Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TCH PEDIATRIC ASSOCIATES, INC

NPI: 1316047459 · HOUSTON, TX 77055 · Pediatrics Physician · NPI assigned 09/25/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official COMPTON, MIRIAM controls 20+ related entities in our dataset. Read more

$4.33M
Total Medicaid Paid
119,308
Total Claims
107,023
Beneficiaries
57
Codes Billed
2018-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOMPTON, MIRIAM (PROVIDER RELATIONS REP)
NPI Enumeration Date09/25/2006

Related Entities

Other providers sharing the same authorized official: COMPTON, MIRIAM

ProviderCityStateTotal 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 $6.42M
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 $4.12M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 56 $2K
2019 139 $8K
2020 6,229 $154K
2021 34,595 $1.04M
2022 34,238 $1.27M
2023 25,401 $1.11M
2024 18,650 $752K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23,608 22,084 $1.54M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,505 5,460 $528K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,939 4,884 $504K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,566 3,380 $324K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,344 3,210 $298K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,352 2,330 $261K
87428 2,065 2,008 $144K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 11,255 11,115 $143K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 7,796 7,551 $127K
99000 10,175 9,908 $122K
90472 Immunization administration, each additional vaccine (list separately) 9,796 6,248 $101K
90460 Immunization administration through 18 years of age via any route, first or only component 5,742 2,889 $67K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,112 1,094 $59K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,278 4,443 $58K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,074 533 $18K
99381 103 103 $9K
90474 878 868 $9K
90461 1,138 853 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 120 118 $6K
0074A 43 41 $2K
81002 569 543 $2K
0071A 31 31 $1K
0154A 28 28 $1K
0054A 28 27 $1K
0072A 21 21 $1K
0124A 15 15 $712.00
90621 130 130 $656.20
90688 4,375 4,333 $611.85
90651 1,192 1,184 $601.86
0051A 12 12 $419.40
90686 1,758 1,724 $131.61
94760 926 883 $122.36
90697 863 784 $0.03
90633 917 910 $0.01
90619 212 208 $0.01
90670 2,338 2,223 $0.00
90707 84 82 $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) 232 225 $0.00
91308 28 28 $0.00
90715 58 57 $0.00
90700 88 88 $0.00
90648 66 66 $0.00
90734 116 116 $0.00
90710 52 51 $0.00
91312 27 27 $0.00
90677 569 559 $0.00
90716 105 103 $0.00
90698 695 686 $0.00
90744 323 317 $0.00
90656 829 829 $0.00
90696 36 35 $0.00
90680 1,362 1,257 $0.00
96127 31 30 $0.00
91305 78 73 $0.00
91307 185 178 $0.00
91315 28 28 $0.00
36416 12 12 $0.00