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

TCH Pediatric Associates, INC

TCH Pediatric Associates, INC was paid $5.48M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.

33Billing provider infoTCH PEDIATRIC ASSOCIATES, INC
HOUSTON, TX 77057
33aNPI1972603017assigned 09/25/2006
33bProvider typePediatrics Physician
28Total paid$5.48M
24GClaims144,389
24DCodes billed66
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#74 of 1,136
Median peer was paid$329K
This provider vs. median17×

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$100K$200K2018201920202021202220232024
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
2018172$2K
2019461$9K
20208,261$222K
202134,613$1.09M
202236,344$1.44M
202337,642$1.61M
2024incomplete26,896$1.10M
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 35% 28,821 26,279 $1.92M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 11% 5,975 5,950 $612K
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% 6,429 5,948 $600K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 11% 6,030 5,995 $582K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7.5% 4,399 4,173 $409K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7.3% 3,583 3,570 $401K
90460 Immunization administration through 18 years of age via any route, first or only component 7.2% 30,429 14,625 $395K
87428 2.8% 2,270 2,205 $153K
99000 1.5% 6,893 6,496 $81K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.2% 1,201 1,177 $63K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.1% 5,771 4,938 $58K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.0% 3,457 3,345 $56K
54 more codes
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 2,157 $35K
90461 <1% 6,529 $35K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,303 $28K
69210 <1% 205 $9K
83036 Hemoglobin; glycosylated (A1C) <1% 585 $6K
99381 <1% 50 $5K
90472 Immunization administration, each additional vaccine (list separately) <1% 990 $5K
80061 Lipid panel <1% 661 $4K
99383 <1% 40 $4K
0071A <1% 77 $4K
0081A <1% 73 $2K
90686 <1% 7,515 $1K
90651 <1% 1,819 $895.45
81003 <1% 402 $862.69
0154A <1% 17 $816.00
90621 <1% 200 $772.08
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 83 $645.66
81002 <1% 193 $640.50
0124A <1% 13 $624.00
0072A <1% 12 $576.00
0074A <1% 12 $568.00
0054A <1% 15 $516.42
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler <1% 191 $485.80
94760 <1% 1,143 $462.24
99051 <1% 29 $370.44
92551 <1% 169 $323.58
96381 <1% 15 $260.74
90619 <1% 517 $173.42
90474 <1% 12 $112.92
90633 <1% 1,476 $43.48
90656 <1% 1,058 $20.96
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) 0% 488 $0.00
90670 0% 2,581 $0.00
90710 0% 820 $0.00
90734 0% 228 $0.00
91308 0% 192 $0.00
90715 0% 265 $0.00
99173 0% 125 $0.00
90672 0% 18 $0.00
91312 0% 14 $0.00
96127 0% 58 $0.00
90677 0% 1,087 $0.00
90698 0% 1,271 $0.00
90697 0% 919 $0.00
90680 0% 1,502 $0.00
90696 0% 102 $0.00
90744 0% 376 $0.00
91307 0% 291 $0.00
91315 0% 22 $0.00
91305 0% 101 $0.00
90660 0% 31 $0.00
90688 0% 49 $0.00
82962 0% 18 $0.00
90716 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

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.