Children's Hospital of Orange County

Children's Hospital of Orange County was paid $754K by Medicaid between Jan 2018 and Nov 2024, across 53 billing codes. Its largest line is 96156, — 18% of everything it billed.

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	4,769	$121K
2019	4,362	$119K
2020	6,706	$218K
2021	4,737	$181K
2022	2,313	$84K
2023	742	$29K
2024incomplete	616	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
96156		18%	1,625	1,617	$137K
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	15%	3,042	2,940	$111K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	11%	1,538	1,470	$83K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	9.9%	566	561	$75K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	8.6%	918	913	$65K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	8.5%	2,515	2,426	$64K
92551		4.0%	2,359	2,351	$30K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	4.0%	628	625	$30K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	3.7%	617	613	$28K
G9920	Screening performed and negative	2.8%	730	726	$21K
90686		2.0%	1,460	1,456	$15K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.5%	154	116	$11K

41 more codes

G8510	Screening for depression is documented as negative, a follow-up plan is not required	1.4%	958	$10K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.2%	155	$9K
96150		1.0%	343	$8K
99244	Office or other outpatient consultation, moderate to high complexity	<1%	112	$7K
90620		<1%	281	$7K
96151		<1%	232	$5K
90670		<1%	433	$4K
90734		<1%	282	$4K
85018		<1%	1,512	$3K
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	<1%	87	$3K
97802		<1%	78	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	109	$2K
81000		<1%	692	$2K
90698		<1%	183	$2K
90621		<1%	141	$2K
90633		<1%	179	$2K
90649		<1%	87	$1K
99000		<1%	369	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	281	$1K
81002		<1%	534	$1K
99173		<1%	169	$957.30
90658		<1%	100	$914.28
96127		<1%	169	$881.19
90674		<1%	74	$666.00
90744		<1%	71	$639.00
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	14	$494.62
90681		<1%	45	$405.00
90723		<1%	39	$351.00
85999		<1%	112	$337.12
90651		<1%	14	$325.58
83655		<1%	27	$303.75
90716		<1%	28	$252.00
90707		<1%	28	$252.00
90672		<1%	16	$144.00
90648		<1%	16	$144.00
81025		<1%	44	$123.20
82465		<1%	28	$112.42
90647		<1%	12	$108.00
86580		<1%	13	$56.29
99204	Doctor's office visit, new patient (more involved)	0%	13	$0.00
90661		0%	13	$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 officialKORB, JAMES (PRESIDENT)

Parent organizationCHILDREN'S HOSPITAL OF ORANGE COUNTY