Medicaid Provider Spending

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

BAYLOR SCOTT & WHITE MEDICAL CENTERS - CAPITOL AREA

NPI: 1346729159 · PFLUGERVILLE, TX 78660 · General Acute Care Hospital · NPI assigned 08/13/2018

$319K
Total Medicaid Paid
4,190
Total Claims
3,744
Beneficiaries
17
Codes Billed
2021-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialFOX, JAY (CEO)
NPI Enumeration Date08/13/2018

Related Entities

Other providers sharing the same authorized official: FOX, JAY

ProviderCityStateTotal Paid
SCOTT & WHITE HOSPITAL - TAYLOR TAYLOR TX $4.36M
BAYLOR SCOTT & WHITE MEDICAL CENTERS - CAPITOL AREA BUDA TX $1.23M
SCOTT & WHITE HOSPITAL - ROUND ROCK ROUND ROCK TX $770K
BAYLOR SCOTT & WHITE MEDICAL CENTERS - CAPITOL AREA AUSTIN TX $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 918 $66K
2022 1,294 $137K
2023 1,091 $90K
2024 887 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 823 746 $284K
99283 Emergency department visit for the evaluation and management, moderate severity 334 306 $11K
99282 Emergency department visit for the evaluation and management, low to moderate severity 221 206 $8K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 330 289 $5K
80053 Comprehensive metabolic panel 739 664 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 860 754 $3K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 27 26 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 13 13 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 13 12 $617.57
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 27 26 $300.33
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 63 53 $280.96
81001 87 82 $122.36
36415 Collection of venous blood by venipuncture 467 427 $118.11
84702 17 16 $63.20
84484 14 13 $20.94
83690 15 13 $17.37
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 140 98 $0.00