Planned Parenthood of Northern, Central, and Southern New Jersey, INC.

Planned Parenthood of Northern, Central, and Southern New Jersey, INC. was paid $238K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is 99395, Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years — 50% of everything it billed.

33Billing provider infoPLANNED PARENTHOOD OF NORTHERN, CENTRAL, AND SOUTHERN NEW JERSEY, INC.
NEWTON, NJ 07860

33aNPI1790851434assigned 11/27/2006

33bProvider typeNon-Pharmacy Dispensing Site

28Total paid$238K

24GClaims2,737

24DCodes billed10

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Non-Pharmacy Dispensing Site providers in New Jersey

Rank by total paid#9 of 12

Median peer was paid$846K

This provider vs. median0.3×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official STILES, SANDY controls 13+ related entities in our dataset. Read more

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
2018	567	$36K
2019	648	$55K
2020	475	$40K
2021	399	$41K
2022	343	$33K
2023	215	$29K
2024incomplete	90	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	50%	766	759	$118K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	29%	458	455	$69K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	10%	503	494	$25K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.7%	164	159	$11K
81025		2.9%	713	698	$7K
J1050	Injection, medroxyprogesterone acetate, 1 mg	2.2%	27	27	$5K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	26	26	$2K
Q0111	Wet mounts, including preparations of vaginal, cervical or skin specimens	<1%	27	27	$551.34
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	39	39	$209.01
85018		<1%	14	14	$73.20

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 officialSTILES, SANDY (SPECIAL PROJECTS LIAISON)

Same official

Other billing entities under STILES, SANDY

Full network →

Provider	Location	Paid
Planned Parenthood of Northern, Central, and Southern New Jersey, INC.	Elizabeth, NJ	$4.21M
Planned Parenthood of Northern, Central, and Southern New Jersey, INC.	Camden, NJ	$3.75M
Planned Parenthood of Northern, Central, and Southern New Jersey, INC.	Trenton, NJ	$3.24M
Planned Parenthood of Northern, Central, and Southern New Jersey, INC.	Morristown, NJ	$2.84M
Planned Parenthood of Northern, Central, and Southern New Jersey, INC.	Hackensack, NJ	$2.75M
Planned Parenthood of Northern, Central, and Southern New Jersey, INC.	Franklin Township, NJ	$2.12M
Planned Parenthood of Northern, Central, and Southern New Jersey, INC.	Perth Amboy, NJ	$1.54M
Planned Parenthood of Northern, Central, and Southern New Jersey, INC.	Hamilton, NJ	$1.30M
Planned Parenthood of Northern, Central, and Southern New Jersey, INC.	Shrewsbury, NJ	$1.28M
Planned Parenthood of Northern, Central, and Southern New Jersey, INC.	Delran, NJ	$1.12M
Planned Parenthood of Northern, Central, and Southern New Jersey, INC.	Englewood, NJ	$846K
Planned Parenthood of Northern, Central, and Southern New Jersey, INC.	Flemington, NJ	$105K
Planned Parenthood of Northern, Central, and Southern New Jersey, INC.	Washington, NJ	$64K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.