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

⚖️ Compare🖨️ Print Report

PLANNED PARENTHOOD HUDSON PECONIC INC.

Clinic/Center, Ambulatory Family Planning Facility·SMITHTOWN, NY·NPI: 1285701672Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$25.1M

$25,113,886

Total Claims

250K

Beneficiaries

207K

1.2 claims/patient

Avg Cost/Claim

$100

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+10%
2019
$1.9M
+173%
2020
$5.2M
-8%
2021
$4.8M
-7%
2022
$4.4M
-8%
2023
$4.1M
-27%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99212 (Office/outpatient visit, low complexity)) accounts for 26% of total spending.

99212Top 5%

Office/outpatient visit, low complexity

$6.4M

52K claims · 25.7%

Your Cost: $123.63/claim|Median: $25.06
4.9× median
99213Top 5%

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

$5.0M

39K claims · 19.8%

Your Cost: $127.93/claim|Median: $37.81
3.4× median
59840Top 5%

$2.2M

3,012 claims · 8.8%

Your Cost: $732.31/claim|Median: $190.09
3.9× median
76817Top 5%

Ultrasound, pregnant uterus, transvaginal

$1.6M

15K claims · 6.5%

Your Cost: $111.66/claim|Median: $47.65
2.3× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$1.6M

2,026 claims · 6.3%

Your Cost: $775.99/claim|Median: $786.43
1.0× median
99203Top 5%

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

$1.2M

7,980 claims · 4.9%

Your Cost: $153.45/claim|Median: $57.85
2.7× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$1.1M

7,487 claims · 4.5%

Your Cost: $150.50/claim|Median: $40.11
3.8× median
J7300Normal range

$809K

1,240 claims · 3.2%

Your Cost: $652.02/claim|Median: $692.75
0.9× median
11976Top 1%

$619K

1,061 claims · 2.5%

Your Cost: $583.80/claim|Median: $57.06
10.2× median
S0190Normal range

$506K

8,036 claims · 2.0%

Your Cost: $63.02/claim|Median: $58.42
1.1× median
11981Top 10%

$467K

1,580 claims · 1.9%

Your Cost: $295.35/claim|Median: $117.16
2.5× median
58300Top 25%

$428K

2,818 claims · 1.7%

Your Cost: $151.84/claim|Median: $74.77
2.0× median
99395Top 1%

Preventive medicine, established patient, age 18-39

$424K

2,207 claims · 1.7%

Your Cost: $192.06/claim|Median: $72.71
2.6× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$424K

8,145 claims · 1.7%

Your Cost: $52.00/claim|Median: $41.92
1.2× median
76815Top 5%

Ultrasound, pregnant uterus, limited

$418K

3,687 claims · 1.7%

Your Cost: $113.46/claim|Median: $36.79
3.1× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$326K

3,532 claims · 1.3%

Your Cost: $92.23/claim|Median: $27.38
3.4× median
58301Top 10%

$270K

1,711 claims · 1.1%

Your Cost: $158.00/claim|Median: $49.65
3.2× median
86703Top 25%

$220K

15K claims · 0.9%

Your Cost: $14.76/claim|Median: $10.37
1.4× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$135K

10K claims · 0.5%

Your Cost: $13.28/claim|Median: $9.56
1.4× median
99051Normal range

$134K

11K claims · 0.5%

Your Cost: $12.07/claim|Median: $7.89
1.5× median
J7296Normal range

Levonorgestrel intrauterine contraceptive system insertion

$132K

240 claims · 0.5%

Your Cost: $549.22/claim|Median: $860.31
0.6× median
99214Top 1%

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

$115K

608 claims · 0.5%

Your Cost: $189.85/claim|Median: $53.41
3.6× median
J7297Top 10%

$96K

114 claims · 0.4%

Your Cost: $837.80/claim|Median: $569.39
1.5× median
81025Normal range

Urine pregnancy test

$91K

29K claims · 0.4%

Your Cost: $3.09/claim|Median: $4.81
0.6× median
90651Top 5%

HPV vaccine, 9-valent

$83K

444 claims · 0.3%

Your Cost: $187.91/claim|Median: $8.93
21.0× median
11982Top 5%

$78K

251 claims · 0.3%

Your Cost: $309.15/claim|Median: $90.51
3.4× median
99385Top 1%

Preventive visit, new patient, 18-39 yr

$64K

292 claims · 0.3%

Your Cost: $218.87/claim|Median: $76.22
2.9× median
99396Top 1%

Preventive medicine, established patient, age 40-64

$38K

180 claims · 0.2%

Your Cost: $211.86/claim|Median: $76.06
2.8× median
S0191Normal range

$13K

7,877 claims · 0.1%

Your Cost: $1.67/claim|Median: $2.68
0.6× median
99000Top 25%

$11K

1,924 claims · 0.0%

Your Cost: $5.62/claim|Median: $2.30
2.4× median
57454Top 5%

Colposcopy with cervical biopsy and endocervical curettage

$7K

15 claims · 0.0%

Your Cost: $497.65/claim|Median: $96.39
5.2× median
36415Top 25%

Collection of venous blood by venipuncture

$6K

1,224 claims · 0.0%

Your Cost: $4.89/claim|Median: $1.57
3.1× median
36416Top 5%

$6K

337 claims · 0.0%

Your Cost: $16.98/claim|Median: $1.31
13.0× median
99215Normal range

Office/outpatient visit, high complexity

$4K

67 claims · 0.0%

Your Cost: $58.41/claim|Median: $74.09
0.8× median
99204Top 5%

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

$3K

12 claims · 0.0%

Your Cost: $211.61/claim|Median: $84.03
2.5× median
76830Normal range

Ultrasound, transvaginal

$2K

30 claims · 0.0%

Your Cost: $80.94/claim|Median: $57.47
1.4× median
85018Normal range

$1K

2,934 claims · 0.0%

Your Cost: $0.37/claim|Median: $1.71
0.2× median
87210Normal range

$853

4,313 claims · 0.0%

Your Cost: $0.20/claim|Median: $3.65
0.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$738

59 claims · 0.0%

Your Cost: $12.50/claim|Median: $12.93
1.0× median
90674Normal range

$593

34 claims · 0.0%

Your Cost: $17.44/claim|Median: $15.16
1.2× median
81002Normal range

Urinalysis, non-automated without microscopy

$484

1,635 claims · 0.0%

Your Cost: $0.30/claim|Median: $2.00
0.1× median
86850Top 5%

$473

12 claims · 0.0%

Your Cost: $39.44/claim|Median: $5.44
7.2× median
0031ANormal range

COVID-19 vaccine admin, J&J, single dose

$453

24 claims · 0.0%

Your Cost: $18.88/claim|Median: $32.49
0.6× median
90471Normal range

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

$262

903 claims · 0.0%

Your Cost: $0.29/claim|Median: $9.80
0.0× median
J2788Normal range

$134

13 claims · 0.0%

Your Cost: $10.31/claim|Median: $26.98
0.4× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$86

26 claims · 0.0%

Your Cost: $3.30/claim|Median: $21.08
0.2× median
J8499Normal range

$86

392 claims · 0.0%

Your Cost: $0.22/claim|Median: $1.99
0.1× median
J0696Normal range

$45

117 claims · 0.0%

Your Cost: $0.38/claim|Median: $1.34
0.3× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$13

54 claims · 0.0%

Your Cost: $0.24/claim|Median: $23.39
0.0× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$13

54 claims · 0.0%

Your Cost: $0.24/claim|Median: $24.95
0.0× median

Other Top Providers in New York

View all →

Public Partnerships LLC

Supports Brokerage

$7.18B

Freedom Care LLC

Home Health

$3.03B

American Business Institute Corp

Home Health

$1.68B

Premier Home Health Care Services INC

Home Health

$1.48B

Assistcarehome Healthcare Services

Home Health

$1.44B

Similar Providers

Other top providers in Clinic/Center, Ambulatory Family Planning Facility

Planned Parenthood/orange and San Bernardino Counties, Inc.

Orange, CA

$229.1M

Women & Infants Hospital of Rhode Island

Providence, RI

$132.2M

← All providersAll providers in New York →How we detect fraud →