Physician
Children's Hospital of Orange County
Children's Hospital of Orange County was paid $5.33M by Medicaid between Jan 2018 and Dec 2024, across 98 billing codes. Its largest line is 70553, Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences — 12% of everything it billed.
33Billing provider infoCHILDREN'S HOSPITAL OF ORANGE COUNTY
ORANGE, CA 92868
ORANGE, CA 92868
33aNPI1780927608assigned 03/28/2013
33bProvider typeNuclear Radiology Physician
28Total paid$5.33M
24GClaims265,918
24DCodes billed98
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nuclear Radiology Physician providers in California
Rank by total paid#2 of 20
Median peer was paid$17K
This provider vs. median322×
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 | |
|---|---|---|---|
| 2018 | 34,800 | $774K | |
| 2019 | 36,199 | $763K | |
| 2020 | 27,757 | $635K | |
| 2021 | 31,160 | $705K | |
| 2022 | 37,824 | $907K | |
| 2023 | 47,435 | $961K | |
| 2024incomplete | 50,743 | $580K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | 12% | 6,315 | 5,561 | $620K |
| 93975 | 11% | 8,250 | 8,068 | $591K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | 9.5% | 23,834 | 21,804 | $506K |
| 76770 | 7.2% | 13,583 | 13,337 | $384K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 6.3% | 3,745 | 3,637 | $334K |
| 71045 | Radiologic examination, chest; single view | 6.1% | 36,429 | 23,048 | $326K |
| 71046 | Radiologic examination, chest; 2 views | 5.8% | 31,275 | 30,483 | $307K |
| 70450 | Computed tomography, head or brain; without contrast material | 4.2% | 6,855 | 6,589 | $226K |
| 74018 | 2.8% | 16,586 | 13,673 | $149K | |
| 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 | 2.6% | 3,996 | 3,949 | $138K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 2.1% | 4,344 | 4,241 | $112K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.9% | 1,874 | 1,865 | $102K |
86 more codes
| 76870 | 1.9% | 3,164 | $99K | |
| 73610 | 1.5% | 9,876 | $80K | |
| 73630 | 1.3% | 8,118 | $69K | |
| 72082 | 1.1% | 3,821 | $61K | |
| 73080 | 1.1% | 6,845 | $61K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 1.1% | 1,581 | $58K |
| 73110 | 1.0% | 6,874 | $56K | |
| 76536 | <1% | 2,561 | $52K | |
| 73562 | <1% | 7,110 | $52K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 743 | $52K |
| 73090 | <1% | 5,831 | $47K | |
| 73130 | <1% | 5,738 | $47K | |
| 73521 | <1% | 4,484 | $44K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 485 | $36K |
| 73590 | <1% | 4,714 | $35K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 546 | $35K |
| 74022 | <1% | 1,828 | $32K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 662 | $30K |
| 70486 | <1% | 586 | $28K | |
| 73552 | <1% | 2,168 | $24K | |
| 77072 | <1% | 2,235 | $22K | |
| 72158 | <1% | 195 | $22K | |
| 72100 | <1% | 1,606 | $21K | |
| 70360 | <1% | 2,995 | $21K | |
| 93976 | <1% | 395 | $21K | |
| 73140 | <1% | 3,719 | $20K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 312 | $19K |
| 73030 | <1% | 1,661 | $18K | |
| 70491 | <1% | 260 | $18K | |
| 73100 | <1% | 2,526 | $18K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 318 | $18K |
| 76882 | <1% | 704 | $16K | |
| 73000 | <1% | 1,725 | $15K | |
| 73560 | <1% | 2,178 | $15K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 715 | $14K |
| 70543 | <1% | 130 | $14K | |
| 74183 | <1% | 132 | $14K | |
| 72156 | <1% | 108 | $12K | |
| 72197 | <1% | 116 | $12K | |
| 74240 | <1% | 220 | $11K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 385 | $10K |
| 51741 | <1% | 383 | $10K | |
| 76506 | <1% | 454 | $9K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 180 | $9K |
| 72157 | <1% | 80 | $9K | |
| 99417 | Prolong home eval add 15m | <1% | 111 | $9K |
| 51798 | <1% | 292 | $9K | |
| 73060 | <1% | 1,014 | $9K | |
| 73070 | <1% | 934 | $8K | |
| 73522 | <1% | 428 | $8K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 96 | $7K |
| 54161 | <1% | 106 | $7K | |
| 72070 | <1% | 544 | $6K | |
| 72080 | <1% | 458 | $6K | |
| 77074 | <1% | 261 | $6K | |
| 74019 | <1% | 464 | $6K | |
| 99205 | Prolong outpt/office vis | <1% | 55 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 146 | $5K |
| 72040 | <1% | 388 | $4K | |
| 93971 | <1% | 230 | $4K | |
| 14040 | <1% | 31 | $4K | |
| 51600 | <1% | 14 | $4K | |
| 74230 | <1% | 178 | $3K | |
| 73564 | <1% | 260 | $3K | |
| 71010 | <1% | 322 | $3K | |
| 99243 | <1% | 66 | $3K | |
| 76376 | <1% | 20 | $2K | |
| 99254 | <1% | 44 | $2K | |
| 76775 | <1% | 68 | $2K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 44 | $2K |
| 99223 | Prolong inpt eval add15 m | <1% | 30 | $2K |
| 70480 | <1% | 31 | $2K | |
| 99255 | <1% | 14 | $2K | |
| 72146 | <1% | 25 | $2K | |
| 72141 | <1% | 24 | $2K | |
| 73660 | <1% | 253 | $1K | |
| 72081 | <1% | 105 | $1K | |
| 73720 | <1% | 14 | $1K | |
| 76885 | <1% | 41 | $1K | |
| 74455 | <1% | 27 | $804.97 | |
| 76942 | <1% | 59 | $763.88 | |
| 74270 | <1% | 45 | $719.92 | |
| 72170 | <1% | 81 | $611.71 | |
| 73501 | <1% | 13 | $144.03 | |
| 73600 | <1% | 15 | $137.54 | |
| 71020 | <1% | 14 | $128.00 |
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.