Physician
TCH Pediatric Associates, INC
TCH Pediatric Associates, INC was paid $3.20M by Medicaid between Oct 2019 and Dec 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoTCH PEDIATRIC ASSOCIATES, INC
HOUSTON, TX 77030
HOUSTON, TX 77030
33aNPI1164824199assigned 09/22/2014
33bProvider typePediatrics Physician
28Total paid$3.20M
24GClaims83,159
24DCodes billed56
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#147 of 1,136
Median peer was paid$329K
This provider vs. median9.7×
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 VILLAR, LAURA 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 | |
|---|---|---|---|
| 2019 | 180 | $4K | |
| 2020 | 3,778 | $109K | |
| 2021 | 21,212 | $721K | |
| 2022 | 21,961 | $845K | |
| 2023 | 21,869 | $936K | |
| 2024incomplete | 14,159 | $582K |
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 | 43% | 21,730 | 19,656 | $1.37M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 4,094 | 4,069 | $390K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 3,732 | 3,456 | $341K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.1% | 2,853 | 2,826 | $290K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.1% | 1,758 | 1,742 | $194K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.8% | 6,676 | 3,274 | $89K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.7% | 6,844 | 6,768 | $86K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.9% | 6,188 | 4,711 | $62K |
| 99000 | 1.8% | 4,948 | 4,786 | $57K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.7% | 908 | 714 | $53K |
| 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 | 1.5% | 515 | 488 | $49K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 4,460 | 3,224 | $43K |
44 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 977 | $39K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 2,415 | $38K |
| 87428 | <1% | 358 | $22K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,342 | $21K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 247 | $12K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 109 | $11K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 177 | $9K |
| 90461 | <1% | 1,042 | $5K | |
| 90474 | <1% | 469 | $5K | |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | <1% | 243 | $2K |
| 90837 | Psychotherapy session, about an hour | <1% | 13 | $1K |
| 90686 | <1% | 3,193 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 15 | $921.69 |
| 99460 | <1% | 13 | $867.87 | |
| 99051 | <1% | 59 | $648.55 | |
| 0054A | <1% | 13 | $624.00 | |
| 0071A | <1% | 13 | $620.00 | |
| 90651 | <1% | 442 | $587.20 | |
| 81002 | <1% | 110 | $372.18 | |
| 90621 | <1% | 100 | $128.68 | |
| 90697 | <1% | 532 | $0.01 | |
| 90670 | <1% | 2,117 | $0.01 | |
| 90715 | <1% | 29 | $0.01 | |
| 90698 | 0% | 284 | $0.00 | |
| 90656 | 0% | 314 | $0.00 | |
| 90680 | 0% | 1,268 | $0.00 | |
| 90677 | 0% | 567 | $0.00 | |
| 90716 | 0% | 39 | $0.00 | |
| 90723 | 0% | 47 | $0.00 | |
| 90696 | 0% | 65 | $0.00 | |
| 90744 | 0% | 27 | $0.00 | |
| 90619 | 0% | 107 | $0.00 | |
| 91307 | 0% | 59 | $0.00 | |
| 96127 | 0% | 36 | $0.00 | |
| 91305 | 0% | 30 | $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% | 13 | $0.00 |
| 36416 | 0% | 13 | $0.00 | |
| 90633 | 0% | 839 | $0.00 | |
| 90734 | 0% | 73 | $0.00 | |
| 90648 | 0% | 250 | $0.00 | |
| 90710 | 0% | 88 | $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% | 254 | $0.00 |
| 91308 | 0% | 14 | $0.00 | |
| 90707 | 0% | 38 | $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 officialVILLAR, LAURA (PROVIDER RELATIONS)
| Provider | Location | Paid |
|---|---|---|
| Texas Children's Urgent Care | Houston, TX | $63.68M |
| TCH Pediatric Associates, INC | College Station, TX | $2.16M |
| TCH Pediatric Associates, INC | Spring, TX | $2.15M |
| TCH Pediatric Associates, INC | Missouri City, TX | $946K |
| TCH Pediatric Associates, INC | Austin, TX | $903K |
| Texas Children's Urgent Care | Austin, TX | $857K |
| TCH Pediatrics INC | Austin, TX | $777K |
| TCH Pediatrics INC | Austin, TX | $738K |
| TCH Pediatrics INC | Austin, TX | $603K |
| TCH Pediatrics INC | Houston, TX | $523K |
| TCH Pediatric Associates, INC | Austin, TX | $440K |
| TCH Pediatric Associates, INC | Fulshear, TX | $421K |
| TCH Pediatric Associates, INC. | Pflugerville, TX | $404K |
| TCH Pediatrics INC | Austin, TX | $341K |
| TCH Pediatrics INC | Round Rock, TX | $315K |
| TCH Pediatrics INC | Austin, TX | $272K |
| TCH Pediatrics INC | Austin, TX | $256K |
| TCH Pediatric Associates, INC | Austin, TX | $26K |
| TCH Pediatric Associates, INC. | The Woodlands, TX | $18K |
| TCH Pediatrics INC | Kyle, TX | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.