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

TCH Pediatric Associates, INC

TCH Pediatric Associates, INC was paid $4.86M by Medicaid between Feb 2018 and Dec 2024, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.

33Billing provider infoTCH PEDIATRIC ASSOCIATES, INC
HOUSTON, TX 77065
33aNPI1811097017assigned 09/25/2006
33bProvider typePediatrics Physician
28Total paid$4.86M
24GClaims134,889
24DCodes billed53
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#88 of 1,136
Median peer was paid$329K
This provider vs. median15×

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
2018169$1K
2019829$31K
202011,588$306K
202133,655$929K
202230,896$1.17M
202330,168$1.26M
2024incomplete27,584$1.16M
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 26% 20,659 19,690 $1.28M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 15% 7,465 7,397 $712K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12% 5,836 5,810 $595K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11% 5,822 5,547 $533K
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 11% 5,552 5,338 $511K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 8.2% 3,568 3,552 $397K
90460 Immunization administration through 18 years of age via any route, first or only component 4.6% 18,761 9,057 $225K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2.8% 10,416 10,297 $137K
90472 Immunization administration, each additional vaccine (list separately) 1.9% 8,951 6,199 $92K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.7% 8,710 6,226 $83K
87428 1.6% 1,464 1,435 $78K
99000 1.1% 4,855 4,760 $55K
41 more codes
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 630 $33K
90461 <1% 3,704 $26K
99381 <1% 238 $23K
99203 Doctor's office visit, new patient (routine) <1% 142 $18K
99383 <1% 129 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 283 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 489 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 486 $8K
90474 <1% 645 $7K
99384 <1% 42 $5K
99382 <1% 24 $3K
90677 <1% 1,288 $2K
0124A <1% 28 $1K
90651 <1% 1,436 $1K
90621 <1% 200 $1K
0081A <1% 18 $568.00
90686 <1% 6,046 $525.19
90473 <1% 24 $215.64
90633 <1% 1,905 $86.96
90744 <1% 481 $30.41
90672 <1% 86 $30.38
90707 0% 1,549 $0.00
90670 0% 3,273 $0.00
90734 0% 371 $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% 214 $0.00
90715 0% 138 $0.00
91308 0% 133 $0.00
90700 0% 12 $0.00
91312 0% 28 $0.00
91307 0% 96 $0.00
90716 0% 1,633 $0.00
90680 0% 2,206 $0.00
90619 0% 283 $0.00
90697 0% 1,546 $0.00
90656 0% 939 $0.00
90698 0% 1,818 $0.00
90696 0% 114 $0.00
96127 0% 68 $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% 28 $0.00
91305 0% 45 $0.00
36416 0% 12 $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

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