Physician
Planned Parenthood of Northern New England, INC
Planned Parenthood of Northern New England, INC was paid $3.94M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoPLANNED PARENTHOOD OF NORTHERN NEW ENGLAND, INC
COLCHESTER, VT 05446
COLCHESTER, VT 05446
33aNPI1578529350assigned 04/21/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$3.94M
24GClaims103,994
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Vermont
Rank by total paid#1 of 10
Median peer was paid$19K
This provider vs. median203×
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 | 9,684 | $589K | |
| 2019 | 9,228 | $629K | |
| 2020 | 13,885 | $560K | |
| 2021 | 16,274 | $665K | |
| 2022 | 16,221 | $543K | |
| 2023 | 20,687 | $527K | |
| 2024incomplete | 18,015 | $422K |
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 | 31% | 22,222 | 20,134 | $1.23M |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 18% | 919 | 854 | $701K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 14% | 22,869 | 17,348 | $563K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 14% | 22,869 | 17,357 | $563K |
| S4993 | Contraceptive pills for birth control | 8.8% | 6,425 | 5,728 | $348K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 2.3% | 4,187 | 3,813 | $91K |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | 1.9% | 151 | 143 | $75K |
| J7297 | Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg | 1.5% | 361 | 320 | $60K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.4% | 1,145 | 1,056 | $56K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 1.4% | 2,103 | 1,777 | $53K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 817 | 756 | $45K |
| 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 | 1.0% | 502 | 471 | $39K |
26 more codes
| 81025 | <1% | 4,486 | $31K | |
| 86703 | <1% | 1,243 | $17K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 264 | $13K |
| 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 | <1% | 26 | $13K |
| 59840 | <1% | 66 | $8K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 103 | $6K |
| J7303 | Contraceptive supply, hormone containing vaginal ring, each | <1% | 143 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 344 | $4K |
| S0190 | Mifepristone, oral, 200 mg | <1% | 42 | $3K |
| 87210 | <1% | 658 | $3K | |
| 96127 | <1% | 756 | $2K | |
| 99000 | <1% | 9,364 | $2K | |
| 83986 | <1% | 462 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 360 | $1K |
| 58300 | <1% | 24 | $995.04 | |
| 85018 | <1% | 265 | $705.20 | |
| 86901 | <1% | 209 | $674.33 | |
| 99406 | <1% | 51 | $522.00 | |
| S0191 | Misoprostol, oral, 200 mcg | <1% | 77 | $338.64 |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 34 | $223.20 |
| A4550 | Surgical trays | <1% | 276 | $111.42 |
| 87529 | <1% | 28 | $98.04 | |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | <1% | 78 | $34.00 |
| 88300 | 0% | 40 | $0.00 | |
| 90674 | 0% | 12 | $0.00 | |
| OCINC | 0% | 13 | $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 officialNELSON, RAYCHEL (CREDENTIALING/LICENSING SPECIALIST)