Hospital
Ascension Seton
Ascension Seton was paid $179K by Medicaid between Mar 2021 and Sep 2024, across 16 billing codes. Its largest line is 99283, emergency room visit (moderate) — 55% of everything it billed.
33Billing provider infoASCENSION SETON
SMITHVILLE, TX 78957
SMITHVILLE, TX 78957
33aNPI1154612638assigned 05/02/2011
33bProvider typeGeneral Acute Care Hospital
28Total paid$179K
24GClaims2,288
24DCodes billed16
24AFirst – last monthMar 2021 – Sep 2024
Compared with peers
Next to other General Acute Care Hospital providers in Texas
Rank by total paid#78 of 109
Median peer was paid$1.15M
This provider vs. median0.2×
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 | 886 | $41K | |
| 2022 | 748 | $89K | |
| 2023 | 477 | $41K | |
| 2024incomplete | 177 | $8K |
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 | 55% | 753 | 722 | $98K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 17% | 79 | 74 | $31K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 13% | 55 | 52 | $23K |
| 80053 | Comprehensive metabolic panel | 5.2% | 199 | 187 | $9K |
| 87486 | 1.8% | 79 | 74 | $3K | |
| 87581 | 1.8% | 79 | 74 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 237 | 113 | $3K |
| 87070 | 1.5% | 13 | 12 | $3K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 79 | 76 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 332 | 293 | $2K |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 79 | 74 | $802.23 |
| 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% | 33 | 32 | $770.37 |
4 more codes
| 71046 | Radiologic examination, chest; 2 views | <1% | 12 | $432.80 |
| 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% | 33 | $181.82 |
| 81001 | <1% | 12 | $5.32 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 214 | $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 (PRESIDENT/CEO)
Parent organizationASCENSION SETON
| Provider | Location | Paid |
|---|---|---|
| Ascension Seton | Lockhart, TX | $7.30M |
| Ascension Providence | Waco, TX | $6.07M |
| Ascension Seton | Burnet, TX | $1.21M |
| Ascension Seton | Round Rock, TX | $1.00M |
| Ascension Seton | Austin, TX | $946K |
| Ascension Seton | Austin, TX | $836K |
| Ascension Seton | Luling, TX | $316K |
| 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.