Physician
Children's Hospital of Orange County
Children's Hospital of Orange County was paid $4.84M by Medicaid between Sep 2019 and Dec 2024, across 77 billing codes. Its largest line is 96156, — 24% of everything it billed.
33Billing provider infoCHILDREN'S HOSPITAL OF ORANGE COUNTY
ORANGE, CA 92868
ORANGE, CA 92868
33aNPI1780169524assigned 09/27/2018
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$4.84M
24GClaims180,568
24DCodes billed77
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in California
Rank by total paid#2 of 66
Median peer was paid$61K
This provider vs. median79×
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
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 | |
|---|---|---|---|
| 2019 | 6,010 | $146K | |
| 2020 | 28,093 | $914K | |
| 2021 | 34,990 | $1.19M | |
| 2022 | 40,571 | $1.34M | |
| 2023 | 47,640 | $1.17M | |
| 2024incomplete | 23,264 | $90K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 24% | 16,372 | 16,280 | $1.16M | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 31,298 | 29,041 | $568K |
| 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 | 10% | 18,200 | 16,976 | $487K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.7% | 4,919 | 4,881 | $325K |
| G9920 | Screening performed and negative | 6.2% | 14,403 | 14,341 | $299K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.1% | 5,685 | 5,649 | $298K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.4% | 5,654 | 5,614 | $263K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.3% | 3,626 | 2,628 | $255K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.4% | 4,848 | 4,623 | $165K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.5% | 2,667 | 2,628 | $122K |
| 92551 | 2.4% | 10,230 | 10,179 | $115K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.5% | 578 | 574 | $73K |
65 more codes
| 90686 | 1.3% | 7,001 | $61K | |
| 97802 | 1.2% | 3,231 | $56K | |
| 87428 | <1% | 1,341 | $48K | |
| 99383 | <1% | 611 | $43K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 4,468 | $40K |
| 99384 | <1% | 364 | $31K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 1,057 | $27K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 596 | $25K |
| 90670 | <1% | 2,768 | $25K | |
| 90651 | <1% | 2,320 | $25K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,571 | $21K |
| 90633 | <1% | 2,248 | $20K | |
| 90698 | <1% | 2,009 | $18K | |
| 90680 | <1% | 1,822 | $16K | |
| 90620 | <1% | 1,008 | $15K | |
| 90734 | <1% | 1,476 | $14K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,457 | $14K |
| 96151 | <1% | 589 | $13K | |
| 99382 | <1% | 216 | $13K | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 453 | $13K |
| 90715 | <1% | 1,311 | $12K | |
| 90716 | <1% | 1,164 | $11K | |
| 0072A | <1% | 269 | $11K | |
| 90710 | <1% | 1,160 | $10K | |
| 90696 | <1% | 1,156 | $10K | |
| 90744 | <1% | 1,095 | $10K | |
| 90697 | <1% | 827 | $10K | |
| 90707 | <1% | 998 | $9K | |
| 99381 | <1% | 152 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 662 | $9K |
| 0071A | <1% | 221 | $9K | |
| 96127 | <1% | 1,517 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,674 | $7K |
| 90671 | <1% | 303 | $6K | |
| 90619 | <1% | 652 | $6K | |
| 90674 | <1% | 996 | $6K | |
| 85018 | <1% | 2,428 | $5K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 209 | $4K |
| 81000 | <1% | 1,122 | $3K | |
| 90480 | <1% | 77 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 230 | $3K |
| 96150 | <1% | 107 | $2K | |
| 0002A | <1% | 53 | $2K | |
| 0001A | <1% | 46 | $2K | |
| 99174 | <1% | 144 | $2K | |
| 90700 | <1% | 163 | $1K | |
| 17110 | <1% | 13 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 59 | $1K |
| 91321 | <1% | 25 | $1K | |
| 83655 | <1% | 84 | $945.00 | |
| 69210 | <1% | 32 | $686.94 | |
| 0112A | <1% | 16 | $640.00 | |
| 90661 | <1% | 536 | $595.00 | |
| 0073A | <1% | 13 | $270.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 20 | $261.80 |
| 90672 | <1% | 31 | $189.00 | |
| 69209 | <1% | 28 | $150.02 | |
| 90621 | <1% | 12 | $108.00 | |
| 86308 | <1% | 15 | $49.39 | |
| 90656 | <1% | 12 | $9.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 815 | $0.00 |
| 90461 | 0% | 316 | $0.00 | |
| 99173 | 0% | 549 | $0.00 | |
| 99188 | 0% | 13 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 1,157 | $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 officialKELLY, MARK (DIRECTOR, CS BUSINESS SERIVICES)
Parent organizationCHILDREN'S HOSPITAL OF ORANGE COUNTY
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.