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PLANNED PARENTHOOD OF GREATER NEW YORK INC

Clinic/Center, Ambulatory Family Planning Facility·NEW YORK, NY·NPI: 1417959701Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$78.2M

$78,249,563

Total Claims

946K

Beneficiaries

912K

1.0 claims/patient

Avg Cost/Claim

$83

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+283%
2019
$5.9M
+148%
2020
$14.7M
+3%
2021
$15.0M
-8%
2022
$13.9M
+6%
2023
$14.7M
-15%
2024
$12.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (59840) accounts for 23% of total spending.

59840Top 10%

$18.2M

26K claims · 23.2%

Your Cost: $691.21/claim|Median: $190.09
3.6× median
99213Top 5%

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

$9.4M

69K claims · 12.0%

Your Cost: $137.22/claim|Median: $37.81
3.6× median
99212Top 5%

Office/outpatient visit, low complexity

$6.1M

38K claims · 7.8%

Your Cost: $160.70/claim|Median: $25.06
6.4× median
76815Top 5%

Ultrasound, pregnant uterus, limited

$4.9M

46K claims · 6.2%

Your Cost: $106.45/claim|Median: $36.79
2.9× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$4.4M

9,137 claims · 5.6%

Your Cost: $481.41/claim|Median: $786.43
0.6× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$3.8M

25K claims · 4.8%

Your Cost: $150.03/claim|Median: $40.11
3.7× median
99203Top 5%

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

$3.0M

20K claims · 3.8%

Your Cost: $149.75/claim|Median: $57.85
2.6× median
76817Top 5%

Ultrasound, pregnant uterus, transvaginal

$2.9M

27K claims · 3.7%

Your Cost: $105.44/claim|Median: $47.65
2.2× median
11981Top 10%

$2.0M

7,732 claims · 2.6%

Your Cost: $258.74/claim|Median: $117.16
2.2× median
11982Top 5%

$2.0M

6,617 claims · 2.6%

Your Cost: $302.03/claim|Median: $90.51
3.3× median
J7300Normal range

$2.0M

4,600 claims · 2.5%

Your Cost: $430.18/claim|Median: $692.75
0.6× median
S0190Normal range

$1.8M

28K claims · 2.3%

Your Cost: $64.73/claim|Median: $58.42
1.1× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$1.7M

12K claims · 2.2%

Your Cost: $147.52/claim|Median: $72.71
2.0× median
58300Top 25%

$1.6M

11K claims · 2.1%

Your Cost: $143.05/claim|Median: $74.77
1.9× median
59841Top 25%

$1.6M

2,003 claims · 2.0%

Your Cost: $797.92/claim|Median: $331.87
2.4× median
99214Top 5%

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

$1.4M

9,609 claims · 1.8%

Your Cost: $143.83/claim|Median: $53.41
2.7× median
J7297Normal range

$969K

3,261 claims · 1.2%

Your Cost: $297.27/claim|Median: $569.39
0.5× median
58301Top 10%

$948K

6,313 claims · 1.2%

Your Cost: $150.14/claim|Median: $49.65
3.0× median
59200Top 1%

$920K

1,543 claims · 1.2%

Your Cost: $596.25/claim|Median: $56.80
10.5× median
86703Top 25%

$748K

57K claims · 1.0%

Your Cost: $13.22/claim|Median: $10.37
1.3× median
36416Top 5%

$597K

30K claims · 0.8%

Your Cost: $19.69/claim|Median: $1.31
15.0× median
88304Top 5%

$503K

11K claims · 0.6%

Your Cost: $44.47/claim|Median: $12.88
3.5× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$478K

26K claims · 0.6%

Your Cost: $18.44/claim|Median: $41.92
0.4× median
90651Top 5%

HPV vaccine, 9-valent

$468K

2,674 claims · 0.6%

Your Cost: $174.98/claim|Median: $8.93
19.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$436K

35K claims · 0.6%

Your Cost: $12.35/claim|Median: $9.56
1.3× median
A4649Top 5%

Surgical supply, miscellaneous, not otherwise classified

$435K

945 claims · 0.6%

Your Cost: $460.32/claim|Median: $5.04
91.3× median
11983Top 25%

$392K

1,098 claims · 0.5%

Your Cost: $356.71/claim|Median: $118.08
3.0× median
76830Top 10%

Ultrasound, transvaginal

$390K

3,461 claims · 0.5%

Your Cost: $112.55/claim|Median: $57.47
2.0× median
57454Top 1%

Colposcopy with cervical biopsy and endocervical curettage

$387K

771 claims · 0.5%

Your Cost: $502.46/claim|Median: $96.39
5.2× median
99385Top 5%

Preventive visit, new patient, 18-39 yr

$375K

2,538 claims · 0.5%

Your Cost: $147.66/claim|Median: $76.22
1.9× median
99204Top 10%

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

$358K

2,422 claims · 0.5%

Your Cost: $147.95/claim|Median: $84.03
1.8× median
J7301Normal range

$316K

908 claims · 0.4%

Your Cost: $347.95/claim|Median: $738.11
0.5× median
76857Top 5%

Pelvic ultrasound, limited

$309K

2,341 claims · 0.4%

Your Cost: $132.13/claim|Median: $26.23
5.0× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$297K

1,980 claims · 0.4%

Your Cost: $149.93/claim|Median: $76.06
2.0× median
86901Top 5%

$286K

10K claims · 0.4%

Your Cost: $28.42/claim|Median: $2.26
12.6× median
J7296Normal range

Levonorgestrel intrauterine contraceptive system insertion

$240K

636 claims · 0.3%

Your Cost: $377.28/claim|Median: $860.31
0.4× median
99201Top 5%

Office/outpatient visit, new patient, straightforward

$226K

1,504 claims · 0.3%

Your Cost: $150.42/claim|Median: $27.38
5.5× median
81025Normal range

Urine pregnancy test

$179K

59K claims · 0.2%

Your Cost: $3.05/claim|Median: $4.81
0.6× median
36415Top 25%

Collection of venous blood by venipuncture

$131K

35K claims · 0.2%

Your Cost: $3.77/claim|Median: $1.57
2.4× median
99051Normal range

$125K

11K claims · 0.2%

Your Cost: $11.19/claim|Median: $7.89
1.4× median
99401Top 5%

$119K

2,922 claims · 0.2%

Your Cost: $40.89/claim|Median: $16.53
2.5× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$111K

46K claims · 0.1%

Your Cost: $2.43/claim|Median: $23.39
0.1× median
J7298Normal range

$97K

385 claims · 0.1%

Your Cost: $251.03/claim|Median: $751.11
0.3× median
99386Top 25%

Preventive visit, new patient, 40-64 yr

$92K

653 claims · 0.1%

Your Cost: $141.25/claim|Median: $87.82
1.6× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$72K

46K claims · 0.1%

Your Cost: $1.57/claim|Median: $24.95
0.1× median
S0191Normal range

$70K

28K claims · 0.1%

Your Cost: $2.53/claim|Median: $2.68
0.9× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$70K

11K claims · 0.1%

Your Cost: $6.68/claim|Median: $21.08
0.3× median
76998Top 25%

$67K

477 claims · 0.1%

Your Cost: $140.26/claim|Median: $57.59
2.4× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$57K

422 claims · 0.1%

Your Cost: $134.17/claim|Median: $13.30
10.1× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$45K

336 claims · 0.1%

Your Cost: $134.06/claim|Median: $22.44
6.0× median

Other Top Providers in New York

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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

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Orange, CA

$229.1M

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Providence, RI

$132.2M

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