Baylor Scott & White Medical Centers - Capitol Area

Baylor Scott & White Medical Centers - Capitol Area was paid $319K by Medicaid between Mar 2021 and Oct 2024, across 17 billing codes. Its largest line is 99284, emergency room visit (serious) — 89% of everything it billed.

33Billing provider infoBAYLOR SCOTT & WHITE MEDICAL CENTERS - CAPITOL AREA
PFLUGERVILLE, TX 78660

33aNPI1346729159assigned 08/13/2018

33bProvider typeGeneral Acute Care Hospital

28Total paid$319K

24GClaims4,190

24DCodes billed17

24AFirst – last monthMar 2021 – Oct 2024

Compared with peers

Next to other General Acute Care Hospital providers in Texas

Rank by total paid#72 of 109

Median peer was paid$1.15M

This provider vs. median0.3×

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	918	$66K
2022	1,294	$137K
2023	1,091	$90K
2024incomplete	887	$26K

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	89%	823	746	$284K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	3.5%	334	306	$11K
99282	Emergency department visit for the evaluation and management, low to moderate severity	2.6%	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	1.5%	330	289	$5K
80053	Comprehensive metabolic panel	1.2%	739	664	$4K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	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	<1%	27	26	$2K
87636	Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B	<1%	13	13	$1K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	13	12	$617.57
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	27	26	$300.33
0241U	Neonatal screening for hereditary disorders, genomic sequence analysis panel	<1%	63	53	$280.96
81001		<1%	87	82	$122.36

5 more codes

36415	Collection of venous blood by venipuncture	<1%	467	$118.11
84702		<1%	17	$63.20
84484		<1%	14	$20.94
83690		<1%	15	$17.37
G1004	Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program	0%	140	$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 officialFOX, JAY (CEO)

Same official

Other billing entities under FOX, JAY

Full network →

Provider	Location	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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.