Physician
Children's Hospital of Orange County
Children's Hospital of Orange County was paid $468K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 96% of everything it billed.
33Billing provider infoCHILDREN'S HOSPITAL OF ORANGE COUNTY
ORANGE, CA 92868
ORANGE, CA 92868
33aNPI1396088225assigned 03/28/2013
33bProvider typeClinical Biochemical Genetics Physician
28Total paid$468K
24GClaims4,532
24DCodes billed3
24AFirst – last monthJan 2018 – Nov 2024
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,119 | $122K | |
| 2019 | 961 | $121K | |
| 2020 | 698 | $74K | |
| 2021 | 450 | $44K | |
| 2022 | 347 | $32K | |
| 2023 | 521 | $40K | |
| 2024incomplete | 436 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 96% | 4,205 | 3,465 | $449K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.9% | 315 | 107 | $18K |
| 99255 | <1% | 12 | 12 | $896.04 |
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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.