Medicaid Provider Spending

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

CHILDREN'S HOSPITAL OF ORANGE COUNTY

NPI: 1649513573 · ORANGE, CA 92868 · Neurology with Special Qualifications in Child Neurology 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

$4.31M
Total Medicaid Paid
52,112
Total Claims
47,307
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKELLY, MARK (DIRECTOR, CS BUSINESS SERVICES)
Parent OrganizationCHILDREN'S 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 $11.86M
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 $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 5,466 $558K
2019 5,648 $626K
2020 5,258 $526K
2021 6,576 $637K
2022 7,445 $706K
2023 9,333 $675K
2024 12,386 $583K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 17,720 17,145 $1.24M
95720 3,519 2,474 $730K
99255 3,762 3,635 $397K
99245 3,292 3,282 $370K
99233 Prolong inpt eval add15 m 5,377 3,090 $317K
95951 1,091 628 $296K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,397 5,349 $254K
99417 Prolong home eval add 15m 4,331 4,222 $193K
99205 Prolong outpt/office vis 1,902 1,891 $165K
95810 Polysomnography; sleep staging with 4 or more additional parameters 709 707 $128K
95819 3,089 3,078 $113K
99244 Office or other outpatient consultation, moderate to high complexity 375 373 $33K
95816 522 521 $25K
99232 Subsequent hospital care, per day, moderate complexity 215 140 $9K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 198 197 $7K
99354 81 81 $6K
99355 74 68 $6K
99254 89 87 $6K
99223 Prolong inpt eval add15 m 53 52 $6K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 106 80 $4K
92521 32 29 $3K
95812 115 115 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $1K
99243 12 12 $1K
99367 12 12 $604.80
95874 27 27 $426.43