Physician
Seton Family of Doctors
Seton Family of Doctors was paid $4.00M by Medicaid between Aug 2018 and Dec 2024, across 86 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 24% of everything it billed.
33Billing provider infoSETON FAMILY OF DOCTORS
AUSTIN, TX 78701
AUSTIN, TX 78701
33aNPI1588997233assigned 09/14/2009
33bProvider typePhysical Medicine & Rehabilitation Physician
28Total paid$4.00M
24GClaims91,051
24DCodes billed86
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Physical Medicine & Rehabilitation Physician providers in Texas
Rank by total paid#2 of 96
Median peer was paid$4K
This provider vs. median1,072×
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 | |
|---|---|---|---|
| 2018 | 40 | $309.22 | |
| 2019 | 124 | $2K | |
| 2020 | 1,531 | $82K | |
| 2021 | 20,562 | $751K | |
| 2022 | 26,595 | $1.08M | |
| 2023 | 23,563 | $1.06M | |
| 2024incomplete | 18,636 | $1.02M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 24% | 11,801 | 10,442 | $951K |
| 76819 | Fetal biophysical profile; without non-stress testing | 13% | 8,460 | 6,679 | $522K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 9.5% | 3,853 | 3,182 | $380K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 8.7% | 3,547 | 3,232 | $346K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 6.4% | 6,332 | 5,418 | $255K |
| 59025 | Fetal non-stress test | 6.4% | 10,060 | 7,656 | $254K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 6.3% | 4,235 | 3,241 | $253K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.6% | 6,883 | 5,651 | $224K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 5.5% | 382 | 350 | $221K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.8% | 1,113 | 985 | $74K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 1,430 | 1,281 | $66K |
| 99218 | 1.5% | 1,842 | 1,637 | $62K |
74 more codes
| 99221 | 1.2% | 1,212 | $49K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.2% | 727 | $49K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.2% | 1,040 | $49K |
| 59514 | <1% | 41 | $29K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 660 | $27K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,824 | $22K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 304 | $22K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 522 | $18K |
| 99220 | <1% | 200 | $16K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 988 | $11K |
| 76820 | <1% | 313 | $9K | |
| 99219 | <1% | 169 | $9K | |
| 99235 | <1% | 52 | $6K | |
| 0002A | <1% | 236 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 350 | $6K |
| 76818 | <1% | 65 | $6K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 132 | $5K |
| 0001A | <1% | 227 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 53 | $5K |
| 72082 | <1% | 146 | $4K | |
| 99223 | Prolong inpt eval add15 m | <1% | 41 | $4K |
| 99234 | <1% | 44 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 189 | $3K |
| 76825 | <1% | 13 | $3K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 276 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 163 | $2K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 62 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 18 | $1K |
| 87428 | <1% | 18 | $1K | |
| 99205 | Prolong outpt/office vis | <1% | 12 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 13 | $1K |
| 0071A | <1% | 25 | $1K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 26 | $956.22 |
| 90674 | <1% | 101 | $939.76 | |
| 92551 | <1% | 491 | $907.59 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 26 | $781.55 |
| 76827 | <1% | 13 | $741.10 | |
| 99242 | <1% | 13 | $615.27 | |
| 99443 | <1% | 38 | $514.02 | |
| 99241 | <1% | 17 | $513.98 | |
| 93000 | <1% | 72 | $363.11 | |
| 90473 | <1% | 33 | $336.41 | |
| 0012A | <1% | 77 | $296.02 | |
| 51798 | <1% | 54 | $292.19 | |
| 73630 | <1% | 31 | $273.07 | |
| 93296 | <1% | 13 | $243.76 | |
| 93325 | <1% | 15 | $227.08 | |
| 0011A | <1% | 75 | $205.55 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 19 | $142.10 |
| 92552 | <1% | 14 | $108.95 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 14 | $102.91 |
| 0031A | <1% | 15 | $85.17 | |
| 99453 | <1% | 55 | $20.14 | |
| 90686 | <1% | 192 | $17.52 | |
| 91300 | <1% | 356 | $0.34 | |
| 3074F | <1% | 2,530 | $0.12 | |
| 3008F | <1% | 2,886 | $0.11 | |
| 1036F | <1% | 2,910 | $0.09 | |
| 3078F | <1% | 1,878 | $0.08 | |
| 3725F | <1% | 237 | $0.03 | |
| 1159F | 0% | 2,730 | $0.00 | |
| 1160F | 0% | 3,123 | $0.00 | |
| 90672 | 0% | 62 | $0.00 | |
| 90661 | 0% | 12 | $0.00 | |
| 99173 | 0% | 32 | $0.00 | |
| 90662 | 0% | 12 | $0.00 | |
| 99024 | 0% | 2,237 | $0.00 | |
| 3079F | 0% | 71 | $0.00 | |
| 1126F | 0% | 301 | $0.00 | |
| 91307 | 0% | 35 | $0.00 | |
| 96127 | 0% | 81 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 26 | $0.00 |
| 3075F | 0% | 43 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 12 | $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 officialCARSNER, CLAYTON (VP/COO)
| Provider | Location | Paid |
|---|---|---|
| Dell Children's Medical Group | Austin, TX | $11.07M |
| Providence Health Alliance | Waco, TX | $4.79M |
| Dell Children's Medical Group | Round Rock, TX | $2.24M |
| Seton Family of Doctors | Kyle, TX | $1.93M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.