Medicaid Provider Spending

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

CHILDREN'S HOSPITAL OF ORANGE COUNTY

NPI: 1376886200 · ORANGE, CA 92868 · Pediatric Infectious Diseases 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

$1.25M
Total Medicaid Paid
21,384
Total Claims
10,371
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKELLY, MARK (DIRECTOR, CS BUSINESS SERVICES)
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 $4.74M
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 $3.82M
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 ORANGE CA $998K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,074 $198K
2019 2,451 $156K
2020 2,975 $195K
2021 2,277 $151K
2022 3,108 $203K
2023 3,297 $175K
2024 4,202 $170K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 11,507 4,273 $699K
99232 Subsequent hospital care, per day, moderate complexity 7,989 4,247 $384K
99255 742 727 $81K
99254 705 690 $61K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 395 389 $19K
99215 Prolong outpt/office vis 29 28 $2K
99223 Prolong inpt eval add15 m 17 17 $2K