613 $10K
J7303 Contraceptive supply, hormone containing vaginal ring, each 65 65 $9K
J8499 Prescription drug, oral, non chemotherapeutic, nos 300 208 $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 457 435 $3K
11982 91 46 $3K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 943 905 $2K
81002 1,783 1,744 $2K
99403 44 43 $2K
S0191 Misoprostol, oral, 200 mcg 524 514 $941.48
T1014 Telehealth transmission, per minute, professional services bill separately 620 609 $928.07
J0696 Injection, ceftriaxone sodium, per 250 mg 121 120 $395.21
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 557 553 $357.18
85018 338 334 $277.88
86901 13 13 $23.12
90688 67 67 $22.30
90686 128 127 $9.00
3075F 71 70 $0.00
3074F 417 406 $0.00
3080F 29 28 $0.00
3079F 248 243 $0.00
92551 14 14 $0.00
3353F 13 13 $0.00
90656 29 29 $0.00
1220F 52 51 $0.00
3351F 18 18 $0.00
90630 13 13 $0.00
3078F 295 288 $0.00
3077F 44 44 $0.00
90472 Immunization administration, each additional vaccine (list separately) 13 13 $0.00
90662 32 32 $0.00