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

TCH Pediatric Associates, INC.

TCH Pediatric Associates, INC. was paid $4.12M by Medicaid between Oct 2018 and Dec 2024, across 71 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.

33Billing provider infoTCH PEDIATRIC ASSOCIATES, INC.
HOUSTON, TX 77015
33aNPI1679712335assigned 02/19/2009
33bProvider typePediatrics Physician
28Total paid$4.12M
24GClaims122,035
24DCodes billed71
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#109 of 1,136
Median peer was paid$329K
This provider vs. median13×

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$50K$100K$150K2018201920202021202220232024
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
201835$172.48
2019858$22K
20208,343$203K
202128,150$798K
202228,297$965K
202328,388$1.12M
2024incomplete27,964$1.01M
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 30% 18,537 17,341 $1.25M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 16% 6,997 6,924 $671K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 14% 6,212 5,839 $572K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 11% 4,521 4,505 $465K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6.0% 2,214 2,198 $248K
90460 Immunization administration through 18 years of age via any route, first or only component 3.7% 12,024 5,454 $151K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3.4% 10,752 10,620 $139K
90472 Immunization administration, each additional vaccine (list separately) 2.4% 9,876 6,910 $101K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2.0% 8,450 6,089 $81K
87428 1.8% 1,278 1,249 $76K
99000 1.5% 5,233 5,121 $60K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.4% 1,265 1,221 $57K
59 more codes
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.2% 905 $48K
99214 Doctor's office visit, returning patient (more involved) 1.0% 465 $43K
99381 <1% 258 $26K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,549 $25K
90474 <1% 1,594 $17K
90834 Psychotherapy session, about 45 minutes <1% 295 $17K
90461 <1% 2,598 $14K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 736 $12K
99383 <1% 89 $10K
90832 Psychotherapy session, about 30 minutes <1% 181 $7K
90791 Psychiatric diagnostic evaluation <1% 63 $5K
0081A <1% 78 $3K
99203 Doctor's office visit, new patient (routine) <1% 17 $2K
96381 <1% 123 $2K
99382 <1% 16 $2K
90677 <1% 1,710 $2K
0071A <1% 32 $1K
0072A <1% 27 $1K
69210 <1% 29 $1K
0082A <1% 36 $1K
0054A <1% 13 $624.00
0154A <1% 13 $624.00
90651 <1% 1,180 $587.20
0074A <1% 12 $576.00
0124A <1% 12 $568.00
90621 <1% 180 $527.52
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler <1% 100 $504.00
90686 <1% 5,937 $461.24
99051 <1% 31 $405.72
96380 <1% 20 $326.35
81003 <1% 109 $238.96
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% 304 $0.01
90710 0% 336 $0.00
90648 0% 424 $0.00
90670 0% 3,249 $0.00
90633 0% 2,249 $0.00
90707 0% 369 $0.00
90715 0% 95 $0.00
90380 0% 42 $0.00
90734 0% 142 $0.00
91308 0% 175 $0.00
90700 0% 13 $0.00
91312 0% 12 $0.00
96127 0% 50 $0.00
90680 0% 3,092 $0.00
90697 0% 1,755 $0.00
90716 0% 325 $0.00
90723 0% 283 $0.00
90656 0% 1,088 $0.00
90619 0% 244 $0.00
91307 0% 195 $0.00
90698 0% 1,156 $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% 90 $0.00
90696 0% 309 $0.00
90744 0% 34 $0.00
36416 0% 92 $0.00
91305 0% 47 $0.00
90381 0% 85 $0.00
91315 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 officialCOMPTON, MIRIAM (PROVIDER RELATIONS REPRESENTATIVE)
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.