Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BAYLOR SCOTT & WHITE MEDICAL CENTERS - CAPITOL AREA

NPI: 1144781501 · BUDA, TX 78610 · Ambulatory Surgical Clinic/Center · NPI assigned 03/28/2019

$1.23M
Total Medicaid Paid
6,606
Total Claims
5,985
Beneficiaries
14
Codes Billed
2021-06
First Month
2024-10
Last Month

Provider Details

Authorized OfficialFOX, JAY (CEO)
NPI Enumeration Date03/28/2019

Related Entities

Other providers sharing the same authorized official: FOX, JAY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 552 $101K
2022 2,513 $387K
2023 2,815 $619K
2024 726 $122K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 1,746 1,598 $1.13M
99283 Emergency department visit for the evaluation and management, moderate severity 698 637 $26K
99282 Emergency department visit for the evaluation and management, low to moderate severity 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 975 888 $18K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 336 307 $18K
80053 Comprehensive metabolic panel 502 450 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 655 575 $3K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 797 716 $3K
84703 27 24 $194.52
81001 58 54 $185.67
83690 30 28 $183.84
J1885 Injection, ketorolac tromethamine, per 15 mg 24 12 $21.65
36415 Collection of venous blood by venipuncture 166 151 $16.87
J2405 Injection, ondansetron hydrochloride, per 1 mg 47 36 $16.24