Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. California (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Planned Parenthood Of The Pacific Southwest (NPI 1336174325)

Field	Value
Entity Type	Organization
Organization	Planned Parenthood Of The Pacific Southwest
Address	49-111 Highway 111
City	Coachella
State	CA
ZIP	92236
Taxonomy	Community Health Clinic/Center
NPI Enumerated	July 11, 2006

Payer Source	Total Paid
Medicaid	$33.5M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

59 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	6,760	$530	$3.6M
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	3,420	$950	$3.3M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	46,980	$60	$3M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	54,910	$50	$2.6M
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	54,900	$50	$2.6M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	25,020	$100	$2.5M
S4993	Contraceptive pills for birth control	15,080	$120	$1.8M
J3490	Unclassified drugs	37,630	$40	$1.6M
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	9,730	$160	$1.5M
87806	The lab analyst may conduct tests to identify the presence of HIV type 1 or type 2 strain in the patient’s blood.	50,440	$30	$1.3M

Showing 1–10 of 59

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

Claims Volume vs. California Distribution

Planned Parenthood Of The Pacific Southwest — 18 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

59 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	3	120	220	$440	$417.3K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	2	250	120	$850	$378K
S4993	Contraceptive pills for birth control	2	210	1,290	$110	$295.6K
J7298	Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg	11	90	60	$740	$268.1K
J7301	Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg	5	10	80	$770	$221.2K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	28	1,140	530	$20	$195.6K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	28	1,270	450	$20	$183.5K
59840	In this procedure, the provider deliberately terminates a pregnancy for elective or therapeutic reasons. He removes the fetus and products of conception by dilating the cervix and then using a…	4	50	180	$180	$180.1K
J7304	Contraceptive supply, hormone containing patch, each	4	80	90	$820	$173.9K
S5000	Prescription drug, generic	89	160	2,100	$20	$173.3K

Showing 1–10 of 59

Related Providers

Other providers that share a Tax Identification Number (TIN) with Planned Parenthood Of The Pacific Southwest, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Planned Parenthood Pacific Southwest	CA	Clinical Medical Laboratory	$0	$35.3M
Arturo Mendoza	CA	Anatomic Pathology & Clinical Pathology Physician	$106K	$0
Caroline Santilli	FL	Physician Assistant	$27.9K	$0

Planned Parenthood Of The Pacific Southwest — Billing Profile & Reimbursement Data

Sign up for Planned Parenthood Of The Pacific Southwest — Billing Profile & Reimbursement Data policy alerts

Planned Parenthood Of The Pacific Southwest — Billing Profile & Reimbursement Data

Sign up for Planned Parenthood Of The Pacific Southwest — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References