Medicaid Provider Spending

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

CHILDREN'S HOSPITAL OF ORANGE COUNTY

NPI: 1336482256 · ORANGE, CA 92868 · Pediatric Critical Care Medicine 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

$3.82M
Total Medicaid Paid
30,597
Total Claims
12,187
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKELLY, MARK (DIRECTOR, CS BUSINESS SERVICES)
Parent OrganizationCHILDREN'S HOSPITAL OR 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 $4.74M
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 $3.47M
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 3,796 $645K
2019 4,991 $754K
2020 4,480 $574K
2021 3,605 $412K
2022 4,096 $498K
2023 5,007 $484K
2024 4,622 $455K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 8,323 3,070 $1.52M
Z0102 3,367 1,648 $659K
99232 Subsequent hospital care, per day, moderate complexity 11,521 2,719 $575K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 1,536 397 $283K
99476 560 144 $104K
99471 250 238 $96K
99222 Initial hospital care, per day, moderate complexity 294 290 $94K
Z0100 232 229 $92K
Z0104 589 370 $86K
99239 Hospital discharge day management, more than 30 minutes 1,068 1,035 $86K
99233 Prolong inpt eval add15 m 1,200 652 $69K
99475 147 138 $57K
00635 400 337 $50K
Z0106 386 242 $31K
99460 194 192 $14K
99223 Prolong inpt eval add15 m 21 21 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 63 28 $2K
99255 28 28 $2K
99238 Hospital discharge day management, 30 minutes or less 27 27 $1K
Z0108 31 26 $997.56
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45 43 $246.06
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 57 57 $0.00
99244 Office or other outpatient consultation, moderate to high complexity 14 14 $0.00
93325 82 81 $0.00
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 87 86 $0.00
93320 57 57 $0.00
99243 18 18 $0.00