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

TCH Pediatric Associates, INC

TCH Pediatric Associates, INC was paid $421K by Medicaid between Sep 2022 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.

33Billing provider infoTCH PEDIATRIC ASSOCIATES, INC
FULSHEAR, TX 77441
33aNPI1700530441assigned 02/11/2022
33bProvider typePediatrics Physician
28Total paid$421K
24GClaims11,505
24DCodes billed23
24AFirst – last monthSep 2022 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#532 of 1,136
Median peer was paid$329K
This provider vs. median1.3×

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

$0$10K$20K$30K2018201920202021202220232024
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
2022658$20K
20235,681$199K
2024incomplete5,166$202K
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 47% 3,934 3,532 $200K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 16% 681 677 $66K
90460 Immunization administration through 18 years of age via any route, first or only component 12% 3,110 1,443 $50K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9.8% 444 420 $41K
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 5.3% 307 284 $22K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.7% 151 151 $16K
87428 2.3% 197 194 $10K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.6% 701 504 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 238 230 $4K
99000 <1% 201 192 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 12 12 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 69 69 $1K
11 more codes
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 40 $620.74
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 14 $457.75
90686 0% 316 $0.00
90697 0% 95 $0.00
90656 0% 206 $0.00
90677 0% 71 $0.00
90680 0% 13 $0.00
90633 0% 29 $0.00
90461 0% 399 $0.00
90670 0% 173 $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% 104 $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 (MANAGER)
Same official

Other billing entities under VILLAR, LAURA

Full network →
ProviderLocationPaid
Texas Children's Urgent CareHouston, TX$63.68M
TCH Pediatric Associates, INCHouston, TX$3.20M
TCH Pediatric Associates, INCCollege Station, TX$2.16M
TCH Pediatric Associates, INCSpring, TX$2.15M
TCH Pediatric Associates, INCMissouri City, TX$946K
TCH Pediatric Associates, INCAustin, TX$903K
Texas Children's Urgent CareAustin, TX$857K
TCH Pediatrics INCAustin, TX$777K
TCH Pediatrics INCAustin, TX$738K
TCH Pediatrics INCAustin, TX$603K
TCH Pediatrics INCHouston, TX$523K
TCH Pediatric Associates, INCAustin, TX$440K
TCH Pediatric Associates, INC.Pflugerville, TX$404K
TCH Pediatrics INCAustin, TX$341K
TCH Pediatrics INCRound Rock, TX$315K
TCH Pediatrics INCAustin, TX$272K
TCH Pediatrics INCAustin, TX$256K
TCH Pediatric Associates, INCAustin, TX$26K
TCH Pediatric Associates, INC.The Woodlands, TX$18K
TCH Pediatrics INCKyle, TX$14K

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