Medicaid Provider Spending

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

CHILDREN'S HOSPITAL OF ORANGE COUNTY

NPI: 1538402458 · ORANGE, CA 92868 · Pediatric Cardiology 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

$11.86M
Total Medicaid Paid
158,641
Total Claims
147,066
Beneficiaries
43
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKELLY, MARK (DIRECTOR, CS BUSINESS SERVICES)
Parent OrganizationCHILDRENS 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 $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 COUNTY ORANGE CA $1.25M
CHILDREN'S HOSPITAL OF ORANGE ORANGE CA $998K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,159 $1.70M
2019 22,108 $1.92M
2020 17,696 $1.52M
2021 20,333 $1.82M
2022 19,928 $1.73M
2023 27,819 $1.82M
2024 31,598 $1.35M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 21,651 20,283 $2.92M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 11,182 10,840 $2.33M
93320 21,708 20,226 $1.49M
93325 26,957 24,529 $1.39M
99215 Prolong outpt/office vis 12,506 11,671 $1.17M
93000 19,932 19,464 $618K
99244 Office or other outpatient consultation, moderate to high complexity 4,230 4,209 $412K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 24,488 21,947 $363K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,840 4,758 $271K
99245 1,405 1,398 $203K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 635 222 $158K
93224 626 624 $96K
99233 Prolong inpt eval add15 m 1,127 429 $73K
99243 574 573 $50K
93321 1,280 1,133 $46K
99080 915 876 $44K
93241 592 591 $43K
99232 Subsequent hospital care, per day, moderate complexity 779 290 $32K
93304 336 312 $31K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 257 186 $16K
76825 108 105 $16K
93308 243 225 $15K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 380 379 $14K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 514 485 $11K
G9008 Coordinated care fee, physician coordinated care oversight services 80 80 $8K
76827 105 103 $7K
0450 Emergency room services 261 242 $6K
Z4303 174 153 $5K
99242 66 66 $5K
99255 17 16 $2K
93016 124 124 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 19 19 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 62 57 $2K
94621 56 56 $1K
Z4305 14 14 $1K
93018 124 124 $1K
99254 14 12 $1K
93245 13 13 $925.40
Z4304 14 14 $748.44
94760 77 76 $503.31
Z4313 13 13 $370.63
93288 13 13 $322.86
99284 Emergency department visit for the evaluation and management, high severity 130 116 $247.50