Clinic
Childrens Hospital of Orange County
Childrens Hospital of Orange County was paid $3.72M by Medicaid between Jan 2018 and Nov 2024, across 82 billing codes. Its largest line is 96156, — 26% of everything it billed.
33Billing provider infoCHILDRENS HOSPITAL OF ORANGE COUNTY
GARDEN GROVE, CA 92840
GARDEN GROVE, CA 92840
33aNPI1568599769assigned 02/27/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$3.72M
24GClaims148,036
24DCodes billed82
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#23 of 422
Median peer was paid$25K
This provider vs. median152×
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 | 11,520 | $274K | |
| 2019 | 20,219 | $494K | |
| 2020 | 24,134 | $810K | |
| 2021 | 24,559 | $821K | |
| 2022 | 21,049 | $684K | |
| 2023 | 25,734 | $566K | |
| 2024incomplete | 20,821 | $72K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 26% | 14,412 | 14,361 | $959K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.8% | 16,444 | 15,905 | $326K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.5% | 6,293 | 6,282 | $278K |
| G9920 | Screening performed and negative | 6.2% | 11,642 | 11,613 | $230K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 6.0% | 3,332 | 2,382 | $223K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.8% | 5,532 | 5,522 | $217K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.4% | 3,980 | 3,975 | $202K |
| 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 | 5.3% | 5,615 | 5,463 | $196K |
| 92551 | 4.3% | 15,953 | 15,918 | $161K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.2% | 2,889 | 2,865 | $120K |
| 99384 | 2.7% | 1,200 | 1,198 | $102K | |
| 96151 | 2.3% | 3,726 | 3,720 | $84K |
70 more codes
| 90686 | 1.7% | 7,541 | $63K | |
| 99383 | 1.6% | 928 | $60K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.1% | 5,516 | $41K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.0% | 1,073 | $38K |
| 97802 | <1% | 1,407 | $36K | |
| 85018 | <1% | 7,637 | $35K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 189 | $24K |
| 90670 | <1% | 2,092 | $19K | |
| 90620 | <1% | 1,229 | $16K | |
| 90651 | <1% | 1,952 | $16K | |
| 90633 | <1% | 1,968 | $15K | |
| 96127 | <1% | 3,104 | $15K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 845 | $15K |
| 96150 | <1% | 581 | $14K | |
| 99382 | <1% | 252 | $13K | |
| 90734 | <1% | 1,417 | $13K | |
| 87428 | <1% | 360 | $13K | |
| 90649 | <1% | 1,336 | $12K | |
| 90697 | <1% | 766 | $12K | |
| 90715 | <1% | 1,195 | $12K | |
| 90672 | <1% | 1,038 | $10K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,131 | $10K |
| 90698 | <1% | 1,019 | $9K | |
| 99188 | <1% | 619 | $8K | |
| 90710 | <1% | 854 | $7K | |
| 90480 | <1% | 175 | $7K | |
| 90696 | <1% | 791 | $7K | |
| 90744 | <1% | 645 | $6K | |
| 90716 | <1% | 680 | $6K | |
| 90681 | <1% | 731 | $5K | |
| 96111 | <1% | 77 | $5K | |
| 90707 | <1% | 609 | $5K | |
| 91322 | <1% | 33 | $5K | |
| 99381 | <1% | 71 | $4K | |
| 91321 | <1% | 57 | $4K | |
| 90658 | <1% | 450 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 735 | $4K |
| 90723 | <1% | 406 | $4K | |
| 90619 | <1% | 755 | $4K | |
| D1206 | Topical application of fluoride varnish | <1% | 161 | $3K |
| 0124A | <1% | 60 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 480 | $2K |
| 90674 | <1% | 729 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 285 | $2K |
| 90671 | <1% | 347 | $2K | |
| 90621 | <1% | 172 | $2K | |
| 99173 | <1% | 216 | $1K | |
| 0072A | <1% | 34 | $1K | |
| 81000 | <1% | 387 | $1K | |
| 83655 | <1% | 91 | $877.50 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 14 | $873.74 |
| 86580 | <1% | 201 | $866.45 | |
| 90685 | <1% | 96 | $864.00 | |
| 0112A | <1% | 20 | $800.00 | |
| 99000 | <1% | 186 | $678.81 | |
| 90677 | <1% | 445 | $594.00 | |
| 99174 | <1% | 14 | $515.20 | |
| 0071A | <1% | 12 | $480.00 | |
| 0003A | <1% | 12 | $480.00 | |
| 0154A | <1% | 12 | $480.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 36 | $471.24 |
| 69210 | <1% | 13 | $396.89 | |
| 85999 | <1% | 126 | $373.24 | |
| 69209 | <1% | 34 | $317.35 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 13 | $239.76 |
| 90647 | <1% | 25 | $225.00 | |
| 94150 | <1% | 15 | $83.55 | |
| 82465 | <1% | 13 | $52.25 | |
| 81025 | <1% | 13 | $36.40 | |
| 90661 | 0% | 492 | $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 | Orange, CA | $14.37M |
| Childrens Hospital of Orange County | Santa Ana, CA | $6.24M |
| 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.