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PLANNED PARENTHOOD MINNESOTA, NORTH DAKOTA, SOUTH DAKOTA

Clinic/Center, Family Planning, Non-Surgical·SAINT PAUL, MN·NPI: 1629057146Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$38.3M

$38,345,719

Total Claims

738K

Beneficiaries

681K

1.1 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$6.1M
+33%
2019
$8.2M
-8%
2020
$7.5M
+2%
2021
$7.7M
-44%
2022
$4.3M
-32%
2023
$2.9M
-47%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (S4993) accounts for 28% of total spending.

S4993Normal range

$10.8M

111K claims · 28.2%

Your Cost: $97.00/claim|Median: $46.61
2.1× median
J7307Top 25%

Etonogestrel implant system, including implant and supplies

$4.1M

3,938 claims · 10.8%

Your Cost: $1,049.09/claim|Median: $786.43
1.3× median
99213Top 25%

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

$2.3M

40K claims · 6.0%

Your Cost: $57.33/claim|Median: $37.81
1.5× median
99214Top 25%

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

$2.1M

25K claims · 5.6%

Your Cost: $84.58/claim|Median: $53.41
1.6× median
J1050Top 5%

Injection, medroxyprogesterone acetate, one milligram

$2.0M

22K claims · 5.2%

Your Cost: $92.07/claim|Median: $41.92
2.2× median
J8499Top 5%

$1.5M

23K claims · 3.9%

Your Cost: $65.75/claim|Median: $1.99
33.0× median
J7304Normal range

$1.5M

4,060 claims · 3.9%

Your Cost: $363.71/claim|Median: $630.59
0.6× median
J7303Top 25%

$1.4M

4,628 claims · 3.7%

Your Cost: $310.52/claim|Median: $125.58
2.5× median
87806Top 10%

$1.4M

50K claims · 3.7%

Your Cost: $28.30/claim|Median: $20.54
1.4× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$1.2M

41K claims · 3.2%

Your Cost: $30.49/claim|Median: $23.39
1.3× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$1.2M

41K claims · 3.2%

Your Cost: $30.49/claim|Median: $24.95
1.2× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$1.1M

20K claims · 2.8%

Your Cost: $54.43/claim|Median: $40.11
1.4× median
A4267Normal range

$947K

83K claims · 2.5%

Your Cost: $11.47/claim|Median: $7.86
1.5× median
J7300Top 25%

$714K

696 claims · 1.9%

Your Cost: $1,025.51/claim|Median: $692.75
1.5× median
J7297Top 25%

$602K

767 claims · 1.6%

Your Cost: $784.28/claim|Median: $569.39
1.4× median
J7298Top 10%

$478K

458 claims · 1.2%

Your Cost: $1,044.28/claim|Median: $751.11
1.4× median
J3490Top 10%

Unclassified drugs

$435K

5,365 claims · 1.1%

Your Cost: $81.04/claim|Median: $5.70
14.2× median
99203Top 25%

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

$402K

4,674 claims · 1.0%

Your Cost: $85.90/claim|Median: $57.85
1.5× median
99204Top 25%

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

$391K

3,042 claims · 1.0%

Your Cost: $128.62/claim|Median: $84.03
1.5× median
81025Top 25%

Urine pregnancy test

$356K

48K claims · 0.9%

Your Cost: $7.47/claim|Median: $4.81
1.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$341K

26K claims · 0.9%

Your Cost: $13.15/claim|Median: $9.56
1.4× median
11981Normal range

$314K

3,051 claims · 0.8%

Your Cost: $102.94/claim|Median: $117.16
0.9× median
99212Top 25%

Office/outpatient visit, low complexity

$305K

7,105 claims · 0.8%

Your Cost: $42.86/claim|Median: $25.06
1.7× median
11982Normal range

$279K

2,567 claims · 0.7%

Your Cost: $108.71/claim|Median: $90.51
1.2× median
86780Normal range

$257K

21K claims · 0.7%

Your Cost: $12.49/claim|Median: $9.83
1.3× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$256K

2,452 claims · 0.7%

Your Cost: $104.35/claim|Median: $72.71
1.4× median
58300Normal range

$255K

3,456 claims · 0.7%

Your Cost: $73.65/claim|Median: $74.77
1.0× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$177K

6,117 claims · 0.5%

Your Cost: $28.97/claim|Median: $21.08
1.4× median
58301Normal range

$163K

1,999 claims · 0.4%

Your Cost: $81.42/claim|Median: $49.65
1.6× median
87210Top 25%

$142K

28K claims · 0.4%

Your Cost: $5.00/claim|Median: $3.65
1.4× median
J7296Normal range

Levonorgestrel intrauterine contraceptive system insertion

$113K

146 claims · 0.3%

Your Cost: $771.68/claim|Median: $860.31
0.9× median
36415Top 25%

Collection of venous blood by venipuncture

$113K

39K claims · 0.3%

Your Cost: $2.91/claim|Median: $1.57
1.9× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$92K

4,393 claims · 0.2%

Your Cost: $21.02/claim|Median: $18.03
1.2× median
Q0091Normal range

$82K

4,189 claims · 0.2%

Your Cost: $19.49/claim|Median: $11.15
1.7× median
J7295Normal range

$72K

290 claims · 0.2%

Your Cost: $248.53/claim|Median: $148.11
1.7× median
36416Top 25%

$64K

22K claims · 0.2%

Your Cost: $2.90/claim|Median: $1.31
2.2× median
99385Top 10%

Preventive visit, new patient, 18-39 yr

$58K

419 claims · 0.1%

Your Cost: $137.26/claim|Median: $76.22
1.8× median
86592Normal range

$47K

14K claims · 0.1%

Your Cost: $3.47/claim|Median: $3.35
1.0× median
83986Top 25%

$37K

11K claims · 0.1%

Your Cost: $3.37/claim|Median: $2.70
1.2× median
11983Normal range

$23K

193 claims · 0.1%

Your Cost: $120.70/claim|Median: $118.08
1.0× median
86803Normal range

Hepatitis C antibody

$19K

1,432 claims · 0.1%

Your Cost: $13.61/claim|Median: $10.17
1.3× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$19K

612 claims · 0.0%

Your Cost: $30.44/claim|Median: $27.38
1.1× median
88142Normal range

$18K

1,089 claims · 0.0%

Your Cost: $16.67/claim|Median: $14.75
1.1× median
81002Normal range

Urinalysis, non-automated without microscopy

$14K

6,050 claims · 0.0%

Your Cost: $2.35/claim|Median: $2.00
1.2× median
99215Top 25%

Office/outpatient visit, high complexity

$12K

88 claims · 0.0%

Your Cost: $132.43/claim|Median: $74.09
1.8× median
87529Normal range

$4K

117 claims · 0.0%

Your Cost: $34.48/claim|Median: $24.98
1.4× median
99211Normal range

Office/outpatient visit, minimal complexity

$4K

329 claims · 0.0%

Your Cost: $11.37/claim|Median: $12.93
0.9× median
87624Normal range

HPV detection, high-risk types, nucleic acid

$3K

104 claims · 0.0%

Your Cost: $31.12/claim|Median: $25.57
1.2× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$3K

16 claims · 0.0%

Your Cost: $160.24/claim|Median: $111.09
1.4× median
84403Top 25%

Testosterone, total blood test

$2K

79 claims · 0.0%

Your Cost: $24.92/claim|Median: $17.03
1.5× median

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