Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Bellaire › NPI 1114027331
Physician

TCH Pediatric Associates, INC

TCH Pediatric Associates, INC was paid $2.15M by Medicaid between Oct 2020 and Aug 2024, across 52 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.

33Billing provider infoTCH PEDIATRIC ASSOCIATES, INC
BELLAIRE, TX 77401
33aNPI1114027331assigned 09/25/2006
33bProvider typePediatrics Physician
28Total paid$2.15M
24GClaims47,269
24DCodes billed52
24AFirst – last monthOct 2020 – Aug 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#233 of 1,136
Median peer was paid$329K
This provider vs. median6.5×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20202,417$66K
202111,787$472K
202214,068$708K
202313,500$623K
2024incomplete5,497$276K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 23% 5,276 4,811 $503K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 6,708 6,283 $437K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12% 2,425 2,413 $248K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10% 2,269 2,241 $217K
87428 8.3% 2,381 2,271 $178K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 8.3% 1,599 1,587 $177K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6.4% 1,478 1,381 $137K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3.2% 5,570 5,514 $69K
90472 Immunization administration, each additional vaccine (list separately) 2.2% 4,498 3,016 $46K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.2% 495 484 $26K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.1% 2,542 1,815 $24K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 1,320 742 $19K
40 more codes
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,022 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 400 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 407 $7K
99000 <1% 513 $6K
90480 <1% 112 $3K
0081A <1% 62 $3K
90474 <1% 234 $2K
0154A <1% 31 $1K
0074A <1% 30 $1K
0054A <1% 29 $1K
0174A <1% 28 $1K
99051 <1% 94 $934.92
0071A <1% 16 $720.00
0124A <1% 16 $672.00
90621 <1% 232 $626.87
90677 <1% 190 $304.72
90651 <1% 641 $293.61
90686 <1% 3,116 $281.02
90461 <1% 80 $242.92
90619 <1% 199 $0.06
91312 0% 34 $0.00
90670 0% 988 $0.00
90710 0% 308 $0.00
90734 0% 100 $0.00
91308 0% 157 $0.00
90633 0% 385 $0.00
90648 0% 12 $0.00
90715 0% 37 $0.00
91320 0% 12 $0.00
91317 0% 50 $0.00
90680 0% 369 $0.00
91305 0% 84 $0.00
90697 0% 367 $0.00
90698 0% 44 $0.00
91307 0% 153 $0.00
91315 0% 46 $0.00
90723 0% 12 $0.00
91319 0% 13 $0.00
90696 0% 40 $0.00
96127 0% 45 $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)
Same official

Other billing entities under COMPTON, MIRIAM

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.