Medicaid Provider Spending

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

PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST

NPI: 1689609679 · SAN DIEGO, CA 92101 · Community Health Clinic/Center · NPI assigned 07/11/2006

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

Authorized official GONZALES, THERESA controls 19+ related entities in our dataset. Read more

$8.03M
Total Medicaid Paid
134,978
Total Claims
126,713
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGONZALES, THERESA (DIRECTOR)
NPI Enumeration Date07/11/2006

Related Entities

Other providers sharing the same authorized official: GONZALES, THERESA

ProviderCityStateTotal Paid
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $35.16M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST COACHELLA CA $33.43M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST SAN DIEGO CA $17.68M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST RIVERSIDE CA $11.22M
PLANNED PARENTHOOD PACIFIC SOUTHWEST MORENO VALLEY CA $10.03M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST CHULA VISTA CA $8.32M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST VISTA CA $6.38M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST SAN DIEGO CA $6.04M
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $4.92M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST EL CAJON CA $4.91M
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $4.82M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST ESCONDIDO CA $4.53M
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $4.44M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST SAN DIEGO CA $4.02M
PLANNED PARENTHOOD PACIFIC SOUTHWEST RANCHO MIRAGE CA $3.91M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST EL CENTRO CA $3.22M
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $2.85M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST HEMET CA $577K
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $255K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28,514 $1.66M
2019 17,892 $816K
2020 27,039 $1.67M
2021 30,672 $2.10M
2022 13,688 $816K
2023 10,088 $564K
2024 7,085 $398K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25,223 24,212 $2.66M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,578 12,832 $2.14M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,005 1,944 $507K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,039 6,766 $502K
87806 16,608 13,180 $421K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,143 2,004 $318K
S4993 Contraceptive pills for birth control 2,900 2,789 $314K
Q3014 Telehealth originating site facility fee 12,971 12,864 $288K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4,929 4,869 $203K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4,926 4,866 $202K
J3490 Unclassified drugs 3,095 2,586 $140K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 898 888 $52K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,088 1,077 $39K
99000 9,187 8,991 $33K
99201 319 254 $32K
81025 9,147 8,972 $28K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 2,039 2,039 $26K
A4267 Contraceptive supply, condom, male, each 2,424 2,396 $22K
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 37 37 $21K
S5000 Prescription drug, generic 3,026 2,893 $20K
83986 4,969 4,460 $14K
J7303 Contraceptive supply, hormone containing vaginal ring, each 73 73 $12K
87210 3,205 3,145 $10K
86701 884 635 $6K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 596 337 $3K
11981 12 12 $3K
S5199 Personal care item, nos, each 471 470 $2K
S0190 Mifepristone, oral, 200 mg 25 25 $2K
81002 923 903 $2K
58301 50 26 $1K
S0191 Misoprostol, oral, 200 mcg 25 25 $166.01
36415 Collection of venous blood by venipuncture 123 105 $57.00
J0696 Injection, ceftriaxone sodium, per 250 mg 13 13 $46.80
85018 27 25 $27.95