Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CHILDREN'S HOSPITAL OF ORANGE COUNTY

NPI: 1093058927 · ORANGE, CA 92868 · Ophthalmology Physician · NPI assigned 03/28/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official KELLY, MARK controls 20+ related entities in our dataset. Read more

$3.47M
Total Medicaid Paid
87,918
Total Claims
86,468
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKELLY, MARK (DIRECTOR, CS BUSINESS SERVICES)
Parent OrganizationCHILDREN'S HOSPITAL OF ORANGE COUNTY
NPI Enumeration Date03/28/2013

Related Entities

Other providers sharing the same authorized official: KELLY, MARK

ProviderCityStateTotal Paid
ST. FRANCIS MEDICAL CENTER TRENTON NJ $30.60M
DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC. MONTEBELLO CA $18.75M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $11.86M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $8.23M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $5.33M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $5.33M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $4.84M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $4.74M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $4.70M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $4.31M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $3.82M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $3.10M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $2.14M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $2.09M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $1.93M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $1.47M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $1.43M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $1.31M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $1.25M
CHILDREN'S HOSPITAL OF ORANGE ORANGE CA $998K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,885 $454K
2019 7,617 $464K
2020 9,737 $593K
2021 8,915 $457K
2022 12,482 $589K
2023 20,907 $671K
2024 20,375 $243K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,314 18,890 $892K
92060 25,056 24,604 $814K
99244 Office or other outpatient consultation, moderate to high complexity 8,305 8,281 $770K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,584 8,513 $249K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,720 1,714 $180K
92250 4,438 4,370 $169K
67311 358 185 $168K
92015 Determination of refractive state 18,054 18,000 $150K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 581 577 $30K
67515 362 200 $28K
92133 930 922 $13K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 88 86 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 114 112 $3K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 14 14 $975.66