Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

TCH Pediatric Associates, INC

TCH Pediatric Associates, INC was paid $4.33M by Medicaid between Oct 2018 and Dec 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.

33Billing provider infoTCH PEDIATRIC ASSOCIATES, INC
HOUSTON, TX 77055
33aNPI1316047459assigned 09/25/2006
33bProvider typePediatrics Physician
28Total paid$4.33M
24GClaims119,308
24DCodes billed57
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#100 of 1,136
Median peer was paid$329K
This provider vs. median13×

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$100K$150K2018201920202021202220232024
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
201856$2K
2019139$8K
20206,229$154K
202134,595$1.04M
202234,238$1.27M
202325,401$1.11M
2024incomplete18,650$752K
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 35% 23,608 22,084 $1.54M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12% 5,505 5,460 $528K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12% 4,939 4,884 $504K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7.5% 3,566 3,380 $324K
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 6.9% 3,344 3,210 $298K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6.0% 2,352 2,330 $261K
87428 3.3% 2,065 2,008 $144K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3.3% 11,255 11,115 $143K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2.9% 7,796 7,551 $127K
99000 2.8% 10,175 9,908 $122K
90472 Immunization administration, each additional vaccine (list separately) 2.3% 9,796 6,248 $101K
90460 Immunization administration through 18 years of age via any route, first or only component 1.6% 5,742 2,889 $67K
45 more codes
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.4% 1,112 $59K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.3% 6,278 $58K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,074 $18K
99381 <1% 103 $9K
90474 <1% 878 $9K
90461 <1% 1,138 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 120 $6K
0074A <1% 43 $2K
81002 <1% 569 $2K
0071A <1% 31 $1K
0154A <1% 28 $1K
0054A <1% 28 $1K
0072A <1% 21 $1K
0124A <1% 15 $712.00
90621 <1% 130 $656.20
90688 <1% 4,375 $611.85
90651 <1% 1,192 $601.86
0051A <1% 12 $419.40
90686 <1% 1,758 $131.61
94760 <1% 926 $122.36
90697 <1% 863 $0.03
90633 <1% 917 $0.01
90619 <1% 212 $0.01
90670 0% 2,338 $0.00
90707 0% 84 $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% 232 $0.00
91308 0% 28 $0.00
90715 0% 58 $0.00
90700 0% 88 $0.00
90648 0% 66 $0.00
90734 0% 116 $0.00
90710 0% 52 $0.00
91312 0% 27 $0.00
90677 0% 569 $0.00
90716 0% 105 $0.00
90698 0% 695 $0.00
90744 0% 323 $0.00
90656 0% 829 $0.00
90696 0% 36 $0.00
90680 0% 1,362 $0.00
96127 0% 31 $0.00
91305 0% 78 $0.00
91307 0% 185 $0.00
91315 0% 28 $0.00
36416 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 REP)
Same official

Other billing entities under COMPTON, MIRIAM

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