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

PLANNED PARENTHOOD SHASTA DIABLO INC

Clinical Medical Laboratory·SAN RAFAEL, CA·NPI: 1750435244Share

Compared to Clinical Medical Laboratory Peers

Total spending distribution among 88 providers in this specialty

P25MedianP75P90

This provider's total spending of $22.6M is at the 25th percentile among 88 Clinical Medical Laboratory providers.

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

Total Paid

$22.6M

$22,646,763

Total Claims

709K

Beneficiaries

677K

1.0 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$4.0M
-24%
2019
$3.0M
-23%
2020
$2.3M
+28%
2021
$3.0M
-12%
2022
$2.6M
+55%
2023
$4.1M
-13%
2024
$3.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (87491 (Chlamydia detection, nucleic acid, amplified probe)) accounts for 48% of total spending.

87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$10.9M

337K claims · 48.0%

Your Cost: $32.25/claim|Median: $24.95
1.3× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$10.8M

337K claims · 47.8%

Your Cost: $32.10/claim|Median: $23.39
1.4× median
87661Top 25%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$925K

31K claims · 4.1%

Your Cost: $29.95/claim|Median: $21.08
1.4× median
87529Top 25%

$24K

540 claims · 0.1%

Your Cost: $45.16/claim|Median: $24.98
1.8× median
99211Normal range

Office/outpatient visit, minimal complexity

$144

395 claims · 0.0%

Your Cost: $0.36/claim|Median: $12.93
0.0× median
81025Normal range

Urine pregnancy test

$135

572 claims · 0.0%

Your Cost: $0.24/claim|Median: $4.81
0.0× median
87806Normal range

$131

459 claims · 0.0%

Your Cost: $0.29/claim|Median: $20.54
0.0× median
99213Normal range

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

$116

377 claims · 0.0%

Your Cost: $0.31/claim|Median: $37.81
0.0× median
J3490Normal range

Unclassified drugs

$52

305 claims · 0.0%

Your Cost: $0.17/claim|Median: $5.70
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$36

13 claims · 0.0%

Your Cost: $2.78/claim|Median: $25.06
0.1× median
A4267Normal range

$18

241 claims · 0.0%

Your Cost: $0.07/claim|Median: $7.86
0.0× median
S4993Normal range

$12

147 claims · 0.0%

Your Cost: $0.08/claim|Median: $46.61
0.0× median
99000Normal range

$11

333 claims · 0.0%

Your Cost: $0.03/claim|Median: $2.30
0.0× median
S5199Normal range

Personal care item, NOS, each

$9

235 claims · 0.0%

Your Cost: $0.04/claim|Median: $10.82
0.0× median
Q0111Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.66
83986Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.70
99202Normal range

Office/outpatient visit, new patient, low complexity

$0

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $40.11
82120Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.61