Clinic
Ascension Seton
Ascension Seton was paid $1.00M by Medicaid between Dec 2020 and Oct 2024, across 27 billing codes. Its largest line is 99284, emergency room visit (serious) — 64% of everything it billed.
33Billing provider infoASCENSION SETON
ROUND ROCK, TX 78665
ROUND ROCK, TX 78665
33aNPI1578780870assigned 04/19/2007
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$1.00M
24GClaims13,241
24DCodes billed27
24AFirst – last monthDec 2020 – Oct 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Texas
Rank by total paid#131 of 320
Median peer was paid$205K
This provider vs. median4.9×
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 | |
|---|---|---|---|
| 2020 | 26 | $4K | |
| 2021 | 4,080 | $285K | |
| 2022 | 5,245 | $460K | |
| 2023 | 3,113 | $214K | |
| 2024incomplete | 777 | $41K |
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 | 64% | 2,210 | 2,102 | $641K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 25% | 2,256 | 2,198 | $250K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 4.8% | 343 | 317 | $48K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 1.7% | 798 | 769 | $17K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 1,054 | 512 | $17K |
| 80053 | Comprehensive metabolic panel | 1.4% | 1,996 | 1,714 | $14K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,476 | 2,085 | $9K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 510 | 458 | $2K |
| 71045 | Radiologic examination, chest; single view | <1% | 241 | 223 | $1K |
| 81001 | <1% | 361 | 335 | $981.43 | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 43 | 39 | $916.40 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 61 | 60 | $901.40 |
15 more codes
| 84484 | <1% | 341 | $366.84 | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 143 | $352.86 |
| 87807 | <1% | 26 | $322.99 | |
| 87070 | <1% | 25 | $140.64 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 35 | $58.44 |
| 83690 | <1% | 40 | $57.90 | |
| 85610 | <1% | 147 | $53.49 | |
| 84703 | <1% | 14 | $34.54 | |
| 83880 | <1% | 12 | $32.98 | |
| 83735 | <1% | 19 | $22.52 | |
| 82803 | <1% | 13 | $21.90 | |
| 83605 | <1% | 14 | $9.72 | |
| 85730 | <1% | 17 | $5.05 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 14 | $1.52 |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 32 | $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 officialCORDOLA, CRAIG (PRESIDENT/CEO)
Parent organizationASCENSION SETON
| Provider | Location | Paid |
|---|---|---|
| Ascension Seton | Lockhart, TX | $7.30M |
| Ascension Providence | Waco, TX | $6.07M |
| Ascension Seton | Burnet, TX | $1.21M |
| Ascension Seton | Austin, TX | $946K |
| Ascension Seton | Austin, TX | $836K |
| Ascension Seton | Luling, TX | $316K |
| Ascension Seton | Smithville, TX | $179K |
| Ascension Seton | Lockhart, TX | $109K |
| Ascension Seton | Lampasas, TX | $28K |
| Seton Family of Hospitals | Austin, TX | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.