Clinic
Ascension Seton
Ascension Seton was paid $29.44M by Medicaid between Nov 2020 and Dec 2024, across 95 billing codes. Its largest line is 99284, emergency room visit (serious) — 42% of everything it billed.
33Billing provider infoASCENSION SETON
AUSTIN, TX 78723
AUSTIN, TX 78723
33aNPI1447355771assigned 09/13/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$29.44M
24GClaims210,855
24DCodes billed95
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Texas
Rank by total paid#16 of 320
Median peer was paid$205K
This provider vs. median144×
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 | 5,371 | $475K | |
| 2021 | 60,760 | $6.17M | |
| 2022 | 59,814 | $8.60M | |
| 2023 | 56,034 | $9.65M | |
| 2024incomplete | 28,876 | $4.54M |
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 | 42% | 25,129 | 24,539 | $12.42M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 31% | 71,406 | 70,310 | $9.16M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 7.1% | 4,136 | 3,889 | $2.10M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.3% | 15,841 | 15,044 | $1.56M |
| 41899 | Unlisted procedure, dentoalveolar structures | 2.3% | 584 | 535 | $684K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 5,208 | 5,174 | $568K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.8% | 3,932 | 3,896 | $526K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.3% | 16,002 | 14,087 | $383K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 2,370 | 2,344 | $259K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,880 | 1,528 | $169K |
| 80053 | Comprehensive metabolic panel | <1% | 8,346 | 7,792 | $160K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,499 | 1,438 | $148K |
83 more codes
| G0378 | Hospital observation service, per hour | <1% | 71 | $128K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 5,305 | $119K |
| 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% | 4,369 | $118K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 28 | $98K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 790 | $84K |
| 72082 | <1% | 1,413 | $80K | |
| 85045 | <1% | 2,946 | $76K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 883 | $74K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 641 | $43K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,709 | $39K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 1,816 | $36K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 7,101 | $34K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 13 | $30K |
| 29705 | <1% | 2,419 | $30K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 18 | $29K |
| 29075 | <1% | 208 | $29K | |
| 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% | 3,730 | $27K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 222 | $22K |
| 81001 | <1% | 12,088 | $22K | |
| 73100 | <1% | 774 | $22K | |
| 77073 | <1% | 458 | $14K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 543 | $12K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 146 | $11K |
| 82728 | <1% | 80 | $9K | |
| 73090 | <1% | 431 | $9K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 25 | $9K |
| 29125 | <1% | 530 | $8K | |
| 93320 | <1% | 25 | $7K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 127 | $7K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 56 | $7K |
| 73521 | <1% | 209 | $6K | |
| 73070 | <1% | 216 | $6K | |
| L3913 | Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | <1% | 69 | $6K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 25 | $5K |
| 64642 | <1% | 12 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 516 | $4K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 27 | $4K |
| 73630 | <1% | 176 | $4K | |
| 29065 | <1% | 27 | $3K | |
| 73610 | <1% | 102 | $3K | |
| 77072 | <1% | 113 | $3K | |
| 73130 | <1% | 61 | $2K | |
| 83880 | <1% | 68 | $2K | |
| 87070 | <1% | 474 | $2K | |
| 97161 | <1% | 15 | $2K | |
| 84466 | <1% | 12 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 790 | $1K |
| 84460 | <1% | 127 | $1K | |
| 82247 | <1% | 157 | $1K | |
| 84450 | <1% | 115 | $1K | |
| 82784 | <1% | 18 | $1K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 12 | $1K |
| 87040 | <1% | 155 | $1K | |
| 83735 | <1% | 97 | $1K | |
| 97750 | <1% | 25 | $960.86 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 207 | $899.46 |
| 73140 | <1% | 44 | $893.58 | |
| 83540 | <1% | 12 | $823.34 | |
| 93325 | <1% | 25 | $767.25 | |
| 72081 | <1% | 25 | $712.59 | |
| 64643 | <1% | 22 | $672.41 | |
| C1889 | Implantable/insertable device, not otherwise classified | <1% | 12 | $643.86 |
| 83690 | <1% | 90 | $601.46 | |
| 87486 | <1% | 25 | $468.30 | |
| 87581 | <1% | 25 | $468.30 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 25 | $468.30 |
| 84100 | <1% | 40 | $416.24 | |
| 92523 | <1% | 12 | $393.27 | |
| 97166 | <1% | 12 | $385.74 | |
| 92610 | <1% | 12 | $379.98 | |
| 97162 | <1% | 12 | $321.87 | |
| 86140 | <1% | 55 | $145.60 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 44 | $93.71 |
| L4360 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 14 | $78.88 |
| 81025 | <1% | 26 | $78.78 | |
| 82962 | <1% | 82 | $43.98 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 29 | $37.81 |
| 73080 | <1% | 12 | $34.27 | |
| 87205 | <1% | 13 | $11.46 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 25 | $7.32 |
| J2704 | Injection, propofol, 10 mg | <1% | 12 | $5.46 |
| L4386 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | 0% | 13 | $0.00 |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 14 | $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 officialDAVIS, WILLIAM (PRESIDENT & CEO)
Parent organizationASCENSION SETON
| Provider | Location | Paid |
|---|---|---|
| University of Toledo Dentists, INC | Toledo, OH | $3.94M |
| Ascension Seton | Luling, TX | $2.14M |
| 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.