Clinic
Childrens Hospital of Orange County
Childrens Hospital of Orange County was paid $14.37M by Medicaid between Jan 2018 and Nov 2024, across 108 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.
33Billing provider infoCHILDRENS HOSPITAL OF ORANGE COUNTY
ORANGE, CA 92868
ORANGE, CA 92868
33aNPI1427121375assigned 11/16/2006
33bProvider typeUrgent Care Clinic/Center
28Total paid$14.37M
24GClaims535,141
24DCodes billed108
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in California
Rank by total paid#16 of 284
Median peer was paid$147K
This provider vs. median98×
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.
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 | 65,277 | $1.70M | |
| 2019 | 74,429 | $2.00M | |
| 2020 | 64,851 | $2.06M | |
| 2021 | 81,348 | $2.80M | |
| 2022 | 99,812 | $3.35M | |
| 2023 | 90,928 | $2.30M | |
| 2024incomplete | 58,496 | $155K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 96,276 | 90,323 | $2.92M |
| 96156 | 19% | 40,076 | 39,858 | $2.72M | |
| 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 | 11% | 37,262 | 35,772 | $1.64M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.6% | 17,570 | 17,552 | $809K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.9% | 12,541 | 12,523 | $709K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.4% | 16,091 | 16,016 | $629K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.4% | 10,672 | 7,680 | $628K |
| G9920 | Screening performed and negative | 3.3% | 22,181 | 22,114 | $468K |
| 92551 | 3.1% | 41,805 | 41,668 | $442K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.6% | 8,670 | 8,571 | $373K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 11,798 | 11,609 | $216K |
| 90686 | 1.4% | 24,355 | 24,307 | $206K |
96 more codes
| 96151 | 1.4% | 9,058 | $204K | |
| 99215 | Doctor's office visit, returning patient (complex) | 1.4% | 3,463 | $201K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.4% | 5,733 | $200K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.2% | 1,321 | $167K |
| 87428 | <1% | 2,193 | $112K | |
| 97802 | <1% | 3,699 | $98K | |
| 99383 | <1% | 1,410 | $96K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 10,698 | $84K |
| 99381 | <1% | 1,146 | $83K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 11,962 | $78K |
| 99384 | <1% | 884 | $74K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 2,691 | $65K |
| 90670 | <1% | 6,664 | $60K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 6,766 | $60K |
| 85018 | <1% | 31,384 | $56K | |
| 99382 | <1% | 819 | $49K | |
| 90633 | <1% | 6,219 | $49K | |
| 90620 | <1% | 3,603 | $47K | |
| 90651 | <1% | 5,315 | $44K | |
| 90734 | <1% | 4,290 | $42K | |
| 96111 | <1% | 541 | $37K | |
| 83655 | <1% | 3,767 | $36K | |
| 90715 | <1% | 3,668 | $33K | |
| 90697 | <1% | 2,155 | $31K | |
| 90698 | <1% | 3,692 | $31K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 507 | $31K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,156 | $29K |
| 96150 | <1% | 1,233 | $28K | |
| 90649 | <1% | 2,862 | $27K | |
| 90710 | <1% | 3,106 | $26K | |
| 90681 | <1% | 3,116 | $26K | |
| 99188 | <1% | 1,833 | $26K | |
| 90696 | <1% | 2,913 | $24K | |
| 90716 | <1% | 2,813 | $24K | |
| 90707 | <1% | 2,632 | $22K | |
| 90744 | <1% | 2,343 | $21K | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 654 | $18K |
| 96127 | <1% | 3,607 | $17K | |
| 69210 | <1% | 507 | $16K | |
| 90671 | <1% | 1,502 | $14K | |
| 90700 | <1% | 1,388 | $12K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,774 | $12K |
| 99000 | <1% | 3,379 | $12K | |
| D1206 | Topical application of fluoride varnish | <1% | 672 | $12K |
| 90619 | <1% | 1,855 | $12K | |
| 17110 | <1% | 116 | $12K | |
| 90674 | <1% | 3,203 | $11K | |
| 91321 | <1% | 92 | $10K | |
| 90480 | <1% | 234 | $9K | |
| 90672 | <1% | 1,014 | $9K | |
| 90723 | <1% | 971 | $9K | |
| 99173 | <1% | 1,047 | $8K | |
| 90621 | <1% | 667 | $8K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 181 | $8K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 106 | $8K |
| 90658 | <1% | 795 | $7K | |
| 81000 | <1% | 2,792 | $7K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 500 | $7K |
| 91322 | <1% | 42 | $6K | |
| 99174 | <1% | 144 | $5K | |
| 86580 | <1% | 1,140 | $5K | |
| 90648 | <1% | 500 | $4K | |
| 69209 | <1% | 446 | $4K | |
| 94664 | <1% | 394 | $4K | |
| 0124A | <1% | 84 | $3K | |
| 0111A | <1% | 61 | $2K | |
| 85999 | <1% | 755 | $2K | |
| 90685 | <1% | 235 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 118 | $2K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 72 | $2K |
| 81025 | <1% | 747 | $2K | |
| 90647 | <1% | 228 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 22 | $2K |
| 0072A | <1% | 39 | $2K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 328 | $1K |
| 0112A | <1% | 36 | $1K | |
| 81002 | <1% | 470 | $1K | |
| 99406 | <1% | 91 | $947.31 | |
| 82465 | <1% | 195 | $785.16 | |
| 88720 | <1% | 169 | $713.76 | |
| 90713 | <1% | 79 | $711.00 | |
| 0003A | <1% | 14 | $560.00 | |
| 0071A | <1% | 14 | $560.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 28 | $528.75 |
| 94010 | <1% | 21 | $516.60 | |
| 90677 | <1% | 568 | $513.00 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | $492.24 |
| 0154A | <1% | 12 | $480.00 | |
| 94150 | <1% | 35 | $194.95 | |
| 82947 | <1% | 42 | $144.26 | |
| 94760 | <1% | 20 | $111.80 | |
| 99001 | <1% | 390 | $41.25 | |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | <1% | 147 | $32.34 |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | <1% | 140 | $26.54 |
| 90661 | 0% | 1,282 | $0.00 | |
| 90660 | 0% | 13 | $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.
From NPPES
Who's on the registration
Authorized officialCADOGAN, GINA (BILLING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Childrens Hospital of Orange County | Santa Ana, CA | $6.24M |
| Childrens Hospital of Orange County | Garden Grove, CA | $3.72M |
| Childrens Hospital of Orange County | Santa Ana, CA | $1.84M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.