Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Orange › NPI 1750624680
Physician

Children's Hospital of Orange

Children's Hospital of Orange was paid $998K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 52% of everything it billed.

33Billing provider infoCHILDREN'S HOSPITAL OF ORANGE
ORANGE, CA 92868
33aNPI1750624680assigned 03/28/2013
28Total paid$998K
24GClaims14,428
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pediatric Nephrology Physician providers in California

Rank by total paid#3 of 10
Median peer was paid$18K
This provider vs. median56×

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.

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20182,563$207K
20192,179$175K
20201,482$112K
20211,654$122K
20221,925$141K
20231,947$110K
2024incomplete2,678$129K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 52% 6,985 6,671 $515K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 9.2% 1,807 637 $92K
G9008 Coordinated care fee, physician coordinated care oversight services 8.7% 1,016 1,001 $87K
Z4305 7.0% 794 791 $70K
99080 6.0% 869 854 $59K
99367 4.1% 933 926 $41K
Z4304 3.5% 661 660 $35K
Z4306 3.5% 707 705 $35K
99245 3.1% 250 250 $31K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 3.0% 342 186 $30K
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 <1% 16 16 $756.02
93786 <1% 24 24 $547.84
1 more codes
93790 <1% 24 $341.08

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
Same official

Other billing entities under KELLY, MARK

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.