TCH Pediatric Associates, INC
TCH Pediatric Associates, INC was paid $2.16M by Medicaid between Sep 2020 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
COLLEGE STATION, TX 77845
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 | 1,769 | $35K | |
| 2021 | 14,461 | $404K | |
| 2022 | 18,435 | $608K | |
| 2023 | 19,065 | $705K | |
| 2024incomplete | 11,783 | $405K |
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 | 46% | 18,819 | 17,619 | $997K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 16% | 4,316 | 4,028 | $354K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 3,290 | 3,271 | $287K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.6% | 15,241 | 6,904 | $185K |
| 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 | 7.8% | 2,264 | 2,120 | $168K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.4% | 575 | 565 | $53K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 2,804 | 2,038 | $25K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 2,111 | 2,093 | $25K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,793 | 1,295 | $17K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 158 | 151 | $14K |
| 90461 | <1% | 4,111 | 3,640 | $13K | |
| 99000 | <1% | 1,215 | 1,180 | $10K |
22 more codes
| 87428 | <1% | 137 | $5K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 31 | $3K |
| 90474 | <1% | 102 | $1K | |
| 90480 | <1% | 26 | $588.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 34 | $467.03 |
| 88720 | <1% | 15 | $69.39 | |
| 90686 | <1% | 2,347 | $1.90 | |
| 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) | <1% | 131 | $0.01 |
| 90697 | <1% | 330 | $0.01 | |
| 90633 | 0% | 265 | $0.00 | |
| 90670 | 0% | 2,289 | $0.00 | |
| 90710 | 0% | 111 | $0.00 | |
| 90734 | 0% | 16 | $0.00 | |
| 99177 | 0% | 42 | $0.00 | |
| 90698 | 0% | 935 | $0.00 | |
| 90680 | 0% | 1,117 | $0.00 | |
| 90677 | 0% | 514 | $0.00 | |
| 36416 | 0% | 36 | $0.00 | |
| 90656 | 0% | 175 | $0.00 | |
| 91317 | 0% | 14 | $0.00 | |
| 90744 | 0% | 105 | $0.00 | |
| 90651 | 0% | 44 | $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 | 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 | 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.