Planned Parenthood Mar Monte, INC
Planned Parenthood Mar Monte, INC was paid $1.21M by Medicaid between Jan 2018 and May 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
WOODLAND, CA 95695
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 | 5,861 | $272K | |
| 2019 | 4,014 | $166K | |
| 2020 | 1,825 | $74K | |
| 2021 | 2,831 | $130K | |
| 2022 | 2,674 | $116K | |
| 2023 | 6,229 | $268K | |
| 2024incomplete | 3,604 | $186K |
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 | 21% | 2,606 | 2,509 | $259K |
| J3490 | Unclassified drugs | 16% | 5,837 | 4,494 | $189K |
| S4993 | Contraceptive pills for birth control | 8.6% | 874 | 865 | $104K |
| 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 | 7.8% | 201 | 194 | $94K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.5% | 1,360 | 1,332 | $91K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 6.7% | 638 | 634 | $81K |
| 87806 | 6.0% | 2,923 | 2,539 | $72K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.4% | 245 | 244 | $54K |
| 99201 | 3.6% | 499 | 495 | $44K | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 2.8% | 1,173 | 1,167 | $34K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.6% | 1,051 | 1,028 | $31K |
| A4267 | Contraceptive supply, condom, male, each | 2.6% | 1,822 | 1,806 | $31K |
21 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | 2.5% | 217 | $31K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 1.8% | 26 | $22K |
| S0190 | Mifepristone, oral, 200 mg | 1.0% | 206 | $12K |
| 99401 | <1% | 554 | $11K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 177 | $9K |
| 99000 | <1% | 2,067 | $7K | |
| 11981 | <1% | 26 | $6K | |
| 99402 | <1% | 178 | $6K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 414 | $5K |
| 81025 | <1% | 1,569 | $5K | |
| 83986 | <1% | 855 | $2K | |
| S5000 | Prescription drug, generic | <1% | 271 | $2K |
| 58300 | <1% | 26 | $2K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 75 | $2K |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 597 | $2K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 59 | $2K |
| S0191 | Misoprostol, oral, 200 mcg | <1% | 200 | $567.32 |
| 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% | 35 | $436.80 |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 84 | $366.48 |
| 85018 | <1% | 111 | $297.81 | |
| 81002 | <1% | 62 | $129.22 |
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.