Clinic
Planned Parenthood South Atlantic
Planned Parenthood South Atlantic was paid $1.25M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoPLANNED PARENTHOOD SOUTH ATLANTIC
RALEIGH, NC 27603
RALEIGH, NC 27603
33aNPI1811033210assigned 01/30/2007
33bProvider typeNon-Surgical Family Planning Clinic/Center
28Total paid$1.25M
24GClaims95,432
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Non-Surgical Family Planning Clinic/Center providers in North Carolina
Rank by total paid#3 of 5
Median peer was paid$1.25M
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2018 | 6,339 | $111K | |
| 2019 | 7,535 | $133K | |
| 2020 | 8,026 | $176K | |
| 2021 | 15,658 | $160K | |
| 2022 | 25,142 | $246K | |
| 2023 | 14,851 | $213K | |
| 2024incomplete | 17,881 | $211K |
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 | 34% | 11,212 | 8,447 | $426K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 21% | 8,633 | 6,758 | $261K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11% | 6,474 | 4,517 | $140K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 9.1% | 9,501 | 7,402 | $114K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 5.5% | 1,878 | 1,247 | $69K |
| 81025 | 5.5% | 13,895 | 9,782 | $68K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.3% | 1,103 | 822 | $67K |
| 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 | 1.6% | 405 | 298 | $21K |
| 99201 | 1.6% | 748 | 646 | $19K | |
| 87210 | <1% | 4,178 | 3,091 | $11K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,057 | 4,408 | $11K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 17 | 15 | $8K |
14 more codes
| 86701 | <1% | 862 | $6K | |
| 83986 | <1% | 3,297 | $6K | |
| 86780 | <1% | 626 | $6K | |
| 86703 | <1% | 898 | $5K | |
| 87806 | <1% | 223 | $4K | |
| 99385 | <1% | 55 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 35 | $2K |
| 99000 | <1% | 21,121 | $806.97 | |
| 85018 | <1% | 235 | $428.55 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 20 | $269.55 |
| 99421 | <1% | 20 | $115.36 | |
| 81002 | <1% | 42 | $74.01 | |
| 36416 | <1% | 3,884 | $47.32 | |
| 86901 | <1% | 13 | $29.44 |
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 officialRAYNOR, TEARRA (DIRECTOR OF REVENUE CYCLE)
| Provider | Location | Paid |
|---|---|---|
| Planned Parenthood South Atlantic | Roanoke, VA | $80K |
| Planned Parenthood South Atlantic | Vienna, WV | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.