Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Houston › NPI 1164522314
Physician

TCH Pediatric Associates, INC

TCH Pediatric Associates, INC was paid $6.36M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.

33Billing provider infoTCH PEDIATRIC ASSOCIATES, INC
HOUSTON, TX 77079
33aNPI1164522314assigned 09/25/2006
33bProvider typePediatrics Physician
28Total paid$6.36M
24GClaims164,345
24DCodes billed66
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#58 of 1,136
Median peer was paid$329K
This provider vs. median19×

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$100K$200K2018201920202021202220232024
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
2018502$9K
2019726$18K
20206,898$186K
202141,533$1.37M
202244,491$1.77M
202342,254$1.82M
2024incomplete27,941$1.19M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33% 31,646 29,604 $2.08M
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 16% 11,361 10,853 $1.04M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 11% 7,378 7,305 $709K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 10% 6,298 6,249 $642K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8.1% 5,683 5,341 $513K
90460 Immunization administration through 18 years of age via any route, first or only component 7.1% 35,648 15,999 $450K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5.4% 3,099 3,085 $345K
99000 2.1% 11,424 10,973 $136K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.3% 5,010 2,472 $81K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.2% 8,077 5,856 $77K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.1% 1,279 1,262 $67K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 3,325 3,255 $54K
54 more codes
87428 <1% 514 $42K
90461 <1% 8,035 $42K
99215 Doctor's office visit, returning patient (complex) <1% 188 $26K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,845 $24K
99381 <1% 118 $10K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 351 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 122 $3K
0081A <1% 47 $2K
90472 Immunization administration, each additional vaccine (list separately) <1% 454 $2K
99051 <1% 162 $2K
83655 <1% 112 $1K
0074A <1% 27 $1K
90651 <1% 1,072 $1K
99383 <1% 12 $1K
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler <1% 495 $1K
90677 <1% 1,082 $914.16
96381 <1% 43 $655.82
90686 <1% 6,064 $654.93
90621 <1% 133 $643.40
0054A <1% 12 $576.00
87807 <1% 40 $510.40
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 27 $383.23
94760 <1% 1,917 $302.01
96380 <1% 15 $266.82
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 28 $187.50
90734 <1% 167 $173.38
A4620 Variable concentration mask <1% 482 $45.02
90688 <1% 13 $43.34
94761 <1% 182 $20.40
90633 <1% 1,710 $0.01
90656 0% 861 $0.00
90680 0% 1,709 $0.00
90696 0% 83 $0.00
90698 0% 805 $0.00
90697 0% 367 $0.00
91307 0% 174 $0.00
90619 0% 220 $0.00
90381 0% 19 $0.00
90744 0% 248 $0.00
92551 0% 19 $0.00
96127 0% 70 $0.00
90716 0% 96 $0.00
36416 0% 33 $0.00
91305 0% 18 $0.00
91317 0% 12 $0.00
90670 0% 3,071 $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% 455 $0.00
90710 0% 161 $0.00
91308 0% 68 $0.00
90700 0% 25 $0.00
90707 0% 81 $0.00
90715 0% 28 $0.00
90648 0% 13 $0.00
94664 0% 12 $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 REPRESENTATIVE)
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.