Medicaid Provider Spending

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

PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST

NPI: 1750316741 · RIVERSIDE, CA 92506 · 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

$11.22M
Total Medicaid Paid
185,745
Total Claims
174,345
Beneficiaries
52
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 PACIFIC SOUTHWEST MORENO VALLEY CA $10.03M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST CHULA VISTA CA $8.32M
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST SAN DIEGO CA $8.03M
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 38,834 $2.70M
2019 23,637 $1.22M
2020 23,648 $1.20M
2021 27,164 $1.59M
2022 21,895 $1.32M
2023 26,951 $1.70M
2024 23,616 $1.48M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,371 18,812 $2.01M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6,367 6,318 $1.62M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,147 6,948 $1.17M
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 7,209 7,034 $1.01M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 10,780 10,391 $774K
S4993 Contraceptive pills for birth control 6,127 6,085 $758K
87806 31,525 26,049 $754K
J3490 Unclassified drugs 10,665 9,375 $508K
59840 1,527 1,520 $442K
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 748 744 $386K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 437 406 $346K
J7304 Contraceptive supply, hormone containing patch, each 284 280 $242K
99201 2,158 2,076 $176K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,039 3,008 $147K
58300 952 603 $88K
11981 397 397 $77K
81025 22,235 21,957 $68K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 4,972 4,972 $63K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,195 1,151 $58K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 65 63 $53K
99000 14,382 14,143 $50K
A4267 Contraceptive supply, condom, male, each 5,301 5,208 $41K
99152 838 835 $36K
J7297 Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg 61 59 $35K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,133 1,128 $33K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,134 1,129 $33K
J1050 Injection, medroxyprogesterone acetate, 1 mg 402 400 $33K
S5000 Prescription drug, generic 4,373 4,184 $31K
J7300 Intrauterine copper contraceptive (paragard) 36 36 $23K
83986 7,574 6,736 $19K
59841 43 43 $15K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 425 424 $15K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 44 43 $14K
87210 4,555 4,497 $14K
S0190 Mifepristone, oral, 200 mg 218 212 $12K
86701 1,563 1,183 $10K
11976 91 90 $9K
58301 249 143 $8K
55250 50 25 $7K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 1,195 850 $6K
99401 280 280 $5K
J7303 Contraceptive supply, hormone containing vaginal ring, each 24 24 $4K
S5199 Personal care item, nos, each 613 613 $3K
85018 1,618 1,582 $2K
81002 1,181 1,173 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 75 75 $1K
S0191 Misoprostol, oral, 200 mcg 367 352 $914.52
76998 12 12 $714.27
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 15 15 $571.23
36415 Collection of venous blood by venipuncture 386 364 $268.50
86901 294 285 $168.73
J0696 Injection, ceftriaxone sodium, per 250 mg 13 13 $82.55