Clinic
Planned Parenthood Pasadena and San Gabriel Valley INC
Planned Parenthood Pasadena and San Gabriel Valley INC was paid $5.22M by Medicaid between Jan 2018 and Nov 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 19% of everything it billed.
33Billing provider infoPLANNED PARENTHOOD PASADENA AND SAN GABRIEL VALLEY INC
ALHAMBRA, CA 91801
ALHAMBRA, CA 91801
33aNPI1861636177assigned 04/30/2009
33bProvider typeClinic/Center
28Total paid$5.22M
24GClaims149,491
24DCodes billed36
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in California
Rank by total paid#83 of 504
Median peer was paid$102K
This provider vs. median51×
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 | 33,938 | $1.44M | |
| 2019 | 13,845 | $572K | |
| 2020 | 16,492 | $659K | |
| 2021 | 26,716 | $931K | |
| 2022 | 18,915 | $541K | |
| 2023 | 20,068 | $577K | |
| 2024incomplete | 19,517 | $501K |
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 | 19% | 9,800 | 9,563 | $969K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 10% | 18,659 | 16,839 | $541K |
| J3490 | Unclassified drugs | 10% | 19,863 | 16,680 | $536K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 10.0% | 18,621 | 16,841 | $521K |
| S4993 | Contraceptive pills for birth control | 8.9% | 3,623 | 3,571 | $464K |
| 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 | 8.1% | 2,832 | 2,791 | $426K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 7.7% | 2,365 | 2,351 | $403K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 5.7% | 5,324 | 5,272 | $298K |
| 87806 | 5.2% | 12,554 | 10,366 | $272K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.2% | 900 | 896 | $219K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.1% | 2,520 | 2,460 | $214K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 1.3% | 2,272 | 2,263 | $67K |
24 more codes
| 81025 | <1% | 13,792 | $43K | |
| A4267 | Contraceptive supply, condom, male, each | <1% | 9,934 | $40K |
| S5199 | Personal care item, nos, each | <1% | 3,981 | $30K |
| 99000 | <1% | 8,518 | $28K | |
| Q3014 | Telehealth originating site facility fee | <1% | 1,446 | $26K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 1,795 | $23K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 79 | $23K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 29 | $20K |
| S5000 | Prescription drug, generic | <1% | 1,704 | $13K |
| 83986 | <1% | 3,394 | $9K | |
| 11981 | <1% | 27 | $8K | |
| 99201 | <1% | 54 | $7K | |
| 87210 | <1% | 2,056 | $6K | |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 843 | $5K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 561 | $4K |
| S5001 | Prescription drug, brand name | <1% | 806 | $4K |
| 81002 | <1% | 685 | $1K | |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | <1% | 237 | $587.82 |
| 0012A | <1% | 14 | $560.00 | |
| 0011A | <1% | 14 | $560.00 | |
| 82120 | <1% | 117 | $255.88 | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 32 | $116.38 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 12 | $50.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 28 | $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 officialMCCOY, MIRELLA (REVENUE CYCLE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Planned Parenthood Pasadena and San Gabriel Valley INC | Baldwin Park, CA | $2.34M |
| Planned Parenthood Pasadena and San Gabriel Valley INC | Highland Park, CA | $1.65M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.