Children's Hospital of Orange County
Children's Hospital of Orange County was paid $3.82M by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 40% of everything it billed.
ORANGE, CA 92868
Next to other Pediatric Critical Care Medicine Physician providers in California
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.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 4,622 | $455K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 40% | 8,323 | 3,070 | $1.52M |
| Z0102 | 17% | 3,367 | 1,648 | $659K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 15% | 11,521 | 2,719 | $575K |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 7.4% | 1,536 | 397 | $283K |
| 99476 | 2.7% | 560 | 144 | $104K | |
| 99471 | 2.5% | 250 | 238 | $96K | |
| 99222 | Initial hospital care, per day, moderate complexity | 2.5% | 294 | 290 | $94K |
| Z0100 | 2.4% | 232 | 229 | $92K | |
| Z0104 | 2.3% | 589 | 370 | $86K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.3% | 1,068 | 1,035 | $86K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.8% | 1,200 | 652 | $69K |
| 99475 | 1.5% | 147 | 138 | $57K |
15 more codes
| 00635 | 1.3% | 400 | $50K | |
| Z0106 | <1% | 386 | $31K | |
| 99460 | <1% | 194 | $14K | |
| 99223 | Prolong inpt eval add15 m | <1% | 21 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 63 | $2K |
| 99255 | <1% | 28 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 27 | $1K |
| Z0108 | <1% | 31 | $997.56 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 45 | $246.06 |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 0% | 57 | $0.00 |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 0% | 14 | $0.00 |
| 93325 | 0% | 82 | $0.00 | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 0% | 87 | $0.00 |
| 93320 | 0% | 57 | $0.00 | |
| 99243 | 0% | 18 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.