Hospital
Ascension Seton
Ascension Seton was paid $2.14M by Medicaid between Nov 2020 and Nov 2024, across 29 billing codes. Its largest line is 99283, emergency room visit (moderate) — 51% of everything it billed.
33Billing provider infoASCENSION SETON
LULING, TX 78648
LULING, TX 78648
33aNPI1356446686assigned 09/13/2006
33bProvider typeCritical Access Hospital
28Total paid$2.14M
24GClaims19,238
24DCodes billed29
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers
Next to other Critical Access Hospital providers in Texas
Rank by total paid#6 of 47
Median peer was paid$170K
This provider vs. median13×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official DAVIS, WILLIAM controls 12+ related entities in our dataset. Read more
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 | 321 | $27K | |
| 2021 | 5,319 | $515K | |
| 2022 | 7,080 | $977K | |
| 2023 | 5,366 | $538K | |
| 2024incomplete | 1,152 | $83K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 51% | 3,390 | 3,315 | $1.09M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 14% | 639 | 602 | $306K |
| 80053 | Comprehensive metabolic panel | 13% | 1,910 | 1,829 | $285K |
| 85027 | 5.7% | 1,129 | 1,097 | $122K | |
| 80061 | Lipid panel | 5.5% | 1,054 | 1,036 | $117K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 2.1% | 495 | 489 | $44K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1.8% | 59 | 56 | $39K |
| 84443 | Thyroid stimulating hormone (TSH) | 1.3% | 1,042 | 1,012 | $29K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 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 | <1% | 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 | <1% | 170 | 168 | $11K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 279 | 272 | $10K |
17 more codes
| 83655 | <1% | 110 | $9K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 14 | $7K |
| 87070 | <1% | 72 | $7K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 14 | $7K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 14 | $4K |
| 71045 | Radiologic examination, chest; single view | <1% | 97 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,335 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,753 | $2K |
| 86592 | <1% | 14 | $2K | |
| 87340 | <1% | 12 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 201 | $2K |
| 81001 | <1% | 459 | $2K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 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 | <1% | 171 | $1K |
| 82728 | <1% | 13 | $1K | |
| 81025 | <1% | 44 | $300.42 | |
| 87807 | <1% | 28 | $145.99 |
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 officialDAVIS, WILLIAM (PRESIDENT & CEO)
Parent organizationASCENSION SETON
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.