Medicaid Provider Spending

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

PLANNED PARENTHOOD MAR MONTE, INC

NPI: 1598719189 · MERCED, CA 95348 · Community Health Clinic/Center · NPI assigned 05/19/2006

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

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

$6.67M
Total Medicaid Paid
121,044
Total Claims
112,680
Beneficiaries
48
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOTSIFF, TOM (CFO)
NPI Enumeration Date05/19/2006

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 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 SAN JOSE CA $5.36M
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 26,814 $1.32M
2019 21,739 $1.16M
2020 14,198 $841K
2021 17,179 $1.13M
2022 17,681 $1.12M
2023 13,324 $622K
2024 10,109 $478K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 963 961 $851K
J3490 Unclassified drugs 19,795 16,667 $823K
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 1,179 1,176 $720K
S4993 Contraceptive pills for birth control 5,146 5,124 $628K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,151 4,988 $500K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 13,540 13,082 $467K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,761 2,721 $397K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,480 2,478 $303K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,137 4,061 $302K
87806 7,907 7,166 $203K
11981 1,040 1,035 $188K
99201 2,245 2,233 $187K
A4267 Contraceptive supply, condom, male, each 13,218 13,158 $176K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 912 912 $151K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 496 495 $97K
11976 1,113 603 $85K
S0190 Mifepristone, oral, 200 mg 1,106 1,103 $69K
J7304 Contraceptive supply, hormone containing patch, each 96 96 $66K
58300 725 373 $62K
J7303 Contraceptive supply, hormone containing vaginal ring, each 125 125 $59K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 66 66 $48K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 681 657 $45K
81025 8,246 8,138 $28K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 917 914 $28K
99000 6,182 6,067 $24K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 1,801 1,801 $23K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 5,079 3,387 $20K
J7300 Intrauterine copper contraceptive (paragard) 12 12 $13K
99402 383 382 $12K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 2,978 2,928 $12K
83986 3,775 3,416 $12K
99401 592 589 $11K
58301 303 155 $11K
11982 114 59 $10K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 1,426 1,360 $8K
S5000 Prescription drug, generic 944 859 $7K
99403 140 140 $6K
S0191 Misoprostol, oral, 200 mcg 1,281 1,269 $4K
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 221 219 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 24 24 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg 505 489 $2K
85018 716 670 $2K
Q3014 Telehealth originating site facility fee 61 61 $1K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 25 25 $709.03
81002 310 309 $560.61
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 19 19 $555.46
86901 55 55 $134.00
T1014 Telehealth transmission, per minute, professional services bill separately 53 53 $72.70