Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

TCH Pediatric Associates, INC

TCH Pediatric Associates, INC was paid $6.92M by Medicaid between Oct 2019 and Dec 2024, across 66 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.

33Billing provider infoTCH PEDIATRIC ASSOCIATES, INC
HOUSTON, TX 77008
33aNPI1619077815assigned 09/25/2006
33bProvider typePediatrics Physician
28Total paid$6.92M
24GClaims190,212
24DCodes billed66
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#50 of 1,136
Median peer was paid$329K
This provider vs. median21×

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 COMPTON, MIRIAM controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
2019263$6K
20208,912$213K
202141,735$1.30M
202251,114$1.94M
202349,613$2.04M
2024incomplete38,575$1.43M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27% 28,490 27,108 $1.85M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 16% 11,129 11,063 $1.08M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13% 10,015 9,432 $914K
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 12% 9,202 8,808 $862K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9.7% 6,543 6,510 $673K
90460 Immunization administration through 18 years of age via any route, first or only component 4.3% 22,830 10,457 $298K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4.3% 2,613 2,606 $294K
87428 3.1% 3,208 3,140 $212K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3.0% 15,551 15,431 $205K
90472 Immunization administration, each additional vaccine (list separately) 2.1% 14,176 10,472 $147K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.7% 12,086 8,909 $117K
99000 1.3% 8,107 7,814 $89K
54 more codes
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 3,029 $48K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,064 $47K
90461 <1% 3,643 $19K
90474 <1% 1,557 $17K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 218 $11K
99381 <1% 110 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 425 $7K
0081A <1% 136 $5K
99383 <1% 29 $3K
90480 <1% 117 $3K
90677 <1% 2,265 $3K
83655 <1% 236 $3K
99051 <1% 168 $2K
99203 Doctor's office visit, new patient (routine) <1% 13 $2K
99384 <1% 12 $2K
0082A <1% 25 $1K
0124A <1% 13 $608.00
90686 <1% 9,321 $591.95
0154A <1% 13 $520.00
96381 <1% 29 $504.48
96380 <1% 26 $436.82
90651 <1% 1,014 $293.61
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler <1% 211 $280.00
90670 <1% 5,558 $250.26
81003 <1% 12 $27.24
90698 0% 2,750 $0.00
90680 0% 4,189 $0.00
90619 0% 154 $0.00
90697 0% 2,739 $0.00
90744 0% 844 $0.00
90716 0% 270 $0.00
91307 0% 225 $0.00
90656 0% 1,756 $0.00
S3620 Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) 0% 57 $0.00
90381 0% 47 $0.00
96127 0% 29 $0.00
91317 0% 12 $0.00
91305 0% 39 $0.00
36416 0% 85 $0.00
91315 0% 13 $0.00
90696 0% 57 $0.00
A4620 Variable concentration mask 0% 12 $0.00
90633 0% 2,637 $0.00
91308 0% 413 $0.00
90734 0% 65 $0.00
90707 0% 274 $0.00
90700 0% 36 $0.00
91312 0% 13 $0.00
90710 0% 135 $0.00
90715 0% 27 $0.00
90380 0% 32 $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% 45 $0.00
90621 0% 39 $0.00
90648 0% 24 $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 officialCOMPTON, MIRIAM (PROVIDER RELATIONS REP)
Same official

Other billing entities under COMPTON, MIRIAM

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.