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PLANNED PARENTHOOD OF WISCONSIN

Clinic/Center, Ambulatory Family Planning Facility·MILWAUKEE, WI·NPI: 1407021900Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$22.0M

$21,980,721

Total Claims

416K

Beneficiaries

311K

1.3 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+20%
2019
$2.6M
+44%
2020
$3.8M
+1%
2021
$3.8M
-0%
2022
$3.8M
-5%
2023
$3.6M
-40%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (S4993) accounts for 60% of total spending.

S4993Normal range

$13.2M

212K claims · 60.0%

Your Cost: $62.14/claim|Median: $46.61
1.3× median
J7304Normal range

$2.3M

12K claims · 10.4%

Your Cost: $193.81/claim|Median: $630.59
0.3× median
H1010Top 10%

$2.0M

20K claims · 8.9%

Your Cost: $95.92/claim|Median: $75.85
1.3× median
T5999Top 25%

Transportation service, not otherwise classified

$1.8M

24K claims · 8.1%

Your Cost: $73.68/claim|Median: $8.13
9.1× median
A4267Top 25%

$1.5M

119K claims · 6.8%

Your Cost: $12.63/claim|Median: $7.86
1.6× median
J7303Normal range

$341K

5,211 claims · 1.6%

Your Cost: $65.50/claim|Median: $125.58
0.5× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$196K

521 claims · 0.9%

Your Cost: $375.71/claim|Median: $786.43
0.5× median
99213Normal range

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

$191K

4,599 claims · 0.9%

Your Cost: $41.61/claim|Median: $37.81
1.1× median
99214Normal range

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

$129K

2,188 claims · 0.6%

Your Cost: $59.05/claim|Median: $53.41
1.1× median
99203Normal range

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

$114K

1,727 claims · 0.5%

Your Cost: $65.80/claim|Median: $57.85
1.1× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$62K

2,208 claims · 0.3%

Your Cost: $27.96/claim|Median: $41.92
0.7× median
58300Normal range

$47K

1,295 claims · 0.2%

Your Cost: $36.27/claim|Median: $74.77
0.5× median
11981Normal range

$38K

497 claims · 0.2%

Your Cost: $76.23/claim|Median: $117.16
0.7× median
J7297Normal range

$37K

504 claims · 0.2%

Your Cost: $72.95/claim|Median: $569.39
0.1× median
J7300Normal range

$35K

157 claims · 0.2%

Your Cost: $222.03/claim|Median: $692.75
0.3× median
99204Normal range

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

$29K

314 claims · 0.1%

Your Cost: $93.86/claim|Median: $84.03
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$19K

688 claims · 0.1%

Your Cost: $27.01/claim|Median: $25.06
1.1× median
99000Normal range

$15K

4,240 claims · 0.1%

Your Cost: $3.48/claim|Median: $2.30
1.5× median
J8499Top 25%

$10K

482 claims · 0.0%

Your Cost: $21.66/claim|Median: $1.99
10.9× median
J7295Normal range

$3K

3,181 claims · 0.0%

Your Cost: $0.93/claim|Median: $148.11
0.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$3K

75 claims · 0.0%

Your Cost: $37.99/claim|Median: $40.11
0.9× median
87210Top 25%

$2K

412 claims · 0.0%

Your Cost: $5.18/claim|Median: $3.65
1.4× median
81025Top 25%

Urine pregnancy test

$2K

265 claims · 0.0%

Your Cost: $7.86/claim|Median: $4.81
1.6× median
87806Top 25%

$788

30 claims · 0.0%

Your Cost: $26.28/claim|Median: $20.54
1.3× median
J3490Normal range

Unclassified drugs

$508

45 claims · 0.0%

Your Cost: $11.28/claim|Median: $5.70
2.0× median

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Similar Providers

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

Planned Parenthood/orange and San Bernardino Counties, Inc.

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$229.1M

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$132.2M

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