Medicaid Provider Spending

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

CHILDREN'S HOSPITAL OF ORANGE COUNTY

NPI: 1780927608 · ORANGE, CA 92868 · Nuclear Radiology 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

$5.33M
Total Medicaid Paid
265,918
Total Claims
235,253
Beneficiaries
98
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKELLY, MARK (DIRECTOR, CS BUSINESS SERIVICES)
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 $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 34,800 $774K
2019 36,199 $763K
2020 27,757 $635K
2021 31,160 $705K
2022 37,824 $907K
2023 47,435 $961K
2024 50,743 $580K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 6,315 5,561 $620K
93975 8,250 8,068 $591K
76705 Ultrasound, abdominal, real time with image documentation; limited 23,834 21,804 $506K
76770 13,583 13,337 $384K
74177 Computed tomography, abdomen and pelvis; with contrast material 3,745 3,637 $334K
71045 Radiologic examination, chest; single view 36,429 23,048 $326K
71046 Radiologic examination, chest; 2 views 31,275 30,483 $307K
70450 Computed tomography, head or brain; without contrast material 6,855 6,589 $226K
74018 16,586 13,673 $149K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,996 3,949 $138K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 4,344 4,241 $112K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,874 1,865 $102K
76870 3,164 3,095 $99K
73610 9,876 9,051 $80K
73630 8,118 7,165 $69K
72082 3,821 3,780 $61K
73080 6,845 5,985 $61K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,581 1,563 $58K
73110 6,874 6,345 $56K
76536 2,561 2,515 $52K
73562 7,110 6,305 $52K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 743 714 $52K
73090 5,831 4,826 $47K
73130 5,738 5,310 $47K
73521 4,484 4,436 $44K
70551 Magnetic resonance imaging, brain; without contrast material 485 470 $36K
73590 4,714 3,932 $35K
99215 Prolong outpt/office vis 546 544 $35K
74022 1,828 1,787 $32K
99233 Prolong inpt eval add15 m 662 248 $30K
70486 586 581 $28K
73552 2,168 1,824 $24K
77072 2,235 2,232 $22K
72158 195 195 $22K
72100 1,606 1,603 $21K
70360 2,995 2,955 $21K
93976 395 381 $21K
73140 3,719 3,373 $20K
71260 Computed tomography, thorax, diagnostic; with contrast material 312 279 $19K
73030 1,661 1,550 $18K
70491 260 248 $18K
73100 2,526 2,120 $18K
99244 Office or other outpatient consultation, moderate to high complexity 318 315 $18K
76882 704 639 $16K
73000 1,725 1,628 $15K
73560 2,178 1,645 $15K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 715 712 $14K
70543 130 129 $14K
74183 132 132 $14K
72156 108 108 $12K
72197 116 115 $12K
74240 220 219 $11K
99232 Subsequent hospital care, per day, moderate complexity 385 209 $10K
51741 383 380 $10K
76506 454 405 $9K
99222 Initial hospital care, per day, moderate complexity 180 169 $9K
72157 80 80 $9K
99417 Prolong home eval add 15m 111 109 $9K
51798 292 290 $9K
73060 1,014 921 $9K
73070 934 801 $8K
73522 428 424 $8K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 96 95 $7K
54161 106 106 $7K
72070 544 543 $6K
72080 458 379 $6K
77074 261 260 $6K
74019 464 442 $6K
99205 Prolong outpt/office vis 55 55 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 146 146 $5K
72040 388 382 $4K
93971 230 193 $4K
14040 31 31 $4K
51600 14 14 $4K
74230 178 177 $3K
73564 260 225 $3K
71010 322 112 $3K
99243 66 66 $3K
76376 20 19 $2K
99254 44 43 $2K
76775 68 68 $2K
72125 Computed tomography, cervical spine; without contrast material 44 44 $2K
99223 Prolong inpt eval add15 m 30 30 $2K
70480 31 31 $2K
99255 14 14 $2K
72146 25 25 $2K
72141 24 24 $2K
73660 253 234 $1K
72081 105 104 $1K
73720 14 12 $1K
76885 41 40 $1K
74455 27 27 $804.97
76942 59 54 $763.88
74270 45 45 $719.92
72170 81 79 $611.71
73501 13 13 $144.03
73600 15 12 $137.54
71020 14 12 $128.00