Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Children's Hospital of Orange County

Children's Hospital of Orange County was paid $1.43M by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 21% of everything it billed.

33Billing provider infoCHILDREN'S HOSPITAL OF ORANGE COUNTY
ORANGE, CA 92868
33aNPI1376886424assigned 03/27/2013
33bProvider typeAllergy Physician
28Total paid$1.43M
24GClaims36,774
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Allergy Physician providers in California

Rank by total paid#12 of 56
Median peer was paid$150K
This provider vs. median9.5×

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.

Entity ProliferationAuthorized official KELLY, MARK controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20186,377$230K
20196,633$218K
20204,593$192K
20214,246$216K
20224,618$234K
20235,282$228K
2024incomplete5,025$111K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99244 Office or other outpatient consultation, moderate to high complexity 21% 2,619 2,609 $296K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 20% 5,287 5,215 $282K
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 16% 4,885 4,713 $229K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 13% 2,687 2,623 $183K
99245 9.1% 1,280 1,279 $130K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 5.9% 4,649 2,343 $84K
94375 4.4% 2,675 2,662 $63K
95115 4.1% 7,883 3,992 $59K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.4% 955 894 $35K
95117 1.8% 3,201 1,619 $25K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.4% 379 305 $21K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.1% 150 150 $16K
1 more codes
95144 <1% 124 $6K

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 officialKELLY, MARK (DIRECTOR, CS BUSINESS SERVICES)
Parent organizationCHILDREN'S HOSPITAL OF ORANGE COUNTY
Same official

Other billing entities under KELLY, MARK

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.