Clinic
Ascension Seton
Ascension Seton was paid $7.30M by Medicaid between Jun 2020 and Dec 2024, across 52 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 62% of everything it billed.
33Billing provider infoASCENSION SETON
LOCKHART, TX 78644
LOCKHART, TX 78644
33aNPI1235234576assigned 09/13/2006
33bProvider typeRural Health Clinic/Center
28Total paid$7.30M
24GClaims75,940
24DCodes billed52
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Texas
Rank by total paid#8 of 225
Median peer was paid$428K
This provider vs. median17×
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 | 3,934 | $223K | |
| 2021 | 20,250 | $2.03M | |
| 2022 | 20,982 | $1.76M | |
| 2023 | 18,252 | $1.91M | |
| 2024incomplete | 12,522 | $1.37M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 62% | 17,262 | 14,286 | $4.56M |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 7.3% | 9,699 | 6,903 | $532K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.2% | 2,187 | 2,078 | $528K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.9% | 1,771 | 1,670 | $430K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.8% | 1,675 | 1,614 | $424K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.7% | 1,274 | 1,244 | $342K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.2% | 5,910 | 3,992 | $236K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 2,361 | 1,883 | $126K |
| 99307 | <1% | 1,257 | 842 | $36K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 557 | 506 | $15K |
| 99381 | <1% | 58 | 55 | $15K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 162 | 140 | $12K |
40 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,344 | $12K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 6,102 | $8K |
| 90686 | <1% | 1,460 | $6K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 226 | $5K |
| 99305 | <1% | 37 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,960 | $3K |
| 99306 | Prolong nursin fac eval 15m | <1% | 25 | $3K |
| 90651 | <1% | 437 | $2K | |
| 96160 | <1% | 1,595 | $2K | |
| 90633 | <1% | 440 | $557.30 | |
| CP008 | <1% | 19 | $220.00 | |
| 90474 | <1% | 714 | $134.94 | |
| 3074F | 0% | 1,031 | $0.00 | |
| 90680 | 0% | 760 | $0.00 | |
| 3008F | 0% | 1,891 | $0.00 | |
| 92551 | 0% | 41 | $0.00 | |
| 1036F | 0% | 745 | $0.00 | |
| 1126F | 0% | 867 | $0.00 | |
| 90677 | 0% | 280 | $0.00 | |
| 90723 | 0% | 356 | $0.00 | |
| 90716 | 0% | 54 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 65 | $0.00 |
| 90696 | 0% | 56 | $0.00 | |
| 90656 | 0% | 118 | $0.00 | |
| 90697 | 0% | 14 | $0.00 | |
| 90698 | 0% | 14 | $0.00 | |
| 90619 | 0% | 16 | $0.00 | |
| 90670 | 0% | 1,141 | $0.00 | |
| 1159F | 0% | 1,783 | $0.00 | |
| 1160F | 0% | 1,812 | $0.00 | |
| 3078F | 0% | 957 | $0.00 | |
| 90734 | 0% | 224 | $0.00 | |
| 90710 | 0% | 58 | $0.00 | |
| 90715 | 0% | 44 | $0.00 | |
| 90648 | 0% | 774 | $0.00 | |
| 90672 | 0% | 99 | $0.00 | |
| 90649 | 0% | 43 | $0.00 | |
| 90707 | 0% | 54 | $0.00 | |
| 90700 | 0% | 28 | $0.00 | |
| 90473 | 0% | 83 | $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 (CFO)
Parent organizationASCENSION SETON
| Provider | Location | Paid |
|---|---|---|
| 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 | 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.