Medicaid Provider Spending

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

CHILDREN'S HOSPITAL OF ORANGE COUNTY

NPI: 1316280233 · ORANGE, CA 92868 · Pediatric Gastroenterology 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

$4.74M
Total Medicaid Paid
59,436
Total Claims
50,284
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKELLY, MARK (DIRECTOR, CS BUSINESS DEVELOPMENT)
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 $8.23M
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 $4.70M
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 9,472 $866K
2019 8,818 $798K
2020 7,817 $667K
2021 8,218 $711K
2022 7,932 $694K
2023 7,856 $546K
2024 9,323 $456K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 34,607 33,348 $2.62M
99233 Prolong inpt eval add15 m 10,769 3,567 $667K
99245 4,896 4,879 $591K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,313 1,309 $361K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,497 4,399 $226K
99255 679 663 $75K
99244 Office or other outpatient consultation, moderate to high complexity 545 542 $60K
99232 Subsequent hospital care, per day, moderate complexity 953 408 $51K
99205 Prolong outpt/office vis 577 574 $41K
45380 Colonoscopy, flexible; with biopsy, single or multiple 25 25 $12K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 111 110 $7K
99254 75 73 $7K
99367 129 129 $7K
99080 85 84 $5K
Z4306 37 37 $2K
99417 Prolong home eval add 15m 56 55 $2K
99223 Prolong inpt eval add15 m 12 12 $1K
Z4304 25 25 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33 33 $1K
Z4303 12 12 $356.40