Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

PLANNED PARENTHOOD GREAT NORTHWEST, HAWAI'I, ALASKA, INDIANA, KENTUCKY

Clinic/Center, Family Planning, Non-Surgical·SEATTLE, WA·NPI: 1083700686Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.8M

$18,765,868

Total Claims

465K

Beneficiaries

442K

1.1 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$3.5M
-11%
2019
$3.2M
-15%
2020
$2.7M
-13%
2021
$2.3M
+23%
2022
$2.9M
-9%
2023
$2.6M
-42%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 47 distinct procedure codes. The top code (S9430) accounts for 34% of total spending.

S9430Top 25%

$6.3M

63K claims · 33.8%

Your Cost: $100.35/claim|Median: $42.75
2.3× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$3.0M

49K claims · 15.9%

Your Cost: $61.05/claim|Median: $37.81
1.6× median
S4993Normal range

$2.6M

76K claims · 13.9%

Your Cost: $34.29/claim|Median: $46.61
0.7× median
99212Top 25%

Office/outpatient visit, low complexity

$997K

25K claims · 5.3%

Your Cost: $39.54/claim|Median: $25.06
1.6× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$850K

16K claims · 4.5%

Your Cost: $53.54/claim|Median: $40.11
1.3× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$731K

26K claims · 3.9%

Your Cost: $28.03/claim|Median: $41.92
0.7× median
81025Top 10%

Urine pregnancy test

$693K

72K claims · 3.7%

Your Cost: $9.66/claim|Median: $4.81
2.0× median
99214Top 5%

Office/outpatient visit, est. patient, mod-high complexity

$682K

4,910 claims · 3.6%

Your Cost: $138.89/claim|Median: $53.41
2.6× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$453K

4,381 claims · 2.4%

Your Cost: $103.36/claim|Median: $72.71
1.4× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$414K

31K claims · 2.2%

Your Cost: $13.44/claim|Median: $9.56
1.4× median
58300Top 5%

$356K

1,092 claims · 1.9%

Your Cost: $325.69/claim|Median: $74.77
4.4× median
99203Top 10%

Office/outpatient visit, new patient, low-mod complexity

$344K

3,346 claims · 1.8%

Your Cost: $102.90/claim|Median: $57.85
1.8× median
J7304Normal range

$173K

354 claims · 0.9%

Your Cost: $488.17/claim|Median: $630.59
0.8× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$172K

442 claims · 0.9%

Your Cost: $389.11/claim|Median: $786.43
0.5× median
86703Top 25%

$165K

13K claims · 0.9%

Your Cost: $13.05/claim|Median: $10.37
1.3× median
36415Top 10%

Collection of venous blood by venipuncture

$118K

23K claims · 0.6%

Your Cost: $5.21/claim|Median: $1.57
3.3× median
J3490Normal range

Unclassified drugs

$82K

8,010 claims · 0.4%

Your Cost: $10.29/claim|Median: $5.70
1.8× median
A4267Normal range

$69K

8,774 claims · 0.4%

Your Cost: $7.91/claim|Median: $7.86
1.0× median
87210Top 25%

$67K

14K claims · 0.4%

Your Cost: $4.81/claim|Median: $3.65
1.3× median
11981Top 5%

$65K

207 claims · 0.3%

Your Cost: $316.06/claim|Median: $117.16
2.7× median
S0199Normal range

$62K

246 claims · 0.3%

Your Cost: $251.60/claim|Median: $454.23
0.6× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$58K

1,948 claims · 0.3%

Your Cost: $29.60/claim|Median: $27.38
1.1× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$37K

653 claims · 0.2%

Your Cost: $56.65/claim|Median: $47.65
1.2× median
36416Normal range

$31K

15K claims · 0.2%

Your Cost: $2.06/claim|Median: $1.31
1.6× median
J7297Normal range

$29K

386 claims · 0.2%

Your Cost: $76.40/claim|Median: $569.39
0.1× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$26K

288 claims · 0.1%

Your Cost: $91.82/claim|Median: $76.22
1.2× median
59899Normal range

$23K

130 claims · 0.1%

Your Cost: $179.20/claim|Median: $86.86
2.1× median
59840Normal range

$20K

260 claims · 0.1%

Your Cost: $75.94/claim|Median: $190.09
0.4× median
99421Top 25%

Online digital E/M, 5-10 min

$19K

1,312 claims · 0.1%

Your Cost: $14.60/claim|Median: $9.42
1.5× median
58301Normal range

$19K

325 claims · 0.1%

Your Cost: $57.71/claim|Median: $49.65
1.2× median
11982Normal range

$13K

177 claims · 0.1%

Your Cost: $75.86/claim|Median: $90.51
0.8× median
99204Top 5%

Office/outpatient visit, new patient, mod-high complexity

$13K

61 claims · 0.1%

Your Cost: $217.75/claim|Median: $84.03
2.6× median
90651Top 5%

HPV vaccine, 9-valent

$13K

73 claims · 0.1%

Your Cost: $172.81/claim|Median: $8.93
19.4× median
S0190Normal range

$5K

293 claims · 0.0%

Your Cost: $16.27/claim|Median: $58.42
0.3× median
81002Top 25%

Urinalysis, non-automated without microscopy

$4K

1,502 claims · 0.0%

Your Cost: $2.88/claim|Median: $2.00
1.4× median
82120Top 5%

$4K

790 claims · 0.0%

Your Cost: $5.17/claim|Median: $3.61
1.4× median
J7303Normal range

$4K

105 claims · 0.0%

Your Cost: $36.31/claim|Median: $125.58
0.3× median
76815Normal range

Ultrasound, pregnant uterus, limited

$3K

104 claims · 0.0%

Your Cost: $32.86/claim|Median: $36.79
0.9× median
J7298Normal range

$3K

14 claims · 0.0%

Your Cost: $218.21/claim|Median: $751.11
0.3× median
J7300Normal range

$3K

12 claims · 0.0%

Your Cost: $244.68/claim|Median: $692.75
0.4× median
83986Normal range

$3K

837 claims · 0.0%

Your Cost: $3.02/claim|Median: $2.70
1.1× median
85018Normal range

$2K

893 claims · 0.0%

Your Cost: $1.77/claim|Median: $1.71
1.0× median
A4269Normal range

$839

193 claims · 0.0%

Your Cost: $4.35/claim|Median: $7.36
0.6× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$603

79 claims · 0.0%

Your Cost: $7.64/claim|Median: $9.80
0.8× median
86901Normal range

$569

265 claims · 0.0%

Your Cost: $2.15/claim|Median: $2.26
0.9× median
S0191Normal range

$357

488 claims · 0.0%

Your Cost: $0.73/claim|Median: $2.68
0.3× median
J0696Normal range

$6

12 claims · 0.0%

Your Cost: $0.54/claim|Median: $1.34
0.4× median

Other Top Providers in Washington

View all →

Stillaguamish Tribe of Indians

Clinic/Center Rehabilitation Substance Use Disor

$349.3M

We Care Daily Clinics LLC

Clinic/Center Methadone Clinic

$260.6M

Ideal Option, PLLC

Preventive Medicine, Addiction Medicine

$259.1M

Seattle Children's Hospital

Prosthetic/Orthotic Supplier

$219.5M

Swinomish Health Services

Clinic/Center Rehabilitation Substance Use Disor

$195.9M

← All providersAll providers in Washington →How we detect fraud →