Medicaid Provider Spending

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

PLANNED PARENTHOOD MAR MONTE, INC

NPI: 1679526693 · SACRAMENTO, CA 95816 · 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

$5.53M
Total Medicaid Paid
112,089
Total Claims
103,706
Beneficiaries
51
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 MERCED CA $6.67M
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 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 15,367 $722K
2019 13,812 $565K
2020 16,957 $532K
2021 16,367 $865K
2022 11,007 $531K
2023 18,530 $1.03M
2024 20,049 $1.29M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,356 7,119 $709K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,614 3,546 $568K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3,880 3,865 $551K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 536 534 $520K
J3490 Unclassified drugs 13,646 11,000 $504K
S4993 Contraceptive pills for birth control 3,463 3,408 $403K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,888 4,795 $367K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 7,471 7,221 $255K
87806 10,312 8,734 $228K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 843 842 $212K
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 387 387 $182K
99201 1,584 1,566 $127K
11981 480 478 $118K
58300 1,109 560 $103K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 3,122 3,094 $86K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 250 250 $76K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 91 91 $71K
A4267 Contraceptive supply, condom, male, each 5,348 5,200 $53K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 819 799 $35K
99000 8,833 8,670 $31K
J7300 Intrauterine copper contraceptive (paragard) 24 24 $27K
J7304 Contraceptive supply, hormone containing patch, each 29 29 $27K
11976 379 199 $26K
S5000 Prescription drug, generic 3,456 3,261 $26K
81025 6,776 6,650 $26K
99401 1,234 1,226 $24K
S0190 Mifepristone, oral, 200 mg 427 427 $22K
99402 696 692 $22K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 1,575 1,575 $20K
58301 550 287 $18K
83986 6,674 5,491 $17K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 4,450 4,345 $15K
57454 238 121 $14K
55250 79 40 $11K
59840 48 24 $8K
85018 538 498 $4K
Q3014 Telehealth originating site facility fee 213 213 $3K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 1,137 1,044 $3K
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 256 249 $3K
81002 1,483 1,443 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,292 1,287 $2K
J7303 Contraceptive supply, hormone containing vaginal ring, each 18 18 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,279 1,274 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 324 313 $1K
S0191 Misoprostol, oral, 200 mcg 461 456 $1K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 62 36 $749.00
0270 99 65 $526.38
T1014 Telehealth transmission, per minute, professional services bill separately 211 211 $277.27
86901 25 25 $101.92
J3010 Injection, fentanyl citrate, 0.1 mg 12 12 $30.72
J2250 Injection, midazolam hydrochloride, per 1 mg 12 12 $13.16