Physician
Children's Hospital of Orange County
Children's Hospital of Orange County was paid $8.23M by Medicaid between Jan 2018 and Nov 2024, across 30 billing codes. Its largest line is Z0104, — 27% of everything it billed.
33Billing provider infoCHILDREN'S HOSPITAL OF ORANGE COUNTY
ORANGE, CA 92868
ORANGE, CA 92868
33aNPI1205179132assigned 03/28/2013
33bProvider typePediatric Critical Care Medicine Physician
28Total paid$8.23M
24GClaims64,687
24DCodes billed30
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Critical Care Medicine Physician providers in California
Rank by total paid#1 of 17
Median peer was paid$568K
This provider vs. median14×
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
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 | 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 | |
| 2024incomplete | 13,771 | $1.55M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| Z0104 | 27% | 15,139 | 6,614 | $2.18M | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 26% | 17,641 | 7,587 | $2.17M |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 17% | 10,285 | 4,574 | $1.39M |
| Z0102 | 12% | 4,965 | 2,037 | $971K | |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 6.0% | 2,615 | 1,301 | $497K |
| 99460 | 2.5% | 3,149 | 3,123 | $205K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.2% | 2,472 | 2,419 | $179K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.6% | 1,690 | 1,566 | $134K |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | <1% | 414 | 186 | $74K |
| 99464 | <1% | 834 | 830 | $68K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 774 | 772 | $42K |
| Z4306 | <1% | 726 | 712 | $36K |
18 more codes
| 99080 | <1% | 471 | $34K | |
| 99245 | <1% | 287 | $34K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 274 | $29K |
| Z0106 | <1% | 336 | $25K | |
| Z0100 | <1% | 62 | $24K | |
| 99463 | <1% | 171 | $23K | |
| Z4304 | <1% | 377 | $20K | |
| 99462 | <1% | 611 | $20K | |
| 99205 | Prolong outpt/office vis | <1% | 151 | $15K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 262 | $15K |
| 99367 | <1% | 280 | $14K | |
| Z4303 | <1% | 301 | $9K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 42 | $9K |
| 99221 | <1% | 77 | $4K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 56 | $3K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 36 | $3K |
| 94375 | <1% | 162 | $2K | |
| 99401 | <1% | 27 | $12.81 |
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 (DIRECTPR, 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.