Planned Parenthood of the Southern Finger Lakes INC.

Planned Parenthood of the Southern Finger Lakes INC. was paid $1.12M by Medicaid between Jan 2018 and Dec 2019, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.

33Billing provider infoPLANNED PARENTHOOD OF THE SOUTHERN FINGER LAKES INC.
ITHACA, NY 14850

33aNPI1881761484assigned 11/29/2006

33bProvider typeNon-Pharmacy Dispensing Site

28Total paid$1.12M

24GClaims22,567

24DCodes billed33

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Non-Pharmacy Dispensing Site providers in New York

Rank by total paid#2 of 5

Median peer was paid$364K

This provider vs. median3.1×

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	7,568	$392K
2019	14,999	$725K

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	41%	6,014	2,318	$453K
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	17%	3,000	1,181	$189K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	8.2%	896	572	$91K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	6.8%	709	453	$76K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	6.0%	1,719	1,691	$67K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	4.1%	1,718	1,690	$45K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	3.1%	353	335	$35K
76830	Ultrasound, transvaginal	2.8%	232	220	$31K
99401		2.2%	851	849	$25K
87661	Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe	1.5%	864	858	$17K
86703		1.2%	859	857	$13K
S0190	Mifepristone, oral, 200 mg	1.1%	173	170	$12K

21 more codes

59841		<1%	16	$10K
58300		<1%	57	$9K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	68	$8K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	567	$7K
88142		<1%	258	$7K
87624	Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types	<1%	154	$4K
11981		<1%	13	$4K
99203	Doctor's office visit, new patient (routine)	<1%	25	$3K
81025		<1%	941	$3K
99201		<1%	24	$3K
J1050	Injection, medroxyprogesterone acetate, 1 mg	<1%	192	$1K
86901		<1%	29	$1K
88305	Level IV - Surgical pathology, gross and microscopic examination	<1%	14	$968.80
99051		<1%	37	$390.51
S0191	Misoprostol, oral, 200 mcg	<1%	187	$303.91
86780		<1%	163	$124.56
S4993	Contraceptive pills for birth control	<1%	12	$64.50
87210		<1%	867	$28.98
83986		<1%	920	$20.01
85018		<1%	439	$11.06
81002		0%	196	$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 officialANDREWS, PEARL (EXEC. ADMIN)