Clinic
Planned Parenthood Keystone
Planned Parenthood Keystone was paid $32K by Medicaid between Nov 2020 and Feb 2024, across 8 billing codes. Its largest line is J1050, Injection, medroxyprogesterone acetate, 1 mg — 42% of everything it billed.
33Billing provider infoPLANNED PARENTHOOD KEYSTONE
READING, PA 19604
READING, PA 19604
33aNPI1568639029assigned 05/14/2008
33bProvider typeAmbulatory Family Planning Facility
28Total paid$32K
24GClaims1,385
24DCodes billed8
24AFirst – last monthNov 2020 – Feb 2024
Compared with peers
Next to other Ambulatory Family Planning Facility providers in Pennsylvania
Rank by total paid#7 of 10
Median peer was paid$51K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2020 | 90 | $3K | |
| 2021 | 632 | $20K | |
| 2022 | 378 | $6K | |
| 2023 | 250 | $3K | |
| 2024incomplete | 35 | $126.28 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 42% | 377 | 372 | $14K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 223 | 220 | $8K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 13% | 328 | 320 | $4K |
| 81025 | 12% | 372 | 363 | $4K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.0% | 33 | 33 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 13 | 13 | $409.63 |
| 87210 | <1% | 26 | 26 | $90.03 | |
| 83986 | <1% | 13 | 13 | $24.10 |
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 officialHAMPTON, ALICIA (DIRECTOR OF HEALTH SERVICES & SYSTE)
Parent organizationPLANNED PARENTHOOD KEYSTONE
| Provider | Location | Paid |
|---|---|---|
| Planned Parenthood Keystone | Allentown, PA | $545K |
| Planned Parenthood Keystone | Allentown, PA | $147K |
| Planned Parenthood Keystone | Warminster, PA | $69K |
| Planned Parenthood Keystone | Bensalem, PA | $51K |
| Planned Parenthood Keystone | Harrisburg, PA | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.