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    OpenPayerNPI Medicare & MedicaidPlanned Parenthood Great Northwest, Hawai'i, Alask…
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    Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky — Billing Profile & Reimbursement Data

    NPI 1891743092 · Indianapolis, IN · Non-Surgical Family Planning Clinic/Center

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    Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky is a non-surgical family planning clinic/center provider located in Indianapolis, Indiana. This profile covers 0 Medicare and 34 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)

    FieldValue
    Entity TypeOrganization
    OrganizationPlanned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky
    Address8590 Georgetown Rd
    CityIndianapolis
    StateIN
    ZIP46268
    TaxonomyNon-Surgical Family Planning Clinic/Center
    NPI EnumeratedMay 4, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$3.5M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    34 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J1050Injection, medroxyprogesterone acetate, 1 mg23,300$40$978.4K
    99213The 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…18,480$40$683.6K
    99214The 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…6,480$70$421.5K
    99212The 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,…10,770$30$269.2K
    99202The 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…7,050$40$246.8K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…24,560$10$221.1K
    J7307Etonogestrel (contraceptive) implant system, including implant and supplies220$610$135.5K
    81025The 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.24,100$10$120.5K
    86703The lab analyst performs an immunoassay to evaluate the patient’s specimen, typically serum, for antibodies to HIV 1 or HIV 2. This code applies to a single result for either antibody.12,010$10$84.1K
    99203The 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…1,630$50$76.5K

    Showing 1–10 of 34

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Indiana median

    34 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214The 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…3742,120870$60$450.6K
    99213The 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…2162,380920$50$376.8K
    J7307Etonogestrel (contraceptive) implant system, including implant and supplies410250$640$349.8K
    99204The provider sees a new 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 provider…214790150$90$99.4K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.23110490$30$88.4K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.23110520$20$87.5K
    99203The 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…127890160$60$76.8K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.228290130$40$69.8K
    99212The 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,…21880250$40$59.2K
    99395The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.44210130$60$31.5K

    Showing 1–10 of 34

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, KentuckyWANon-Surgical Family Planning Clinic/Center$0$18.7M
    Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, KentuckyHINon-Surgical Family Planning Clinic/Center$0$545.1K
    Sarah HumesINFamily Nurse Practitioner$96.9K$0
    Luke MatherIDFamily Medicine Physician$68.8K$0
    Taylor DunnAKFamily Medicine Physician$67.2K$0
    Joseph RothAKFamily Medicine Physician$49.1K$0
    Kirk ScofieldMNSports Medicine (Family Medicine) Physician$47.8K$0
    Song BaekINFamily Nurse Practitioner$47.1K$0
    Elizabeth DriscollVAFamily Nurse Practitioner$38.1K$0
    Carol Mitchell SpringerAKObstetrics & Gynecology Physician$28.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lel Home Services, LLCINIn Home Supportive Care Agency$0$62.2M
    Pike Medical Consultants PCINPulmonary Disease Physician$0$10.2M
    Northwest Radiology Network P CINDiagnostic Radiology Physician$0$9.5M
    The Indiana Institute For Behavior Analysis, IncINCommunity/Behavioral Health Agency$0$9.1M
    Am-pm Homes Health Services LLCINHome Health Agency$0$9M
    The Health And Hospital Corporation Of Marion CountyINFederally Qualified Health Center (FQHC)$0$8.9M
    United Seating And Mobility LLCINDurable Medical Equipment & Medical Supplies$0$7.9M
    Transcend Orthotics & Prosthetics, LLCINProsthetic/Orthotic Supplier$0$6.5M
    Cornerstone Associates, LLCINDevelopmentally Disabled Services Day Training Agency$0$6.2M
    Lincare IncINDurable Medical Equipment & Medical Supplies$0$6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicaid Revenue by Year vs. Indiana Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Indiana Distribution
    Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana