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

Ascension Providence

Ascension Providence was paid $6.07M by Medicaid between Sep 2020 and Nov 2024, across 105 billing codes. Its largest line is 99284, emergency room visit (serious) — 37% of everything it billed.

33Billing provider infoASCENSION PROVIDENCE
WACO, TX 76712
33aNPI1093708679assigned 08/29/2005
28Total paid$6.07M
24GClaims135,873
24DCodes billed105
24AFirst – last monthSep 2020 – Nov 2024
Compared with peers

Next to other General Acute Care Hospital providers in Texas

Rank by total paid#30 of 109
Median peer was paid$1.15M
This provider vs. median5.3×

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

$0$100K$200K$300K2018201920202021202220232024
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
20202,525$123K
202148,113$1.87M
202244,956$2.04M
202331,281$1.70M
2024incomplete8,998$336K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 37% 9,620 8,906 $2.23M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 24% 6,035 5,544 $1.46M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 12% 13,374 12,890 $700K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.8% 20,379 18,627 $171K
80053 Comprehensive metabolic panel 2.7% 15,886 14,549 $161K
59025 Fetal non-stress test 2.5% 1,058 867 $154K
71045 Radiologic examination, chest; single view 2.3% 5,274 5,012 $141K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2.1% 1,105 295 $129K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.9% 2,079 2,017 $113K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1.5% 162 159 $93K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.4% 1,598 1,497 $84K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 4,900 4,187 $55K
93 more codes
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 477 $48K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,321 $45K
G0378 Hospital observation service, per hour <1% 1,322 $43K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 599 $30K
86780 <1% 1,332 $25K
81001 <1% 8,416 $25K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 3,363 $23K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 450 $20K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 309 $19K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 427 $18K
87086 Culture, bacterial; quantitative colony count, urine <1% 2,032 $18K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 761 $18K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 412 $18K
96375 Therapeutic injection; each additional sequential IV push <1% 1,524 $17K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 1,745 $14K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 277 $13K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 195 $11K
83690 <1% 2,051 $11K
84484 <1% 2,213 $11K
87486 <1% 162 $10K
G0382 Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 166 $9K
87581 <1% 162 $8K
86850 <1% 472 $7K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 1,284 $7K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 17 $6K
70450 Computed tomography, head or brain; without contrast material <1% 383 $5K
86803 <1% 273 $5K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 98 $5K
84443 Thyroid stimulating hormone (TSH) <1% 1,016 $5K
93976 <1% 45 $4K
82077 <1% 408 $4K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,217 $4K
G0384 Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 414 $4K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 163 $4K
87340 <1% 275 $4K
86787 <1% 182 $3K
86900 <1% 533 $3K
86317 <1% 156 $3K
80048 Basic metabolic panel (calcium, ionized) <1% 1,273 $3K
G0383 Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 231 $3K
83655 <1% 121 $3K
80143 <1% 248 $3K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 27 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 804 $2K
86901 <1% 534 $2K
80179 <1% 233 $2K
71046 Radiologic examination, chest; 2 views <1% 43 $2K
80061 Lipid panel <1% 636 $2K
76801 <1% 17 $2K
31720 <1% 27 $2K
81025 <1% 168 $2K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 52 $1K
94760 <1% 570 $1K
83735 <1% 1,027 $1K
83036 Hemoglobin; glycosylated (A1C) <1% 563 $1K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 685 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 93 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 464 $1K
86762 <1% 38 $918.46
97597 <1% 19 $883.98
87420 <1% 47 $880.34
83880 <1% 315 $878.91
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 117 $763.18
84702 <1% 74 $747.34
77067 Screening mammography, bilateral, including computer-aided detection <1% 65 $556.86
87150 <1% 12 $528.04
82950 <1% 53 $432.65
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 17 $356.29
87070 <1% 39 $340.75
85027 <1% 223 $281.82
83605 <1% 256 $274.39
87077 <1% 272 $262.80
87186 <1% 236 $260.74
89220 <1% 14 $256.28
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 54 $247.06
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 12 $247.00
J3010 Injection, fentanyl citrate, 0.1 mg <1% 279 $191.48
85610 <1% 642 $190.26
85018 <1% 32 $161.75
36415 Collection of venous blood by venipuncture <1% 5,509 $157.14
84439 <1% 15 $155.59
J3490 Unclassified drugs <1% 24 $116.10
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 33 $65.58
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 55 $52.49
J7510 Prednisolone oral, per 5 mg <1% 14 $36.13
J1170 Injection, hydromorphone, up to 4 mg <1% 20 $13.69
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 41 $7.21
85652 <1% 14 $6.70
87205 <1% 12 $3.59
A9270 Non-covered item or service 0% 384 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 55 $0.00
82962 0% 917 $0.00
J2704 Injection, propofol, 10 mg 0% 26 $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 officialCORDOLA, CRAIG (CEO)
Same official

Other billing entities under CORDOLA, CRAIG

Full network →
ProviderLocationPaid
Ascension SetonLockhart, TX$7.30M
Ascension SetonBurnet, TX$1.21M
Ascension SetonRound Rock, TX$1.00M
Ascension SetonAustin, TX$946K
Ascension SetonAustin, TX$836K
Ascension SetonLuling, TX$316K
Ascension SetonSmithville, TX$179K
Ascension SetonLockhart, TX$109K
Ascension SetonLampasas, TX$28K
Seton Family of HospitalsAustin, TX$2K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.