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PLANNED PARENTHOOD OF SOUTHERN NEW ENGLAND, INC.

Clinic/Center, Ambulatory Family Planning Facility·NEW HAVEN, CT·NPI: 1174633143Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$38.1M

$38,094,518

Total Claims

1.3M

Beneficiaries

1.2M

1.2 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$5.8M
+8%
2019
$6.3M
-23%
2020
$4.9M
+24%
2021
$6.1M
-17%
2022
$5.0M
-7%
2023
$4.7M
+11%
2024
$5.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 17% of total spending.

99213Normal range

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

$6.5M

130K claims · 16.9%

Your Cost: $49.60/claim|Median: $37.81
1.3× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$5.7M

172K claims · 15.1%

Your Cost: $33.35/claim|Median: $24.95
1.3× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$5.7M

172K claims · 15.0%

Your Cost: $33.32/claim|Median: $23.39
1.4× median
87661Top 25%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$4.3M

147K claims · 11.4%

Your Cost: $29.48/claim|Median: $21.08
1.4× median
S4993Normal range

$3.4M

70K claims · 9.0%

Your Cost: $49.26/claim|Median: $46.61
1.1× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$2.4M

45K claims · 6.2%

Your Cost: $52.36/claim|Median: $41.92
1.2× median
99214Top 25%

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

$2.0M

25K claims · 5.3%

Your Cost: $79.51/claim|Median: $53.41
1.5× median
99212Normal range

Office/outpatient visit, low complexity

$1.0M

31K claims · 2.7%

Your Cost: $32.85/claim|Median: $25.06
1.3× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$914K

60K claims · 2.4%

Your Cost: $15.29/claim|Median: $9.56
1.6× median
A4267Top 25%

$829K

68K claims · 2.2%

Your Cost: $12.20/claim|Median: $7.86
1.6× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$729K

11K claims · 1.9%

Your Cost: $63.40/claim|Median: $36.79
1.7× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$723K

15K claims · 1.9%

Your Cost: $48.83/claim|Median: $40.11
1.2× median
81025Top 25%

Urine pregnancy test

$505K

72K claims · 1.3%

Your Cost: $6.99/claim|Median: $4.81
1.5× median
99395Normal range

Preventive medicine, established patient, age 18-39

$457K

6,198 claims · 1.2%

Your Cost: $73.75/claim|Median: $72.71
1.0× median
99156Normal range

$382K

12K claims · 1.0%

Your Cost: $33.16/claim|Median: $41.68
0.8× median
36415Top 25%

Collection of venous blood by venipuncture

$378K

96K claims · 1.0%

Your Cost: $3.92/claim|Median: $1.57
2.5× median
99203Top 25%

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

$362K

4,265 claims · 1.0%

Your Cost: $84.93/claim|Median: $57.85
1.5× median
S5001Normal range

$327K

11K claims · 0.9%

Your Cost: $29.56/claim|Median: $17.91
1.7× median
87210Normal range

$225K

48K claims · 0.6%

Your Cost: $4.66/claim|Median: $3.65
1.3× median
S5000Normal range

Prescription drug, generic

$196K

19K claims · 0.5%

Your Cost: $10.53/claim|Median: $7.47
1.4× median
85018Top 25%

$102K

41K claims · 0.3%

Your Cost: $2.48/claim|Median: $1.71
1.4× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$98K

1,519 claims · 0.3%

Your Cost: $64.73/claim|Median: $47.65
1.4× median
87481Normal range

$96K

3,309 claims · 0.3%

Your Cost: $29.03/claim|Median: $22.38
1.3× median
59840Normal range

$89K

1,738 claims · 0.2%

Your Cost: $51.30/claim|Median: $190.09
0.3× median
81513Normal range

$83K

1,242 claims · 0.2%

Your Cost: $67.17/claim|Median: $71.32
0.9× median
96127Top 10%

Brief emotional/behavioral assessment, per standardized instrument

$73K

4,927 claims · 0.2%

Your Cost: $14.74/claim|Median: $3.67
4.0× median
J7303Normal range

$67K

1,028 claims · 0.2%

Your Cost: $64.83/claim|Median: $125.58
0.5× median
86901Normal range

$62K

20K claims · 0.2%

Your Cost: $3.17/claim|Median: $2.26
1.4× median
99204Top 10%

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

$55K

381 claims · 0.1%

Your Cost: $143.48/claim|Median: $84.03
1.7× median
87624Normal range

HPV detection, high-risk types, nucleic acid

$29K

995 claims · 0.1%

Your Cost: $29.08/claim|Median: $25.57
1.1× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$28K

544 claims · 0.1%

Your Cost: $52.03/claim|Median: $38.79
1.3× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$22K

799 claims · 0.1%

Your Cost: $27.28/claim|Median: $27.38
1.0× median
58300Normal range

$21K

517 claims · 0.1%

Your Cost: $40.88/claim|Median: $74.77
0.5× median
81002Top 25%

Urinalysis, non-automated without microscopy

$21K

7,467 claims · 0.1%

Your Cost: $2.76/claim|Median: $2.00
1.4× median
S0199Normal range

$18K

1,071 claims · 0.0%

Your Cost: $17.12/claim|Median: $454.23
0.0× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$18K

53 claims · 0.0%

Your Cost: $338.77/claim|Median: $786.43
0.4× median
99152Top 5%

$17K

342 claims · 0.0%

Your Cost: $50.69/claim|Median: $7.34
6.9× median
01966Normal range

$14K

456 claims · 0.0%

Your Cost: $30.82/claim|Median: $80.99
0.4× median
90471Normal range

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

$12K

1,357 claims · 0.0%

Your Cost: $9.04/claim|Median: $9.80
0.9× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$9K

230 claims · 0.0%

Your Cost: $38.47/claim|Median: $22.44
1.7× median
J7295Normal range

$7K

438 claims · 0.0%

Your Cost: $16.05/claim|Median: $148.11
0.1× median
11982Normal range

$7K

73 claims · 0.0%

Your Cost: $89.66/claim|Median: $90.51
1.0× median
S0190Normal range

$5K

1,124 claims · 0.0%

Your Cost: $4.62/claim|Median: $58.42
0.1× median
90656Top 25%

$4K

241 claims · 0.0%

Your Cost: $18.09/claim|Median: $8.67
2.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$4K

44 claims · 0.0%

Your Cost: $95.05/claim|Median: $76.06
1.2× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$4K

229 claims · 0.0%

Your Cost: $17.48/claim|Median: $7.18
2.4× median
J7298Normal range

$4K

12 claims · 0.0%

Your Cost: $301.58/claim|Median: $751.11
0.4× median
90651Top 5%

HPV vaccine, 9-valent

$3K

13 claims · 0.0%

Your Cost: $233.40/claim|Median: $8.93
26.1× median
90688Normal range

$2K

253 claims · 0.0%

Your Cost: $9.79/claim|Median: $9.00
1.1× median
99385Top 5%

Preventive visit, new patient, 18-39 yr

$2K

15 claims · 0.0%

Your Cost: $145.75/claim|Median: $76.22
1.9× median

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Similar Providers

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