Medicaid Provider Spending

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

CHILDREN'S HOSPITAL OF ORANGE COUNTY

NPI: 1811230741 · ORANGE, CA 92868 · Pediatric Surgery 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

$1.93M
Total Medicaid Paid
17,704
Total Claims
16,030
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
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 $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 $1.47M
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 1,984 $195K
2019 1,627 $192K
2020 1,950 $185K
2021 2,210 $177K
2022 2,822 $247K
2023 3,212 $303K
2024 3,899 $635K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J0585 Injection, onabotulinumtoxina, 1 unit 282 282 $468K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,635 5,254 $394K
44970 637 628 $237K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,950 2,832 $118K
64642 1,194 1,192 $116K
99233 Prolong inpt eval add15 m 1,768 988 $87K
99244 Office or other outpatient consultation, moderate to high complexity 786 785 $86K
64643 923 911 $76K
99223 Prolong inpt eval add15 m 654 638 $75K
99243 545 541 $45K
J0586 Injection, abobotulinumtoxina, 5 units 27 26 $43K
J0475 Injection, baclofen, 10 mg 28 26 $38K
99232 Subsequent hospital care, per day, moderate complexity 635 335 $32K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 352 351 $29K
99254 293 289 $23K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 275 275 $22K
99255 134 131 $12K
99215 Prolong outpt/office vis 112 112 $10K
99222 Initial hospital care, per day, moderate complexity 74 73 $6K
99245 26 26 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 185 181 $4K
99242 39 39 $3K
99253 25 24 $2K
62370 26 25 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 44 16 $982.35
62252 15 12 $860.84
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 40 38 $770.45