Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Children's Hospital of Orange County

Children's Hospital of Orange County was paid $3.47M by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.

33Billing provider infoCHILDREN'S HOSPITAL OF ORANGE COUNTY
ORANGE, CA 92868
33aNPI1093058927assigned 03/28/2013
33bProvider typeOphthalmology Physician
28Total paid$3.47M
24GClaims87,918
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#25 of 759
Median peer was paid$35K
This provider vs. median98×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official KELLY, MARK controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20187,885$454K
20197,617$464K
20209,737$593K
20218,915$457K
202212,482$589K
202320,907$671K
2024incomplete20,375$243K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 26% 19,314 18,890 $892K
92060 23% 25,056 24,604 $814K
99244 Office or other outpatient consultation, moderate to high complexity 22% 8,305 8,281 $770K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.2% 8,584 8,513 $249K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5.2% 1,720 1,714 $180K
92250 4.9% 4,438 4,370 $169K
67311 4.8% 358 185 $168K
92015 Determination of refractive state 4.3% 18,054 18,000 $150K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 581 577 $30K
67515 <1% 362 200 $28K
92133 <1% 930 922 $13K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 88 86 $5K
2 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 114 $3K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 14 $975.66

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialKELLY, MARK (DIRECTOR, CS BUSINESS SERVICES)
Parent organizationCHILDREN'S HOSPITAL OF ORANGE COUNTY
Same official

Other billing entities under KELLY, MARK

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.