Behavioral
NPI deactivated
Planned Parenthood of the Rocky Mountains, INC
Planned Parenthood of the Rocky Mountains, INC was paid $3.16M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is J1050, Injection, medroxyprogesterone acetate, 1 mg — 14% of everything it billed.
33Billing provider infoPLANNED PARENTHOOD OF THE ROCKY MOUNTAINS, INC
ALBUQUERQUE, NM 87111
ALBUQUERQUE, NM 87111
33aNPI1851440945assigned 01/09/2007
33bProvider typeClinical Social Worker
28Total paid$3.16M
24GClaims75,308
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in New Mexico
Rank by total paid#6 of 171
Median peer was paid$68K
This provider vs. median46×
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 HERRERA, MARISSA controls 12+ 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 | 13,608 | $604K | |
| 2019 | 15,718 | $584K | |
| 2020 | 9,045 | $434K | |
| 2021 | 11,502 | $577K | |
| 2022 | 12,594 | $471K | |
| 2023 | 6,428 | $217K | |
| 2024incomplete | 6,413 | $278K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 14% | 4,852 | 4,764 | $448K |
| S4993 | Contraceptive pills for birth control | 12% | 5,319 | 4,664 | $381K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 5,996 | 5,792 | $359K |
| 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 | 9.5% | 3,370 | 3,229 | $301K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 7.1% | 2,151 | 2,067 | $225K |
| 87806 | 6.2% | 6,396 | 6,222 | $196K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 5.0% | 181 | 178 | $157K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 4.9% | 2,540 | 2,463 | $155K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.2% | 3,457 | 3,347 | $133K |
| S0190 | Mifepristone, oral, 200 mg | 4.0% | 1,600 | 1,573 | $128K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.9% | 5,364 | 5,233 | $91K |
| 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 | 2.5% | 560 | 555 | $80K |
31 more codes
| S2260 | Induced abortion, 17 to 24 weeks | 2.4% | 324 | $75K |
| 81025 | 2.3% | 9,076 | $72K | |
| 99203 | Doctor's office visit, new patient (routine) | 2.2% | 715 | $70K |
| 99201 | 1.9% | 1,691 | $59K | |
| 99204 | Doctor's office visit, new patient (more involved) | 1.8% | 416 | $58K |
| 58300 | 1.0% | 149 | $33K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,733 | $24K |
| 11982 | <1% | 112 | $24K | |
| 87210 | <1% | 3,881 | $21K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,117 | $20K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,350 | $14K |
| 11981 | <1% | 92 | $11K | |
| S0191 | Misoprostol, oral, 200 mcg | <1% | 1,828 | $5K |
| 83986 | <1% | 1,410 | $5K | |
| 96127 | <1% | 1,367 | $4K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 371 | $4K |
| Q3014 | Telehealth originating site facility fee | <1% | 113 | $3K |
| 85018 | <1% | 986 | $2K | |
| 86901 | <1% | 692 | $2K | |
| 99152 | <1% | 25 | $1K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 97 | $902.00 |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | <1% | 1,172 | $744.50 |
| 99459 | <1% | 38 | $701.71 | |
| 36416 | <1% | 286 | $668.88 | |
| 99000 | <1% | 3,159 | $524.14 | |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | <1% | 12 | $375.74 |
| A4550 | Surgical trays | <1% | 180 | $48.75 |
| 81002 | <1% | 12 | $36.43 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 37 | $26.93 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 37 | $10.00 |
| 59840 | 0% | 44 | $0.00 |
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 officialHERRERA, MARISSA (CREDENTIALING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Planned Parenthood of the Rocky Mountains, INC | Denver, CO | $5.68M |
| Rocky Mountain Planned Parenthood, INC. | Arvada, CO | $1.10M |
| Rocky Mountain Planned Parenthood, INC. | Denver, CO | $785K |
| Rocky Mountain Planned Parenthood, INC. | Colorado Springs, CO | $676K |
| Rocky Mountain Planned Parenthood, INC. | Fort Collins, CO | $508K |
| Rocky Mountain Planned Parenthood, INC. | Denver, CO | $341K |
| Rocky Mountain Planned Parenthood, INC. | Boulder, CO | $308K |
| Rocky Mountain Planned Parenthood, INC. | Greeley, CO | $288K |
| Rocky Mountain Planned Parenthood, INC. | Durango, CO | $41K |
| Rocky Mountain Planned Parenthood, INC. | Salida, CO | $7K |
| Rocky Mountain Planned Parenthood, INC. | Cortez, CO | $3K |
| Rocky Mountain Planned Parenthood, INC. | Glenwood Springs, CO | $227.60 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.