Clinic
Planned Parenthood Southeastern Pennsylvania
Planned Parenthood Southeastern Pennsylvania was paid $51K by Medicaid between Nov 2020 and Oct 2022, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoPLANNED PARENTHOOD SOUTHEASTERN PENNSYLVANIA
COATESVILLE, PA 19320
COATESVILLE, PA 19320
33aNPI1861635047assigned 04/17/2009
33bProvider typeAmbulatory Family Planning Facility
28Total paid$51K
24GClaims1,823
24DCodes billed10
24AFirst – last monthNov 2020 – Oct 2022
Compared with peers
Next to other Ambulatory Family Planning Facility providers in Pennsylvania
Rank by total paid#6 of 10
Median peer was paid$51K
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 | |
|---|---|---|---|
| 2020 | 53 | $3K | |
| 2021 | 894 | $31K | |
| 2022 | 876 | $18K |
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 | 29% | 238 | 236 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 24% | 265 | 259 | $12K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 13% | 120 | 119 | $7K |
| 81025 | 12% | 555 | 538 | $6K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 9.8% | 251 | 249 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 5.3% | 43 | 43 | $3K |
| 87210 | 4.1% | 295 | 293 | $2K | |
| 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 | 2.1% | 12 | 12 | $1K |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | <1% | 16 | 15 | $211.00 |
| 81002 | <1% | 28 | 28 | $120.81 |
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 officialBAILEY, VERA (CFO)
| Provider | Location | Paid |
|---|---|---|
| Planned Parenthood Southeastern Pennsylvania | Philadelphia, PA | $2.31M |
| Planned Parenthood Southeastern Pennsylvania | Philadelphia, PA | $172K |
| Planned Parenthood Southeastern Pennsylvania | Yeadon, PA | $167K |
| Planned Parenthood Southeastern Pennsylvania | Pottstown, PA | $105K |
| Planned Parenthood Southeastern Pennsylvania | Norristown, PA | $103K |
| Planned Parenthood Southeastern Pennsylvania | Media, PA | $67K |
| Planned Parenthood Southeastern Pennsylvania | West Chester, PA | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.