Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Texas Children's Urgent Care

Texas Children's Urgent Care was paid $63.68M by Medicaid between May 2018 and Dec 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

33Billing provider infoTEXAS CHILDREN'S URGENT CARE
HOUSTON, TX 77030
33aNPI1871998963assigned 10/31/2014
28Total paid$63.68M
24GClaims868,490
24DCodes billed44
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers

Next to other Urgent Care Clinic/Center providers in Texas

Rank by total paid#1 of 151
Median peer was paid$125K
This provider vs. median510×

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$1.0M$2.0M$3.0M2018201920202021202220232024
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
2018190$2K
201972$132.00
202064,461$3.10M
2021186,254$13.30M
2022241,878$17.63M
2023214,388$16.41M
2024incomplete161,247$13.24M
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 61% 287,665 279,113 $38.74M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 27% 129,369 127,007 $16.96M
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 8.0% 38,146 37,423 $5.09M
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3.5% 16,808 16,430 $2.21M
S9083 Global fee urgent care centers <1% 2,080 1,830 $260K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 89,131 88,075 $166K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 2,556 2,521 $105K
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive <1% 401 389 $61K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 130,542 65,129 $47K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 66,152 65,260 $24K
99000 <1% 31,684 31,332 $6K
71046 Radiologic examination, chest; 2 views <1% 496 486 $3K
32 more codes
99215 Doctor's office visit, returning patient (complex) <1% 15 $2K
99205 Prolong outpt/office vis <1% 12 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 12 $1K
31720 <1% 2,195 $1K
81003 <1% 4,666 $215.86
69210 <1% 239 $188.53
73630 <1% 148 $180.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram <1% 865 $147.48
90656 <1% 14 $76.00
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler <1% 2,653 $72.00
A4570 Splint <1% 123 $58.92
73610 <1% 280 $48.00
99051 <1% 54,789 $44.82
90686 <1% 29 $38.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 128 $28.62
94760 <1% 140 $7.20
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 1,160 $0.62
J8540 Dexamethasone, oral, 0.25 mg 0% 1,664 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 64 $0.00
73090 0% 29 $0.00
97169 0% 32 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 0% 26 $0.00
51701 0% 337 $0.00
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 0% 3,000 $0.00
73140 0% 134 $0.00
69209 0% 250 $0.00
73110 0% 106 $0.00
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 0% 89 $0.00
73130 0% 26 $0.00
94664 0% 116 $0.00
90715 0% 106 $0.00
73590 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 officialVILLAR, LAURA (PROVIDER RELATIONS)
Same official

Other billing entities under VILLAR, LAURA

Full network →
ProviderLocationPaid
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, INCFulshear, TX$421K
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.