Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Texas Children's Physician Group

Pediatrics·Houston, TX·NPI: 1861675506SharePrint Report

Red Flags Explained

Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:

Billing Swing

Billing Swing means this provider's total billing changed dramatically from one year to the next — increasing or decreasing by more than 200% with over $1M in absolute change. This could indicate a change in practice scope, a billing scheme ramping up, or legitimate growth.

These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.

Advanced Detection Signals

Additional statistical tests from advanced fraud detection methods

Change PointBilling shifted 44.2x in 2020-10

These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.

Risk Assessment

Billing above the 90th percentile for 9 procedure codes simultaneously.

This is a statistical summary, not an accusation. See our methodology.

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $160.8M is at the 50th percentile among 14 Pediatrics providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$160.8M

$160,810,791

Total Claims

2.5M

Beneficiaries

2.2M

1.1 claims/patient

Avg Cost/Claim

$64

#642 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Texas Children's Physician Group is a Pediatrics provider based in Houston, TX. From the 2018–2024 period, this provider received $160.8M in Medicaid payments across 2.5M claims.

Why This Matters

This provider received $160.8M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 20,101 Medicaid beneficiaries for a full year at average per-enrollee costs.

60160% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$59K
+177%
2019
$164K
+4318%
2020
$7.2M
+412%
2021
$37.0M
+11%
2022
$41.2M
-4%
2023
$39.5M
-10%
2024
$35.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 12% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$19.9M

182K claims · 12.4%

Your Cost: $109.32/claim|Median: $69.51
1.6× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$15.7M

262K claims · 9.8%

Your Cost: $59.93/claim|Median: $53.41
1.1× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$10.1M

63K claims · 6.3%

Your Cost: $161.06/claim|Median: $121.58
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$9.5M

106K claims · 5.9%

Your Cost: $89.45/claim|Median: $74.09
1.2× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$8.7M

207K claims · 5.4%

Your Cost: $41.88/claim|Median: $37.81
1.1× median
99243Top 25%

Office or other outpatient consultation, low complexity

$6.0M

52K claims · 3.8%

Your Cost: $115.03/claim|Median: $82.43
1.4× median
99472Top 10%

Subsequent pediatric critical care, per day, age 2-5

$6.0M

14K claims · 3.7%

Your Cost: $421.78/claim|Median: $307.98
1.4× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$5.8M

72K claims · 3.6%

Your Cost: $80.38/claim|Median: $35.30
2.3× median
00170Top 25%

Anesthesia for intraoral procedures

$5.3M

20K claims · 3.3%

Your Cost: $263.41/claim|Median: $132.89
2.0× median
99283Top 25%

Emergency dept visit, moderate complexity

$4.3M

68K claims · 2.6%

Your Cost: $62.19/claim|Median: $42.48
1.5× median
99291Top 10%

Critical care, first 30-74 minutes

$4.2M

18K claims · 2.6%

Your Cost: $230.82/claim|Median: $101.24
2.3× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$3.9M

28K claims · 2.4%

Your Cost: $136.43/claim|Median: $85.65
1.6× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$3.4M

53K claims · 2.1%

Your Cost: $65.40/claim|Median: $57.85
1.1× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$2.7M

45K claims · 1.6%

Your Cost: $59.16/claim|Median: $23.99
2.5× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$2.5M

34K claims · 1.6%

Your Cost: $73.21/claim|Median: $37.22
2.0× median
99469Top 10%

Subsequent intensive care, very low birth weight infant

$2.4M

5K claims · 1.5%

Your Cost: $449.58/claim|Median: $293.45
1.5× median
99480Top 5%

Subsequent intensive care, very low birth weight infant

$2.2M

15K claims · 1.4%

Your Cost: $146.55/claim|Median: $98.15
1.5× median
99460Top 10%

Initial hospital or birthing center care, newborn, per day

$2.2M

22K claims · 1.4%

Your Cost: $98.88/claim|Median: $62.48
1.6× median
69436Normal range

Tympanostomy, general anesthesia

$2.1M

16K claims · 1.3%

Your Cost: $126.12/claim|Median: $205.50
0.6× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$2.0M

21K claims · 1.2%

Your Cost: $95.09/claim|Median: $84.03
1.1× median
93303Normal range

Echocardiography, transthoracic, limited

$1.8M

21K claims · 1.1%

Your Cost: $82.46/claim|Median: $112.83
0.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.8M

16K claims · 1.1%

Your Cost: $106.47/claim|Median: $54.68
1.9× median
95720Top 25%

$1.6M

9K claims · 1.0%

Your Cost: $185.58/claim|Median: $120.95
1.5× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$1.6M

19K claims · 1.0%

Your Cost: $85.41/claim|Median: $47.08
1.8× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$1.5M

31K claims · 0.9%

Your Cost: $47.49/claim|Median: $58.55
0.8× median
76705Normal range

Ultrasound, abdominal, limited

$1.3M

44K claims · 0.8%

Your Cost: $29.43/claim|Median: $23.81
1.2× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$1.3M

4K claims · 0.8%

Your Cost: $300.82/claim|Median: $331.68
0.9× median
70553Normal range

MRI brain without contrast, then with contrast

$1.2M

11K claims · 0.8%

Your Cost: $108.97/claim|Median: $133.68
0.8× median
93010Top 5%

Electrocardiogram, interpretation and report only

$1.2M

102K claims · 0.7%

Your Cost: $11.54/claim|Median: $5.60
2.1× median
71045Top 25%

Chest X-ray, single view

$1.1M

141K claims · 0.7%

Your Cost: $7.78/claim|Median: $4.93
1.6× median