Physician
Planned Parenthood Keystone
Planned Parenthood Keystone was paid $147K by Medicaid between May 2022 and Nov 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoPLANNED PARENTHOOD KEYSTONE
ALLENTOWN, PA 18101
ALLENTOWN, PA 18101
33aNPI1881184760assigned 05/16/2018
33bProvider typeGynecology Physician
28Total paid$147K
24GClaims7,184
24DCodes billed16
24AFirst – last monthMay 2022 – Nov 2024
Compared with peers
Next to other Gynecology Physician providers in Pennsylvania
Rank by total paid#3 of 23
Median peer was paid$32K
This provider vs. median4.6×
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 | |
|---|---|---|---|
| 2022 | 1,967 | $51K | |
| 2023 | 2,841 | $65K | |
| 2024incomplete | 2,376 | $31K |
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 | 39% | 1,125 | 1,090 | $58K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 24% | 412 | 407 | $35K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 11% | 1,351 | 1,338 | $17K |
| 81025 | 7.9% | 1,235 | 1,212 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.8% | 307 | 300 | $12K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 4.2% | 110 | 109 | $6K |
| 87210 | 2.3% | 503 | 495 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.0% | 13 | 13 | $1K |
| 11981 | <1% | 12 | 12 | $1K | |
| S4993 | Contraceptive pills for birth control | <1% | 52 | 51 | $700.00 |
| 86703 | <1% | 27 | 26 | $601.05 | |
| 99401 | <1% | 68 | 68 | $528.00 |
4 more codes
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 officialHAMPTON, ALICIA (DIRECTOR OF HEALTH SERVICES AND SYS)
Parent organizationPLANNED PARENTHOOD KEYSTONE
| Provider | Location | Paid |
|---|---|---|
| Planned Parenthood Keystone | Allentown, PA | $545K |
| Planned Parenthood Keystone | Warminster, PA | $69K |
| Planned Parenthood Keystone | Bensalem, PA | $51K |
| Planned Parenthood Keystone | Reading, PA | $32K |
| Planned Parenthood Keystone | Harrisburg, PA | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.