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

PLANNED PARENTHOOD MAR MONTE

Clinical Medical Laboratory·SAN JOSE, CA·NPI: 1538351077Share

Compared to Clinical Medical Laboratory Peers

Total spending distribution among 88 providers in this specialty

P25MedianP75P90

This provider's total spending of $26.6M is at the 25th percentile among 88 Clinical Medical Laboratory providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$26.6M

$26,622,488

Total Claims

1.0M

Beneficiaries

981K

1.1 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$4.6M
-20%
2019
$3.6M
-37%
2020
$2.3M
+103%
2021
$4.7M
-34%
2022
$3.1M
+27%
2023
$3.9M
+15%
2024
$4.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (87491 (Chlamydia detection, nucleic acid, amplified probe)) accounts for 49% of total spending.

87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$13.0M

498K claims · 49.0%

Your Cost: $26.17/claim|Median: $24.95
1.0× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$12.7M

496K claims · 47.9%

Your Cost: $25.70/claim|Median: $23.39
1.1× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$762K

35K claims · 2.9%

Your Cost: $21.53/claim|Median: $21.08
1.0× median
J3490Normal range

Unclassified drugs

$13K

567 claims · 0.0%

Your Cost: $23.44/claim|Median: $5.70
4.1× median
99211Top 25%

Office/outpatient visit, minimal complexity

$13K

525 claims · 0.0%

Your Cost: $25.30/claim|Median: $12.93
2.0× median
A4267Top 5%

$12K

563 claims · 0.0%

Your Cost: $20.46/claim|Median: $7.86
2.6× median
87806Top 10%

$6K

201 claims · 0.0%

Your Cost: $27.72/claim|Median: $20.54
1.3× median
99000Top 5%

$5K

217 claims · 0.0%

Your Cost: $20.80/claim|Median: $2.30
9.0× median
99212Top 25%

Office/outpatient visit, low complexity

$4K

91 claims · 0.0%

Your Cost: $49.35/claim|Median: $25.06
2.0× median
81025Top 5%

Urine pregnancy test

$4K

148 claims · 0.0%

Your Cost: $23.90/claim|Median: $4.81
5.0× median
S4993Normal range

$3K

75 claims · 0.0%

Your Cost: $36.40/claim|Median: $46.61
0.8× median
99214Normal range

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

$2K

52 claims · 0.0%

Your Cost: $45.93/claim|Median: $53.41
0.9× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$2K

30 claims · 0.0%

Your Cost: $57.92/claim|Median: $27.38
2.1× median
99213Normal range

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

$1K

40 claims · 0.0%

Your Cost: $29.58/claim|Median: $37.81
0.8× median
83986Top 5%

$619

27 claims · 0.0%

Your Cost: $22.93/claim|Median: $2.70
8.5× median
Q0111Top 10%

$455

28 claims · 0.0%

Your Cost: $16.24/claim|Median: $3.66
4.4× median