Medicaid Provider Spending

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

PLANNED PARENTHOOD PACIFIC SOUTHWEST

NPI: 1831383637 · SAN DIEGO, CA 92105 · Community Health Clinic/Center · NPI assigned 09/05/2007

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

Authorized official GONZALES, THERESA controls 19+ related entities in our dataset. Read more

$2.85M
Total Medicaid Paid
53,806
Total Claims
48,120
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGONZALES, THERESA (DIRECTOR OF BILLING)
NPI Enumeration Date09/05/2007

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 OF THE PACIFIC SOUTHWEST RIVERSIDE CA $11.22M
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 OF THE PACIFIC SOUTHWEST HEMET CA $577K
PLANNED PARENTHOOD PACIFIC SOUTHWEST SAN DIEGO CA $255K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,320 $1.12M
2019 8,003 $398K
2020 6,303 $282K
2021 6,803 $339K
2022 5,387 $280K
2023 4,971 $266K
2024 3,019 $165K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,192 5,753 $714K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,529 3,112 $629K
87806 11,297 8,647 $287K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,123 2,779 $257K
S4993 Contraceptive pills for birth control 1,749 1,720 $223K
J3490 Unclassified drugs 3,887 3,210 $192K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 665 621 $189K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 665 573 $119K
99201 579 479 $65K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 846 840 $55K
A4267 Contraceptive supply, condom, male, each 2,812 2,793 $25K
81025 6,563 6,449 $21K
99000 4,330 4,265 $16K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 1,061 1,061 $13K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 13 13 $10K
S5000 Prescription drug, generic 1,493 1,410 $10K
11981 25 25 $5K
83986 1,825 1,581 $5K
86701 506 380 $3K
87210 984 975 $3K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 524 317 $3K
S5199 Personal care item, nos, each 691 686 $3K
81002 410 395 $711.49
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 13 12 $178.88
J0696 Injection, ceftriaxone sodium, per 250 mg 12 12 $61.12
85018 12 12 $4.30