Clinic
Ascension Seton
Ascension Seton was paid $836K by Medicaid between Oct 2020 and Nov 2024, across 62 billing codes. Its largest line is 99284, emergency room visit (serious) — 46% of everything it billed.
33Billing provider infoASCENSION SETON
AUSTIN, TX 78705
AUSTIN, TX 78705
33aNPI1164526786assigned 09/12/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$836K
24GClaims30,642
24DCodes billed62
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Texas
Rank by total paid#136 of 320
Median peer was paid$205K
This provider vs. median4.1×
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 | 407 | $9K | |
| 2021 | 11,140 | $276K | |
| 2022 | 10,158 | $372K | |
| 2023 | 6,615 | $138K | |
| 2024incomplete | 2,322 | $41K |
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 | 46% | 1,681 | 1,578 | $382K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 12% | 2,565 | 2,364 | $100K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 7.2% | 667 | 650 | $61K |
| 80053 | Comprehensive metabolic panel | 5.6% | 4,001 | 3,224 | $47K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 5.4% | 1,986 | 1,259 | $45K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 3.6% | 5,276 | 4,306 | $30K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.0% | 1,405 | 1,361 | $25K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.9% | 496 | 474 | $24K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 2.0% | 657 | 631 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.8% | 190 | 133 | $15K |
| J1756 | Injection, iron sucrose, 1 mg | 1.4% | 391 | 226 | $12K |
| 86003 | 1.1% | 330 | 264 | $9K |
50 more codes
| 82785 | <1% | 269 | $8K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 67 | $6K |
| 86359 | <1% | 42 | $5K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 213 | $5K |
| 86357 | <1% | 42 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 67 | $3K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 387 | $3K |
| 86360 | <1% | 42 | $3K | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 1,110 | $3K |
| 86317 | <1% | 389 | $3K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 824 | $3K |
| 84466 | <1% | 135 | $3K | |
| 84439 | <1% | 159 | $2K | |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 45 | $2K |
| 82728 | <1% | 164 | $2K | |
| 86355 | <1% | 42 | $2K | |
| 82787 | <1% | 289 | $1K | |
| 71045 | Radiologic examination, chest; single view | <1% | 368 | $1K |
| 86353 | <1% | 41 | $1K | |
| 85027 | <1% | 180 | $1K | |
| 86356 | <1% | 42 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $1K |
| 82784 | <1% | 365 | $1K | |
| 83540 | <1% | 135 | $994.17 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,006 | $899.41 |
| 86140 | <1% | 74 | $777.83 | |
| 81001 | <1% | 642 | $773.53 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 50 | $687.08 |
| 85652 | <1% | 87 | $497.94 | |
| 84484 | <1% | 195 | $215.83 | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 36 | $210.66 |
| 86710 | <1% | 44 | $161.43 | |
| 83880 | <1% | 29 | $131.92 | |
| 85610 | <1% | 338 | $114.42 | |
| 83735 | <1% | 145 | $61.66 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,854 | $38.11 |
| 85730 | <1% | 90 | $35.35 | |
| 83690 | <1% | 28 | $34.42 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 14 | $33.57 |
| 80061 | Lipid panel | <1% | 37 | $16.06 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 241 | $10.02 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 190 | $6.19 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 81 | $5.22 |
| J1644 | Injection, heparin sodium, per 1000 units | <1% | 16 | $4.40 |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 30 | $0.00 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 72 | $0.00 |
| J2704 | Injection, propofol, 10 mg | 0% | 152 | $0.00 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 0% | 53 | $0.00 |
| A9270 | Non-covered item or service | 0% | 38 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 24 | $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 | 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.