Planned Parenthood: Shasta-Diablo, INC.
Planned Parenthood: Shasta-Diablo, INC. was paid $2.16M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 20% of everything it billed.
SAN RAFAEL, CA 94901
Next to other Community Health Clinic/Center providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 13,451 | $690K | |
| 2019 | 6,822 | $272K | |
| 2020 | 6,054 | $228K | |
| 2021 | 5,958 | $231K | |
| 2022 | 4,683 | $172K | |
| 2023 | 7,498 | $260K | |
| 2024incomplete | 8,146 | $303K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 20% | 2,686 | 2,468 | $429K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 2,945 | 2,765 | $310K |
| 87806 | 10% | 8,620 | 7,254 | $222K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.3% | 746 | 679 | $201K |
| J3490 | Unclassified drugs | 7.9% | 5,481 | 4,824 | $170K |
| S4993 | Contraceptive pills for birth control | 7.8% | 1,429 | 1,421 | $169K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.0% | 1,795 | 1,740 | $130K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 5.7% | 2,377 | 2,226 | $123K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.3% | 491 | 485 | $72K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.9% | 215 | 208 | $62K |
| 59840 | 1.4% | 161 | 81 | $30K | |
| 58300 | 1.4% | 318 | 166 | $30K |
28 more codes
| 99201 | 1.3% | 267 | $29K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 1,669 | $21K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 26 | $21K |
| A4267 | Contraceptive supply, condom, male, each | <1% | 2,807 | $20K |
| 99000 | <1% | 4,808 | $18K | |
| 81025 | <1% | 5,769 | $17K | |
| S5000 | Prescription drug, generic | <1% | 2,188 | $12K |
| J7300 | Intrauterine copper contraceptive (paragard) | <1% | 16 | $11K |
| 83986 | <1% | 3,096 | $9K | |
| 90651 | <1% | 36 | $8K | |
| S0199 | Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs | <1% | 13 | $7K |
| 11981 | <1% | 26 | $6K | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 1,482 | $6K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 78 | $5K |
| 99401 | <1% | 241 | $5K | |
| S5199 | Personal care item, nos, each | <1% | 1,132 | $3K |
| 82120 | <1% | 501 | $2K | |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 305 | $2K |
| 11976 | <1% | 24 | $1K | |
| 99152 | <1% | 25 | $1K | |
| 64435 | <1% | 27 | $1K | |
| 81002 | <1% | 445 | $885.80 | |
| S0190 | Mifepristone, oral, 200 mg | <1% | 13 | $834.91 |
| 87210 | <1% | 204 | $747.29 | |
| 85018 | <1% | 85 | $175.08 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 26 | $134.84 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 26 | $115.87 |
| S0191 | Misoprostol, oral, 200 mcg | <1% | 13 | $38.60 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Planned Parenthood Shasta Diablo INC | San Rafael, CA | $22.65M |
| Planned Parenthood Shasta Diablo, INC. | San Francisco, CA | $8.27M |
| Planned Parenthood Shasta Diablo INC | Chico, CA | $7.76M |
| Planned Parenthood Shasta Diablo INC | Concord, CA | $7.30M |
| Planned Parenthood Shasta Diablo, INC. | Santa Rosa, CA | $6.20M |
| Planned Parenthood: Shasta-Diablo, INC. | Eureka, CA | $5.35M |
| Planned Parenthood Shasta Diablo INC | Richmond, CA | $5.27M |
| Planned Parenthood Shasta Diablo INC | Antioch, CA | $5.15M |
| Planned Paranthood Shasta Diablo INC | Fairfield, CA | $4.56M |
| Planned Parenthood Shasta Diablo INC | El Cerrito, CA | $4.18M |
| Planned Parenthood Shasta Diablo INC | Vallejo, CA | $3.45M |
| Planned Parenthood Shasta Diablo, INC | Redding, CA | $2.97M |
| Planned Parenthood Shasta Diablo, INC | San Ramon, CA | $2.88M |
| Planned Parenthood Shasta Diablo INC | Walnut Creek, CA | $2.37M |
| Planned Parenthood Shasta Diablo INC | Clearlake, CA | $671K |
| Planned Parenthood: Shasta-Diablo, INC. | Napa, CA | $631K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.