Physician
Children's Hospital of Orange County
Children's Hospital of Orange County was paid $2.14M by Medicaid between Jan 2018 and Nov 2024, across 143 billing codes. Its largest line is 92507, Treatment of speech, language, voice, communication, and/or auditory processing disorder — 19% of everything it billed.
33Billing provider infoCHILDREN'S HOSPITAL OF ORANGE COUNTY
ORANGE, CA 92868
ORANGE, CA 92868
33aNPI1275975104assigned 07/19/2013
33bProvider typeDevelopmental - Behavioral Pediatrics Physician
28Total paid$2.14M
24GClaims129,288
24DCodes billed143
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Developmental - Behavioral Pediatrics Physician providers in California
Rank by total paid#4 of 8
Median peer was paid$122K
This provider vs. median18×
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 | 10,095 | $69K | |
| 2019 | 20,883 | $447K | |
| 2020 | 12,348 | $207K | |
| 2021 | 14,753 | $272K | |
| 2022 | 23,330 | $472K | |
| 2023 | 29,864 | $610K | |
| 2024incomplete | 18,015 | $67K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 19% | 12,235 | 3,963 | $415K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 16% | 5,524 | 4,730 | $346K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 8.2% | 2,824 | 576 | $176K |
| 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 | 7.2% | 8,041 | 7,764 | $154K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 5.5% | 2,105 | 671 | $117K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 5.1% | 1,132 | 1,106 | $108K |
| 99245 | 4.1% | 801 | 796 | $89K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 16,205 | 15,391 | $78K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.0% | 1,189 | 391 | $64K |
| G9920 | Screening performed and negative | 1.9% | 4,656 | 4,646 | $40K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.9% | 176 | 161 | $40K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.8% | 366 | 354 | $39K |
131 more codes
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 1.7% | 779 | $37K |
| 92567 | 1.5% | 999 | $32K | |
| 92508 | Group treatment of speech, language, voice, communication, and/or auditory processing disorder | 1.4% | 828 | $29K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.3% | 580 | $29K |
| 99223 | Prolong inpt eval add15 m | 1.2% | 259 | $26K |
| 92587 | 1.1% | 452 | $24K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 1,192 | $20K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 139 | $20K |
| 92060 | <1% | 548 | $19K | |
| 93325 | <1% | 291 | $19K | |
| 96156 | <1% | 6,353 | $18K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 837 | $17K |
| 99255 | <1% | 144 | $15K | |
| 92523 | <1% | 145 | $14K | |
| 92557 | <1% | 173 | $14K | |
| 92522 | <1% | 144 | $13K | |
| 93320 | <1% | 142 | $13K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,535 | $12K |
| 93000 | <1% | 268 | $11K | |
| 92551 | <1% | 3,912 | $9K | |
| 99354 | <1% | 93 | $7K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,283 | $7K |
| 90686 | <1% | 2,473 | $7K | |
| 94375 | <1% | 608 | $7K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,009 | $6K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 480 | $5K |
| 92588 | <1% | 69 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 593 | $4K |
| 92579 | <1% | 112 | $4K | |
| 71045 | Radiologic examination, chest; single view | <1% | 387 | $3K |
| 99234 | <1% | 4,664 | $3K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 37 | $3K |
| 93975 | <1% | 32 | $2K | |
| 74018 | <1% | 222 | $2K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 26 | $2K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 19 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,358 | $2K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 54 | $2K |
| 92015 | Determination of refractive state | <1% | 43 | $1K |
| 99000 | <1% | 890 | $837.89 | |
| 99460 | <1% | 13 | $812.36 | |
| 0510 | <1% | 2,473 | $740.17 | |
| 76770 | <1% | 47 | $732.47 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 312 | $718.80 |
| 92582 | <1% | 14 | $700.26 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 76 | $650.06 |
| 99283 | Emergency room visit (moderate) | <1% | 2,786 | $646.70 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,141 | $618.00 |
| 92552 | <1% | 15 | $579.81 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,305 | $530.02 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 209 | $497.86 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 587 | $471.66 |
| 0450 | Emergency room services | <1% | 4,171 | $463.87 |
| 73610 | <1% | 72 | $416.18 | |
| 99174 | <1% | 825 | $360.00 | |
| 90671 | <1% | 73 | $341.82 | |
| 81002 | <1% | 156 | $328.42 | |
| 0761 | <1% | 106 | $326.60 | |
| 73110 | <1% | 52 | $323.68 | |
| 99050 | <1% | 252 | $305.92 | |
| 92555 | <1% | 15 | $262.09 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 97 | $255.32 |
| 73080 | <1% | 35 | $250.78 | |
| 90688 | <1% | 113 | $238.42 | |
| 0760 | <1% | 763 | $220.08 | |
| 90697 | <1% | 34 | $193.73 | |
| 73630 | <1% | 18 | $97.62 | |
| 80053 | Comprehensive metabolic panel | <1% | 1,393 | $93.78 |
| 90461 | <1% | 707 | $88.40 | |
| 0710 | <1% | 72 | $54.12 | |
| 90674 | <1% | 257 | $46.09 | |
| 90661 | <1% | 125 | $36.85 | |
| 90651 | <1% | 150 | $36.00 | |
| 99173 | <1% | 2,717 | $29.56 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 468 | $27.52 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 635 | $19.77 |
| 90633 | <1% | 141 | $17.82 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 199 | $13.66 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 49 | $12.76 |
| 85027 | <1% | 91 | $9.14 | |
| 90698 | <1% | 43 | $8.91 | |
| 81001 | <1% | 703 | $8.42 | |
| 86140 | <1% | 376 | $6.99 | |
| 85007 | <1% | 187 | $6.51 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 42 | $5.77 |
| 81025 | <1% | 14 | $4.02 | |
| 0270 | <1% | 229 | $0.02 | |
| 0320 | 0% | 39 | $0.00 | |
| 0300 | 0% | 179 | $0.00 | |
| 90670 | 0% | 96 | $0.00 | |
| A0429 | Emergency ambulance ride, basic life support | 0% | 2,784 | $0.00 |
| 84550 | 0% | 22 | $0.00 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 0% | 43 | $0.00 |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 61 | $0.00 |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 0% | 43 | $0.00 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 58 | $0.00 |
| 0123 | 0% | 52 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 27 | $0.00 |
| 84100 | 0% | 23 | $0.00 | |
| G9656 | Patient transferred directly from anesthetizing location to pacu or other non-icu location | 0% | 12 | $0.00 |
| 90715 | 0% | 16 | $0.00 | |
| 99199 | Unlisted special service, procedure or report | 0% | 27 | $0.00 |
| 87634 | 0% | 15 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 3,012 | $0.00 |
| 0306 | 0% | 112 | $0.00 | |
| 97802 | 0% | 3,251 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 1,256 | $0.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 445 | $0.00 |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 0% | 14 | $0.00 |
| 0636 | 0% | 81 | $0.00 | |
| 87430 | 0% | 12 | $0.00 | |
| 96375 | Therapeutic injection; each additional sequential IV push | 0% | 14 | $0.00 |
| 0250 | 0% | 168 | $0.00 | |
| 0305 | 0% | 48 | $0.00 | |
| 96127 | 0% | 35 | $0.00 | |
| 96361 | Intravenous infusion, hydration; each additional hour | 0% | 33 | $0.00 |
| 83615 | 0% | 43 | $0.00 | |
| 90619 | 0% | 65 | $0.00 | |
| 0301 | 0% | 93 | $0.00 | |
| 0258 | 0% | 40 | $0.00 | |
| A9150 | Non-prescription drugs | 0% | 45 | $0.00 |
| 87486 | 0% | 31 | $0.00 | |
| Q0162 | Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen | 0% | 31 | $0.00 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 46 | $0.00 |
| 87428 | 0% | 38 | $0.00 | |
| 0370 | 0% | 12 | $0.00 | |
| 90620 | 0% | 13 | $0.00 | |
| J2704 | Injection, propofol, 10 mg | 0% | 14 | $0.00 |
| 87581 | 0% | 31 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 12 | $0.00 |
| G0378 | Hospital observation service, per hour | 0% | 12 | $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 (CS DIRECTOR, 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.