Medicaid Provider Spending

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

ASCENSION SETON

NPI: 1356446686 · LULING, TX 78648 · Critical Access Hospital · NPI assigned 09/13/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DAVIS, WILLIAM controls 12+ related entities in our dataset. Read more

$2.14M
Total Medicaid Paid
19,238
Total Claims
17,489
Beneficiaries
29
Codes Billed
2020-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDAVIS, WILLIAM (PRESIDENT & CEO)
Parent OrganizationASCENSION SETON
NPI Enumeration Date09/13/2006

Related Entities

Other providers sharing the same authorized official: DAVIS, WILLIAM

ProviderCityStateTotal Paid
ASCENSION SETON AUSTIN TX $29.44M
UNIVERSITY OF TOLEDO DENTISTS, INC TOLEDO OH $3.94M
ASCENSION SETON BURNET TX $925K
ASCENSION SETON LOCKHART TX $423K
ASCENSION SETON SMITHVILLE TX $283K
ASCENSION SETON BURNET TX $209K
ASCENSION SETON BASTROP TX $139K
ASCENSION SETON AUSTIN TX $131K
ASCENSION SETON BERTRAM TX $21K
ASCENSION SETON BURNET TX $11K
ASCENSION SETON KINGSLAND TX $9K
ASCENSION SETON DRIPPING SPRINGS TX $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 321 $27K
2021 5,319 $515K
2022 7,080 $977K
2023 5,366 $538K
2024 1,152 $83K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 3,390 3,315 $1.09M
99284 Emergency department visit for the evaluation and management, high severity 639 602 $306K
80053 Comprehensive metabolic panel 1,910 1,829 $285K
85027 1,129 1,097 $122K
80061 Lipid panel 1,054 1,036 $117K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 495 489 $44K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 59 56 $39K
84443 Thyroid stimulating hormone (TSH) 1,042 1,012 $29K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,779 872 $20K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 928 895 $16K
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 170 168 $11K
83036 Hemoglobin; glycosylated (A1C) 279 272 $10K
83655 110 108 $9K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 14 14 $7K
87070 72 69 $7K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 14 14 $7K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 14 14 $4K
71045 Radiologic examination, chest; single view 97 93 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,335 1,225 $4K
36415 Collection of venous blood by venipuncture 3,753 3,399 $2K
86592 14 14 $2K
87340 12 12 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 201 194 $2K
81001 459 427 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 13 13 $1K
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 171 169 $1K
82728 13 13 $1K
81025 44 40 $300.42
87807 28 28 $145.99