Physician
TCH Pediatric Associates, INC
TCH Pediatric Associates, INC was paid $6.42M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoTCH PEDIATRIC ASSOCIATES, INC
HOUSTON, TX 77054
HOUSTON, TX 77054
33aNPI1093815227assigned 09/25/2006
33bProvider typePediatrics Physician
28Total paid$6.42M
24GClaims178,596
24DCodes billed63
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#57 of 1,136
Median peer was paid$329K
This provider vs. median20×
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 COMPTON, MIRIAM 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 | 343 | $16K | |
| 2019 | 633 | $32K | |
| 2020 | 10,454 | $314K | |
| 2021 | 47,356 | $1.41M | |
| 2022 | 46,772 | $1.72M | |
| 2023 | 41,947 | $1.72M | |
| 2024incomplete | 31,091 | $1.21M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 36,462 | 33,243 | $2.32M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 10,517 | 10,433 | $1.00M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 15% | 10,806 | 9,773 | $968K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.3% | 5,234 | 5,188 | $531K |
| 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 | 4.2% | 2,948 | 2,781 | $267K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.0% | 15,026 | 14,820 | $191K |
| 87428 | 2.6% | 2,850 | 2,774 | $167K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 1,387 | 1,374 | $154K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.3% | 12,390 | 5,051 | $146K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.2% | 14,021 | 9,425 | $143K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.8% | 11,593 | 8,113 | $113K |
| 99000 | 1.7% | 9,182 | 8,928 | $107K |
51 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 5,406 | $87K |
| 99460 | <1% | 471 | $40K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 450 | $29K |
| 99429 | <1% | 724 | $28K | |
| 90474 | <1% | 2,354 | $24K | |
| 90461 | <1% | 3,476 | $21K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,070 | $17K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 245 | $13K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 105 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 210 | $9K |
| 99381 | <1% | 76 | $8K | |
| 90480 | <1% | 152 | $5K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 80 | $4K |
| 0081A | <1% | 76 | $4K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 48 | $3K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 37 | $1K |
| 87807 | <1% | 109 | $1K | |
| 0082A | <1% | 29 | $1K | |
| 90686 | <1% | 6,971 | $702.43 | |
| 99462 | <1% | 15 | $606.76 | |
| 96380 | <1% | 41 | $606.56 | |
| 0154A | <1% | 12 | $576.00 | |
| 96381 | <1% | 13 | $221.00 | |
| 90734 | <1% | 24 | $173.38 | |
| 81003 | <1% | 51 | $112.24 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 14 | $104.36 |
| 90670 | <1% | 5,764 | $0.03 | |
| 90651 | <1% | 514 | $0.01 | |
| 90700 | 0% | 490 | $0.00 | |
| 90633 | 0% | 2,693 | $0.00 | |
| 91308 | 0% | 210 | $0.00 | |
| 90707 | 0% | 488 | $0.00 | |
| 90648 | 0% | 420 | $0.00 | |
| 90710 | 0% | 327 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 498 | $0.00 |
| 90680 | 0% | 4,355 | $0.00 | |
| 90698 | 0% | 1,914 | $0.00 | |
| 90697 | 0% | 1,577 | $0.00 | |
| 90677 | 0% | 1,383 | $0.00 | |
| 90696 | 0% | 310 | $0.00 | |
| S3620 | Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) | 0% | 132 | $0.00 |
| 90716 | 0% | 490 | $0.00 | |
| 91307 | 0% | 90 | $0.00 | |
| 90619 | 0% | 50 | $0.00 | |
| 36416 | 0% | 83 | $0.00 | |
| 90744 | 0% | 946 | $0.00 | |
| 90656 | 0% | 1,052 | $0.00 | |
| 96127 | 0% | 64 | $0.00 | |
| 91315 | 0% | 12 | $0.00 | |
| 90381 | 0% | 46 | $0.00 | |
| 92551 | 0% | 13 | $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 officialCOMPTON, MIRIAM (PROVIDER RELATIONS REP)
| Provider | Location | Paid |
|---|---|---|
| TCH Pediatric Associates, INC | Houston, TX | $9.68M |
| TCH Pediatric Associates, INC | Houston, TX | $8.52M |
| TCH Pediatric Associates, INC | Houston, TX | $7.31M |
| TCH Pediatric Associates, INC | Houston, TX | $6.92M |
| TCH Pediatric Associates, INC | Houston, TX | $6.36M |
| TCH Pediatric Associates, INC | Houston, TX | $5.86M |
| TCH Pediatric Associates, INC | Houston, TX | $5.85M |
| TCH Pediatric Associates, INC | Houston, TX | $5.48M |
| TCH Pediatric Associates, INC | Conroe, TX | $5.25M |
| TCH Pediatric Associates, INC | Houston, TX | $4.92M |
| TCH Pediatric Associates, INC | Houston, TX | $4.86M |
| TCH Pediatric Associates, INC | Houston, TX | $4.33M |
| TCH Pediatric Associates, INC. | Houston, TX | $4.12M |
| TCH Pediatric Associates, INC | Katy, TX | $3.57M |
| TCH Pediatric Associates, INC | Houston, TX | $3.43M |
| TCH Pediatric Associates, INC | Houston, TX | $3.15M |
| TCH Pediatric Associates, INC | Houston, TX | $3.12M |
| TCH Pediatric Associates, INC | Pearland, TX | $3.05M |
| TCH Pediatric Associates, INC | Houston, TX | $3.04M |
| TCH Pediatric Associates, Ins | Pasadena, TX | $3.01M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.