Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. California (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Children's Hospital Of Orange County (NPI 1811080526)

Field	Value
Entity Type	Organization
Organization	Children's Hospital Of Orange County
Address	1201 W La Veta Ave
City	Orange
State	CA
ZIP	92868
Taxonomy	Children's Hospital
NPI Enumerated	October 2, 2006

Payer Source	Total Paid
Medicaid	$53.7M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

598 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90378	Immunoglobulin is a very complex protein that is produced by certain cells in the body to protect it from various types of infections and produce passive immunity. RSV–IgIM (respiratory syncytial…	3,930	$2,990	$11.7M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	2,080	$2,250	$4.7M
0450	N/A	323,740	$10	$3.9M
J1950	Injection, leuprolide acetate (for depot suspension), per 3.75 mg	400	$7,490	$3M
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	13,900	$150	$2.1M
J3262	Injection, tocilizumab, 1 mg	800	$2,160	$1.7M
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	1,190	$1,240	$1.5M
Z7500	N/A	27,620	$30	$939.2K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	76,130	$10	$913.5K
Z7502	N/A	23,850	$40	$882.5K

Showing 1–10 of 598

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

Claims Volume vs. California Distribution

Children's Hospital Of Orange County — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

598 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	1	450	16,140	$90	$3.6M
G9002	Coordinated care fee, maintenance rate	22	40	4,330	$310	$3M
0123	N/A	11	20	130	$3,160	$1.9M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	6	390	1,270	$220	$1.5M
90378	Immunoglobulin is a very complex protein that is produced by certain cells in the body to protect it from various types of infections and produce passive immunity. RSV–IgIM (respiratory syncytial…	1	20	220	$2,520	$1.3M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	360	1,570	680	$110	$1.1M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	3	40	200	$1,990	$1M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	1,117	1,400	470	$80	$884.5K
V5298	Hearing aid, not otherwise classified	129	130	180	$1,180	$870.5K
0510	N/A	20	230	930	$40	$854K

Showing 1–10 of 598

Related Providers

Other providers that share a Tax Identification Number (TIN) with Children's Hospital Of Orange County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nader Nassif	CA	Adult Reconstructive Orthopaedic Surgery Physician	$517.6K	$0
Michael Muhonen	CA	Neurological Surgery Physician	$61.7K	$107.8K
Sandra Machado	NE	Diagnostic Radiology Physician	$129.7K	$0
Nisreen Alkhayer	CA	Audiologist	$6.7K	$6.9K

Nearby Providers

Other providers in the same ZIP code as Children's Hospital Of Orange County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Falck Mobile Health Corp	CA	Land Ambulance	$25.5M	$127.7M
University Of California Irvine	CA	General Acute Care Hospital	$0	$153.1M
St. Joseph Hospital Of Orange	CA	General Acute Care Hospital	$0	$65.9M
Emergency Medicine Specialists Of Orange County	CA	Emergency Medicine Physician	$0	$42.4M
Maxim Healthcare Services, Inc.	CA	Home Health Agency	$0	$37.3M
Premier Healthcare Services, LLC	CA	Home Health Agency	$0	$35M
Vital Smiles Alabama Ii PC	CA	Dentist	$0	$29.2M
Gordian Medical, Inc.	CA	Durable Medical Equipment & Medical Supplies	$0	$27.5M
Bio-medical Applications Of California, Inc.	CA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$24.6M
Acuity Behavior Solutions LLC	CA	Behavior Analyst	$0	$23.2M

Children's Hospital Of Orange County — Billing Profile & Reimbursement Data

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Children's Hospital Of Orange County — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References