Clinic
Childrens Hospital of Orange County
Childrens Hospital of Orange County was paid $6.24M by Medicaid between Jan 2018 and Nov 2024, across 96 billing codes. Its largest line is 96156, — 24% of everything it billed.
33Billing provider infoCHILDRENS HOSPITAL OF ORANGE COUNTY
SANTA ANA, CA 92701
SANTA ANA, CA 92701
33aNPI1265569008assigned 02/28/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$6.24M
24GClaims258,592
24DCodes billed96
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#20 of 422
Median peer was paid$25K
This provider vs. median254×
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.
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 | 20,900 | $454K | |
| 2019 | 34,900 | $794K | |
| 2020 | 40,251 | $1.21M | |
| 2021 | 44,766 | $1.41M | |
| 2022 | 43,162 | $1.35M | |
| 2023 | 42,640 | $950K | |
| 2024incomplete | 31,973 | $67K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 24% | 23,053 | 22,968 | $1.53M | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 40,432 | 38,356 | $837K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.1% | 9,767 | 9,753 | $443K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.0% | 7,840 | 7,820 | $435K |
| 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 | 6.5% | 11,120 | 10,922 | $404K |
| G9920 | Screening performed and negative | 5.3% | 16,248 | 16,213 | $332K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.7% | 7,447 | 7,414 | $292K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.3% | 4,236 | 2,809 | $268K |
| 92551 | 4.1% | 24,367 | 24,310 | $254K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.8% | 4,121 | 4,081 | $175K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.0% | 1,054 | 1,050 | $128K |
| 90686 | 1.8% | 13,126 | 13,109 | $114K |
84 more codes
| 96151 | 1.5% | 4,117 | $93K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.3% | 2,299 | $80K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 7,461 | $59K |
| 97802 | <1% | 2,100 | $55K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,364 | $49K |
| 94010 | <1% | 2,275 | $45K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 661 | $39K |
| 87428 | <1% | 866 | $39K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 1,647 | $36K |
| 85018 | <1% | 17,253 | $31K | |
| 90670 | <1% | 3,213 | $29K | |
| 90620 | <1% | 2,366 | $24K | |
| 90633 | <1% | 2,797 | $23K | |
| 90734 | <1% | 2,220 | $20K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 1,277 | $20K |
| 99383 | <1% | 289 | $20K | |
| 90651 | <1% | 2,436 | $19K | |
| 90715 | <1% | 1,818 | $16K | |
| 90698 | <1% | 1,819 | $16K | |
| 90649 | <1% | 1,623 | $15K | |
| 90697 | <1% | 1,010 | $14K | |
| 90710 | <1% | 1,445 | $13K | |
| 94150 | <1% | 2,256 | $12K | |
| 90696 | <1% | 1,355 | $12K | |
| 90716 | <1% | 1,240 | $11K | |
| 90681 | <1% | 1,298 | $11K | |
| 99382 | <1% | 179 | $11K | |
| 90707 | <1% | 1,137 | $10K | |
| 94060 | <1% | 212 | $10K | |
| 94664 | <1% | 1,495 | $9K | |
| 90674 | <1% | 2,250 | $9K | |
| 90619 | <1% | 1,543 | $8K | |
| 83655 | <1% | 756 | $8K | |
| 90744 | <1% | 910 | $8K | |
| 99417 | Prolong home eval add 15m | <1% | 78 | $8K |
| 96150 | <1% | 343 | $8K | |
| 99381 | <1% | 132 | $8K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 881 | $7K |
| 90480 | <1% | 178 | $7K | |
| 90672 | <1% | 895 | $7K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 130 | $7K |
| 91321 | <1% | 45 | $7K | |
| D1206 | Topical application of fluoride varnish | <1% | 326 | $6K |
| 90658 | <1% | 633 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,249 | $6K |
| 90671 | <1% | 496 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 84 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 783 | $5K |
| 81000 | <1% | 1,979 | $5K | |
| 99000 | <1% | 1,218 | $5K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 310 | $5K |
| 90621 | <1% | 394 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 119 | $4K |
| 99384 | <1% | 48 | $4K | |
| 86580 | <1% | 787 | $4K | |
| 90723 | <1% | 421 | $4K | |
| 96127 | <1% | 815 | $4K | |
| 91322 | <1% | 25 | $4K | |
| 99174 | <1% | 73 | $3K | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 81 | $2K |
| 99173 | <1% | 595 | $2K | |
| 69210 | <1% | 73 | $2K | |
| 0124A | <1% | 54 | $2K | |
| 0112A | <1% | 54 | $2K | |
| 0072A | <1% | 52 | $2K | |
| 85999 | <1% | 571 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 117 | $2K |
| 90700 | <1% | 162 | $1K | |
| 99188 | <1% | 215 | $1K | |
| 96111 | <1% | 16 | $1K | |
| 99205 | Prolong outpt/office vis | <1% | 12 | $1K |
| 81025 | <1% | 341 | $921.20 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 49 | $917.77 |
| 90647 | <1% | 79 | $711.00 | |
| 82465 | <1% | 152 | $612.42 | |
| 90685 | <1% | 63 | $567.00 | |
| 69209 | <1% | 57 | $496.22 | |
| 0071A | <1% | 12 | $480.00 | |
| 90677 | <1% | 369 | $369.00 | |
| 82947 | <1% | 72 | $250.33 | |
| 88720 | <1% | 15 | $64.50 | |
| 90660 | <1% | 42 | $9.00 | |
| 90661 | 0% | 816 | $0.00 | |
| 95012 | 0% | 283 | $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 officialCADOGAN, GINA (BILLING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Childrens Hospital of Orange County | Orange, CA | $14.37M |
| Childrens Hospital of Orange County | Garden Grove, CA | $3.72M |
| Childrens Hospital of Orange County | Santa Ana, CA | $1.84M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.