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.
HOUSTON, TX 77030
Next to other Urgent Care Clinic/Center providers in Texas
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 190 | $2K | |
| 2019 | 72 | $132.00 | |
| 2020 | 64,461 | $3.10M | |
| 2021 | 186,254 | $13.30M | |
| 2022 | 241,878 | $17.63M | |
| 2023 | 214,388 | $16.41M | |
| 2024incomplete | 161,247 | $13.24M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| TCH Pediatric Associates, INC | Houston, TX | $3.20M |
| TCH Pediatric Associates, INC | College Station, TX | $2.16M |
| TCH Pediatric Associates, INC | Spring, TX | $2.15M |
| TCH Pediatric Associates, INC | Missouri City, TX | $946K |
| TCH Pediatric Associates, INC | Austin, TX | $903K |
| Texas Children's Urgent Care | Austin, TX | $857K |
| TCH Pediatrics INC | Austin, TX | $777K |
| TCH Pediatrics INC | Austin, TX | $738K |
| TCH Pediatrics INC | Austin, TX | $603K |
| TCH Pediatrics INC | Houston, TX | $523K |
| TCH Pediatric Associates, INC | Austin, TX | $440K |
| TCH Pediatric Associates, INC | Fulshear, TX | $421K |
| TCH Pediatric Associates, INC. | Pflugerville, TX | $404K |
| TCH Pediatrics INC | Austin, TX | $341K |
| TCH Pediatrics INC | Round Rock, TX | $315K |
| TCH Pediatrics INC | Austin, TX | $272K |
| TCH Pediatrics INC | Austin, TX | $256K |
| TCH Pediatric Associates, INC | Austin, TX | $26K |
| TCH Pediatric Associates, INC. | The Woodlands, TX | $18K |
| TCH Pediatrics INC | Kyle, TX | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.