Physician
TCH Pediatrics INC
TCH Pediatrics INC was paid $315K by Medicaid between Nov 2020 and Aug 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoTCH PEDIATRICS INC
ROUND ROCK, TX 78681
ROUND ROCK, TX 78681
33aNPI1528620150assigned 07/03/2019
33bProvider typePediatrics Physician
28Total paid$315K
24GClaims9,498
24DCodes billed28
24AFirst – last monthNov 2020 – Aug 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#576 of 1,136
Median peer was paid$329K
This provider vs. median1.0×
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 | 426 | $9K | |
| 2021 | 2,867 | $77K | |
| 2022 | 3,161 | $106K | |
| 2023 | 2,049 | $83K | |
| 2024incomplete | 995 | $41K |
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 | 55% | 3,123 | 2,406 | $173K |
| 87428 | 8.8% | 459 | 437 | $28K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.8% | 310 | 271 | $25K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.8% | 243 | 242 | $22K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.8% | 1,271 | 1,239 | $15K |
| 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 | 3.9% | 148 | 131 | $12K |
| 99000 | 3.0% | 918 | 808 | $10K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.7% | 96 | 94 | $9K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.5% | 823 | 604 | $8K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 402 | 321 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.1% | 402 | 192 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 29 | 28 | $3K |
16 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 52 | $2K |
| 90480 | <1% | 56 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 52 | $761.34 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 23 | $352.37 |
| 90461 | <1% | 27 | $275.62 | |
| 90686 | <1% | 737 | $0.04 | |
| 90698 | 0% | 40 | $0.00 | |
| 90677 | 0% | 14 | $0.00 | |
| 90651 | 0% | 12 | $0.00 | |
| 91307 | 0% | 14 | $0.00 | |
| 90680 | 0% | 13 | $0.00 | |
| 91305 | 0% | 12 | $0.00 | |
| 90697 | 0% | 19 | $0.00 | |
| 90670 | 0% | 159 | $0.00 | |
| 91308 | 0% | 30 | $0.00 | |
| 90672 | 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.
From NPPES
Who's on the registration
Authorized officialVILLAR, LAURA (TCP - CBO MANAGER)
| 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 | Austin, TX | $341K |
| 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.