Agency
Planned Parenthood Pasadena and San Gabriel Valley INC
Planned Parenthood Pasadena and San Gabriel Valley INC was paid $2.34M by Medicaid between Feb 2021 and Nov 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 17% of everything it billed.
33Billing provider infoPLANNED PARENTHOOD PASADENA AND SAN GABRIEL VALLEY INC
BALDWIN PARK, CA 91706
BALDWIN PARK, CA 91706
33aNPI1710537303assigned 09/16/2019
33bProvider typeVoluntary or Charitable Agency
28Total paid$2.34M
24GClaims83,255
24DCodes billed34
24AFirst – last monthFeb 2021 – Nov 2024
Compared with peers
Next to other Voluntary or Charitable Agency providers in California
Rank by total paid#7 of 35
Median peer was paid$847K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2021 | 16,299 | $543K | |
| 2022 | 18,019 | $483K | |
| 2023 | 24,674 | $684K | |
| 2024incomplete | 24,263 | $633K |
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 | 17% | 4,451 | 4,339 | $398K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 12% | 9,694 | 8,453 | $285K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 11% | 9,605 | 8,436 | $269K |
| J3490 | Unclassified drugs | 9.7% | 9,502 | 8,448 | $226K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.3% | 808 | 808 | $193K |
| 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 | 8.2% | 1,612 | 1,598 | $191K |
| 87806 | 6.7% | 7,670 | 6,989 | $158K | |
| S4993 | Contraceptive pills for birth control | 4.8% | 980 | 974 | $111K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 4.0% | 3,288 | 3,281 | $94K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.5% | 294 | 294 | $82K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.4% | 1,253 | 1,230 | $81K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.4% | 1,545 | 1,539 | $79K |
22 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.3% | 455 | $54K |
| S5199 | Personal care item, nos, each | 1.3% | 3,746 | $29K |
| 81025 | 1.1% | 8,716 | $26K | |
| 99000 | <1% | 5,674 | $17K | |
| A4267 | Contraceptive supply, condom, male, each | <1% | 6,577 | $13K |
| S5000 | Prescription drug, generic | <1% | 1,745 | $12K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 415 | $5K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 623 | $5K |
| 83986 | <1% | 1,750 | $4K | |
| 87210 | <1% | 990 | $3K | |
| Q3014 | Telehealth originating site facility fee | <1% | 62 | $1K |
| 0011A | <1% | 28 | $1K | |
| 81002 | <1% | 648 | $1K | |
| S5001 | Prescription drug, brand name | <1% | 282 | $734.82 |
| 82120 | <1% | 294 | $687.45 | |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | <1% | 298 | $649.27 |
| 0012A | <1% | 15 | $600.00 | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 50 | $181.89 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $168.56 |
| 96127 | <1% | 26 | $57.72 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 134 | $54.57 |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 12 | $47.16 |
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 officialMCCOY, MIRELLA (REVENUE CYCLE DIRECTOR)
Parent organizationPLANNED PARENTHOOD OF PASADENA AND SAN GABRIEL VALLEY INC
| Provider | Location | Paid |
|---|---|---|
| Planned Parenthood Pasadena and San Gabriel Valley INC | Alhambra, CA | $5.22M |
| Planned Parenthood Pasadena and San Gabriel Valley INC | Highland Park, CA | $1.65M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.