Physician
NPI deactivated
Planned Parenthood of the Rocky Mountains, INC
Planned Parenthood of the Rocky Mountains, INC was paid $5.68M by Medicaid between Jan 2018 and Oct 2021, across 29 billing codes. Its largest line is S4993, Contraceptive pills for birth control — 55% of everything it billed.
33Billing provider infoPLANNED PARENTHOOD OF THE ROCKY MOUNTAINS, INC
DENVER, CO 80207
DENVER, CO 80207
33aNPI1881743631assigned 01/10/2007
33bProvider typeObstetrics & Gynecology Physician
28Total paid$5.68M
24GClaims119,853
24DCodes billed29
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Colorado
Rank by total paid#1 of 138
Median peer was paid$8K
This provider vs. median745×
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 | 45,937 | $2.01M | |
| 2019 | 47,498 | $2.22M | |
| 2020 | 25,117 | $1.40M | |
| 2021 | 1,301 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S4993 | Contraceptive pills for birth control | 55% | 21,035 | 18,495 | $3.11M |
| 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 | 11% | 5,643 | 5,390 | $619K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.9% | 7,608 | 7,210 | $564K |
| 87806 | 6.9% | 16,577 | 15,638 | $391K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 5.5% | 4,054 | 3,918 | $310K |
| 81025 | 2.0% | 14,561 | 13,717 | $113K | |
| 99201 | 1.6% | 2,069 | 1,922 | $91K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.5% | 1,209 | 1,096 | $87K |
| 99000 | 1.1% | 23,435 | 21,532 | $64K | |
| A4550 | Surgical trays | 1.1% | 1,292 | 1,207 | $63K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.0% | 3,938 | 3,781 | $59K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.0% | 2,795 | 2,647 | $58K |
17 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 873 | $40K |
| 87210 | <1% | 8,279 | $34K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 41 | $31K |
| 99050 | <1% | 2,847 | $18K | |
| 83986 | <1% | 2,194 | $8K | |
| 58300 | <1% | 70 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 902 | $3K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 32 | $3K |
| Q3014 | Telehealth originating site facility fee | <1% | 123 | $2K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 79 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 28 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 25 | $2K |
| 11981 | <1% | 13 | $2K | |
| A4268 | Contraceptive supply, condom, female, each | <1% | 29 | $1K |
| A4267 | Contraceptive supply, condom, male, each | <1% | 75 | $438.77 |
| 81000 | <1% | 15 | $57.82 | |
| 81002 | <1% | 12 | $40.80 |
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 | Albuquerque, NM | $3.16M |
| 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.