TCH Pediatrics INC
TCH Pediatrics INC was paid $341K by Medicaid between Dec 2020 and Aug 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
AUSTIN, TX 78745
Next to other Pediatrics Physician providers in Texas
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 87 | $538.86 | |
| 2021 | 2,665 | $77K | |
| 2022 | 2,303 | $92K | |
| 2023 | 2,962 | $119K | |
| 2024incomplete | 1,362 | $52K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 27% | 1,217 | 1,138 | $94K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 1,325 | 1,252 | $76K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 502 | 500 | $45K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 481 | 459 | $41K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.5% | 1,495 | 1,477 | $19K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.2% | 190 | 190 | $18K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.3% | 1,505 | 942 | $15K |
| 87428 | 3.4% | 184 | 183 | $11K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.2% | 114 | 113 | $11K |
| 99000 | 1.3% | 412 | 393 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 453 | 351 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 87 | 85 | $1K |
15 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 130 | $1K |
| 90474 | <1% | 85 | $861.36 | |
| 90461 | <1% | 27 | $222.32 | |
| 90633 | 0% | 14 | $0.00 | |
| 90670 | 0% | 282 | $0.00 | |
| 90715 | 0% | 12 | $0.00 | |
| 90710 | 0% | 14 | $0.00 | |
| 90680 | 0% | 110 | $0.00 | |
| 90686 | 0% | 417 | $0.00 | |
| 90677 | 0% | 132 | $0.00 | |
| 90697 | 0% | 82 | $0.00 | |
| 90698 | 0% | 49 | $0.00 | |
| 90651 | 0% | 32 | $0.00 | |
| 90696 | 0% | 14 | $0.00 | |
| 90744 | 0% | 14 | $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.
Who's on the registration
| 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 |
| 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 | 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.