Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Rocky Mountain Planned Parenthood, INC.

Rocky Mountain Planned Parenthood, INC. was paid $41K by Medicaid between Dec 2020 and Jun 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.

33Billing provider infoROCKY MOUNTAIN PLANNED PARENTHOOD, INC.
DURANGO, CO 81303
33aNPI1902442338assigned 11/20/2019
28Total paid$41K
24GClaims1,243
24DCodes billed10
24AFirst – last monthDec 2020 – Jun 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Colorado

Rank by total paid#44 of 138
Median peer was paid$8K
This provider vs. median5.3×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
202058$2K
2021435$17K
2022431$16K
2023286$5K
2024incomplete33$304.72
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31% 168 156 $13K
S4993 Contraceptive pills for birth control 26% 63 52 $11K
87806 14% 209 193 $6K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 11% 437 421 $5K
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 7.4% 37 27 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6.8% 62 56 $3K
81025 2.1% 114 104 $848.20
87210 <1% 68 25 $292.64
36415 Collection of venous blood by venipuncture <1% 51 49 $144.00
83986 <1% 34 25 $93.08

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)
Same official

Other billing entities under HERRERA, MARISSA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.