Medicaid Provider Spending

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

PLANNED PARENTHOOD MAR MONTE, INC

NPI: 1790739126 · FRESNO, CA 93728 · Community Health Clinic/Center · NPI assigned 05/20/2006

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

Authorized official MOTSIFF, TOM controls 20+ related entities in our dataset. Read more

$8.88M
Total Medicaid Paid
338,184
Total Claims
304,899
Beneficiaries
53
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOTSIFF, TOM (CFO)
NPI Enumeration Date05/20/2006

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 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 SACRAMENTO CA $5.53M
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 67,839 $1.95M
2019 47,989 $961K
2020 32,431 $684K
2021 38,440 $1.13M
2022 43,715 $1.10M
2023 54,108 $1.44M
2024 53,662 $1.63M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J3490 Unclassified drugs 59,274 45,397 $1.09M
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 1,761 1,747 $1.04M
S4993 Contraceptive pills for birth control 9,853 9,560 $755K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 32,276 29,978 $708K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15,066 14,223 $698K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,533 11,876 $678K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,740 6,603 $507K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 5,521 5,491 $482K
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 3,698 3,628 $382K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,472 2,469 $364K
99201 5,314 5,040 $331K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,066 2,066 $311K
87806 20,542 17,986 $275K
11981 1,716 1,704 $259K
A4267 Contraceptive supply, condom, male, each 26,912 25,743 $224K
J7304 Contraceptive supply, hormone containing patch, each 290 288 $140K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 9,069 9,020 $130K
11976 1,316 708 $60K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 3,982 3,982 $51K
81025 30,156 29,151 $43K
S0190 Mifepristone, oral, 200 mg 3,594 3,545 $42K
99402 1,192 1,174 $38K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 4,629 4,475 $37K
99401 1,859 1,845 $35K
58300 589 304 $32K
S5000 Prescription drug, generic 4,034 3,735 $32K
99000 16,352 15,896 $30K
59840 1,646 823 $26K
83986 8,404 7,515 $11K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 7,204 6,826 $10K
0270 8,271 4,655 $10K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 4,748 4,278 $8K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,863 1,777 $5K
Q3014 Telehealth originating site facility fee 367 365 $4K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4,490 4,413 $4K
58301 200 101 $4K
J7303 Contraceptive supply, hormone containing vaginal ring, each 41 37 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,287 3,267 $4K
85018 3,186 2,998 $3K
S0191 Misoprostol, oral, 200 mcg 4,127 4,032 $2K
J8499 Prescription drug, oral, non chemotherapeutic, nos 837 563 $2K
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 246 238 $2K
81002 1,390 1,357 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 17 17 $986.04
T1014 Telehealth transmission, per minute, professional services bill separately 299 299 $628.40
11982 257 127 $551.22
99152 279 261 $461.37
86901 953 910 $430.96
J0561 Injection, penicillin g benzathine, 100,000 units 69 50 $216.23
J3010 Injection, fentanyl citrate, 0.1 mg 599 584 $179.18
J2250 Injection, midazolam hydrochloride, per 1 mg 543 534 $65.11
99070 1,949 1,135 $52.00
0250 106 103 $0.01