Clinic
Ascension Seton
Ascension Seton was paid $1.21M by Medicaid between Nov 2020 and Sep 2024, across 11 billing codes. Its largest line is 99283, emergency room visit (moderate) — 85% of everything it billed.
33Billing provider infoASCENSION SETON
BURNET, TX 78611
BURNET, TX 78611
33aNPI1003833013assigned 07/16/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$1.21M
24GClaims4,539
24DCodes billed11
24AFirst – last monthNov 2020 – Sep 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Texas
Rank by total paid#124 of 320
Median peer was paid$205K
This provider vs. median5.9×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 27 | $2K | |
| 2021 | 1,601 | $553K | |
| 2022 | 1,523 | $550K | |
| 2023 | 1,137 | $86K | |
| 2024incomplete | 251 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 85% | 1,253 | 1,188 | $1.03M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 13% | 95 | 91 | $152K |
| 80053 | Comprehensive metabolic panel | <1% | 675 | 611 | $11K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 199 | 193 | $9K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | <1% | 13 | 12 | $5K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 810 | 707 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 222 | 110 | $872.34 |
| 85027 | <1% | 12 | 12 | $826.16 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,126 | 993 | $445.29 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 12 | 12 | $66.92 |
| 81001 | <1% | 122 | 116 | $53.40 |
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 officialCORDOLA, CRAIG (PRESIDENT & CEO)
Parent organizationASCENSION SETON
| Provider | Location | Paid |
|---|---|---|
| Ascension Seton | Lockhart, TX | $7.30M |
| Ascension Providence | Waco, TX | $6.07M |
| Ascension Seton | Round Rock, TX | $1.00M |
| Ascension Seton | Austin, TX | $946K |
| Ascension Seton | Austin, TX | $836K |
| Ascension Seton | Luling, TX | $316K |
| Ascension Seton | Smithville, TX | $179K |
| Ascension Seton | Lockhart, TX | $109K |
| Ascension Seton | Lampasas, TX | $28K |
| Seton Family of Hospitals | Austin, TX | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.