Medicaid Provider Spending

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

CHILDREN'S HOSPITAL OF ORANGE COUNTY

NPI: 1205179132 · ORANGE, CA 92868 · Pediatric Critical Care Medicine 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

$8.23M
Total Medicaid Paid
64,687
Total Claims
35,345
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKELLY, MARK (DIRECTPR, 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 $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 $3.47M
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 15,301 $2.24M
2019 9,957 $1.43M
2020 5,419 $650K
2021 6,237 $758K
2022 4,167 $473K
2023 9,835 $1.12M
2024 13,771 $1.55M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
Z0104 15,139 6,614 $2.18M
99480 Subsequent intensive care, per day, low birth weight infant 17,641 7,587 $2.17M
99479 Subsequent intensive care, per day, very low birth weight infant 10,285 4,574 $1.39M
Z0102 4,965 2,037 $971K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 2,615 1,301 $497K
99460 3,149 3,123 $205K
99239 Hospital discharge day management, more than 30 minutes 2,472 2,419 $179K
99215 Prolong outpt/office vis 1,690 1,566 $134K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 414 186 $74K
99464 834 830 $68K
99238 Hospital discharge day management, 30 minutes or less 774 772 $42K
Z4306 726 712 $36K
99080 471 463 $34K
99245 287 252 $34K
99222 Initial hospital care, per day, moderate complexity 274 273 $29K
Z0106 336 191 $25K
Z0100 62 61 $24K
99463 171 171 $23K
Z4304 377 377 $20K
99462 611 544 $20K
99205 Prolong outpt/office vis 151 150 $15K
99232 Subsequent hospital care, per day, moderate complexity 262 220 $15K
99367 280 274 $14K
Z4303 301 294 $9K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 42 14 $9K
99221 77 77 $4K
99233 Prolong inpt eval add15 m 56 40 $3K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 36 34 $3K
94375 162 162 $2K
99401 27 27 $12.81