Physician
Children's Hospital of Orange County
Children's Hospital of Orange County was paid $1.47M by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 26% of everything it billed.
33Billing provider infoCHILDREN'S HOSPITAL OF ORANGE COUNTY
ORANGE, CA 92868
ORANGE, CA 92868
33aNPI1104169606assigned 04/03/2013
33bProvider typePediatric Otolaryngology Physician
28Total paid$1.47M
24GClaims23,479
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,593 | $129K | |
| 2019 | 1,839 | $152K | |
| 2020 | 2,846 | $205K | |
| 2021 | 3,202 | $226K | |
| 2022 | 3,890 | $294K | |
| 2023 | 5,406 | $326K | |
| 2024incomplete | 4,703 | $135K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99244 | Office or other outpatient consultation, moderate to high complexity | 26% | 3,839 | 3,825 | $376K |
| 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 | 21% | 6,537 | 6,437 | $309K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.9% | 4,238 | 4,179 | $131K |
| 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 | 8.3% | 1,703 | 1,693 | $122K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 8.1% | 733 | 722 | $118K |
| 99243 | 7.4% | 1,347 | 1,344 | $109K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.3% | 1,210 | 1,201 | $77K |
| 69210 | 3.7% | 1,696 | 1,152 | $54K | |
| 99205 | Prolong outpt/office vis | 2.2% | 274 | 274 | $33K |
| 31575 | 2.1% | 320 | 319 | $31K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 2.0% | 311 | 192 | $29K |
| 31231 | 1.9% | 441 | 437 | $28K |
8 more codes
| 99245 | 1.8% | 316 | $27K | |
| 99203 | Doctor's office visit, new patient (routine) | 1.2% | 292 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 94 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 23 | $1K |
| 92504 | <1% | 27 | $629.37 | |
| 92015 | Determination of refractive state | 0% | 14 | $0.00 |
| 92060 | 0% | 29 | $0.00 | |
| 92567 | 0% | 35 | $0.00 |
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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.