Clinic
Planned Parenthood Keystone
Planned Parenthood Keystone was paid $69K by Medicaid between Nov 2020 and Jan 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoPLANNED PARENTHOOD KEYSTONE
WARMINSTER, PA 18974
WARMINSTER, PA 18974
33aNPI1659531804assigned 06/11/2008
33bProvider typeAmbulatory Family Planning Facility
28Total paid$69K
24GClaims1,510
24DCodes billed9
24AFirst – last monthNov 2020 – Jan 2024
Compared with peers
Next to other Ambulatory Family Planning Facility providers in Pennsylvania
Rank by total paid#5 of 10
Median peer was paid$51K
This provider vs. median1.3×
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 | 61 | $3K | |
| 2021 | 814 | $33K | |
| 2022 | 408 | $22K | |
| 2023 | 214 | $11K | |
| 2024incomplete | 13 | $759.32 |
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 | 38% | 423 | 411 | $26K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 36% | 573 | 569 | $25K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 10% | 73 | 73 | $7K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 8.7% | 96 | 95 | $6K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 3.2% | 46 | 46 | $2K |
| 81025 | 2.4% | 152 | 147 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 54 | 50 | $647.90 |
| 87210 | <1% | 74 | 68 | $526.42 | |
| 83986 | <1% | 19 | 13 | $31.50 |
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 (DIR OF HEALTH SERVICES & SYSTEMS)
Parent organizationPLANNED PARENTHOOD KEYSTONE
| Provider | Location | Paid |
|---|---|---|
| Planned Parenthood Keystone | Allentown, PA | $545K |
| Planned Parenthood Keystone | Allentown, PA | $147K |
| Planned Parenthood Keystone | Bensalem, PA | $51K |
| Planned Parenthood Keystone | Reading, PA | $32K |
| Planned Parenthood Keystone | Harrisburg, PA | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.