Physician
TCH Pediatric Associates, INC
TCH Pediatric Associates, INC was paid $903K by Medicaid between Apr 2020 and Sep 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoTCH PEDIATRIC ASSOCIATES, INC
AUSTIN, TX 78705
AUSTIN, TX 78705
33aNPI1376023267assigned 08/20/2018
33bProvider typePediatrics Physician
28Total paid$903K
24GClaims29,699
24DCodes billed33
24AFirst – last monthApr 2020 – Sep 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#387 of 1,136
Median peer was paid$329K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2020 | 1,689 | $32K | |
| 2021 | 9,152 | $228K | |
| 2022 | 8,792 | $275K | |
| 2023 | 7,307 | $262K | |
| 2024incomplete | 2,759 | $106K |
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 | 38% | 6,153 | 5,726 | $344K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 1,637 | 1,618 | $134K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 1,539 | 1,464 | $125K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 1,158 | 1,135 | $100K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10% | 8,574 | 3,659 | $94K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 284 | 278 | $27K |
| 87428 | 2.1% | 308 | 303 | $19K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.7% | 1,775 | 1,267 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 405 | 383 | $14K |
| 90461 | 1.3% | 2,370 | 2,050 | $12K | |
| 99000 | 1.1% | 1,221 | 1,196 | $10K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 67 | 66 | $3K |
21 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 257 | $3K |
| 99381 | <1% | 13 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 132 | $950.18 |
| 0081A | <1% | 18 | $574.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 37 | $547.28 |
| 90680 | 0% | 384 | $0.00 | |
| 90698 | 0% | 267 | $0.00 | |
| 90686 | 0% | 1,563 | $0.00 | |
| 90744 | 0% | 130 | $0.00 | |
| 90677 | 0% | 73 | $0.00 | |
| 90651 | 0% | 142 | $0.00 | |
| 90697 | 0% | 50 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| 91307 | 0% | 14 | $0.00 | |
| 90670 | 0% | 855 | $0.00 | |
| 90633 | 0% | 162 | $0.00 | |
| 90648 | 0% | 24 | $0.00 | |
| 91308 | 0% | 36 | $0.00 | |
| 90707 | 0% | 13 | $0.00 | |
| 90700 | 0% | 12 | $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% | 13 | $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 | Houston, TX | $3.20M |
| 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 |
| 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.