Clinic
Baylor Scott & White Medical Centers - Capitol Area
Baylor Scott & White Medical Centers - Capitol Area was paid $1.23M by Medicaid between Jun 2021 and Oct 2024, across 14 billing codes. Its largest line is 99284, emergency room visit (serious) — 92% of everything it billed.
33Billing provider infoBAYLOR SCOTT & WHITE MEDICAL CENTERS - CAPITOL AREA
BUDA, TX 78610
BUDA, TX 78610
33aNPI1144781501assigned 03/28/2019
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$1.23M
24GClaims6,606
24DCodes billed14
24AFirst – last monthJun 2021 – Oct 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Texas
Rank by total paid#122 of 320
Median peer was paid$205K
This provider vs. median6.0×
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 | |
|---|---|---|---|
| 2021 | 552 | $101K | |
| 2022 | 2,513 | $387K | |
| 2023 | 2,815 | $619K | |
| 2024incomplete | 726 | $122K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 92% | 1,746 | 1,598 | $1.13M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.1% | 698 | 637 | $26K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.9% | 545 | 509 | $24K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.5% | 975 | 888 | $18K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.5% | 336 | 307 | $18K |
| 80053 | Comprehensive metabolic panel | <1% | 502 | 450 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 655 | 575 | $3K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 797 | 716 | $3K |
| 84703 | <1% | 27 | 24 | $194.52 | |
| 81001 | <1% | 58 | 54 | $185.67 | |
| 83690 | <1% | 30 | 28 | $183.84 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 24 | 12 | $21.65 |
2 more codes
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 officialFOX, JAY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Scott & White Hospital - Taylor | Taylor, TX | $4.36M |
| Scott & White Hospital - Round Rock | Round Rock, TX | $770K |
| Baylor Scott & White Medical Centers - Capitol Area | Pflugerville, TX | $319K |
| Baylor Scott & White Medical Centers - Capitol Area | Austin, TX | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.