Loading...
NPI 1750435244 · San Rafael, CA · Clinical Medical Laboratory
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Planned Parenthood Shasta Diablo Inc is a clinical medical laboratory provider located in San Rafael, California. This profile covers 2 Medicare and 18 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Planned Parenthood Shasta Diablo Inc |
| Address | 2 H St |
| City | San Rafael |
| State | CA |
| ZIP | 94901 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | January 22, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $22.5M |
| Medicare | $1.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 20 | $30 | $680 |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 20 | $30 | $680 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 337,200 | $30 | $10.8M |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 337,200 | $30 | $10.8M |
| 87661 | The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique. | 30,890 | $30 | $926.8K |
| 87529 | The lab analyst performs a test for Herpes simplex virus, HSV, using amplified nucleic acid probe technique. HSV causes clusters of blisters, or vesicles, on different parts of the body and spreads… | 540 | $50 | $24.3K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 10 | $1 | $40 |
| 81025 | The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout. | 570 | $0 | $0 |
| 82120 | The lab analyst performs the technical lab test to analyze amines in the vaginal fluid. This test will give a positive or negative result, not a number value. Amines are a group of biochemical… | 10 | $0 | $0 |
| 83986 | The analyst performs the technical lab test to measure the pH, meaning the acidity or alkalinity, of a body fluid not represented by another code. The analyst may use methods such as a pH meter,… | 10 | $0 | $0 |
| 87806 | The lab analyst may conduct tests to identify the presence of HIV type 1 or type 2 strain in the patient’s blood. | 460 | $0 | $0 |
| 99000 | Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory. | 330 | $0 | $0 |
Showing 1–10 of 18
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
18 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| S4993 | Contraceptive pills for birth control | 153 | 210 | 1,290 | $110 | $295.6K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 8 | 1,140 | 530 | $20 | $195.6K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 8 | 1,270 | 450 | $20 | $183.5K |
| 87806 | The lab analyst may conduct tests to identify the presence of HIV type 1 or type 2 strain in the patient’s blood. | 158 | 240 | 2,510 | $20 | $168.2K |
| J3490 | Unclassified drugs | 850 | 1,390 | 670 | $20 | $159.5K |
| 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… | 8,806 | 14,520 | 760 | $10 | $122.8K |
| 87661 | The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique. | 15 | 310 | 500 | $10 | $101.4K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 1,930 | 2,180 | 180 | $70 | $67.9K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 5,355 | 5,600 | 440 | $10 | $44.4K |
| A4267 | Contraceptive supply, condom, male, each | 261 | 410 | 660 | $10 | $38.1K |
Showing 1–10 of 18
Other providers in the same ZIP code as Planned Parenthood Shasta Diablo Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Marin Community Clinic | CA | Federally Qualified Health Center (FQHC) | $0 | $110M |
| County Of Marin | CA | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $33.5M |
| County Of Marin | CA | Adolescent and Children Mental Health Clinic/Center | $0 | $24M |
| County Of Marin | CA | Community/Behavioral Health Agency | $0 | $23.6M |
| Marin Treatment Center | CA | Methadone Clinic | $688.6K | $0 |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.