Medicaid Provider Spending

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

ST DAVIDS HEALTHCARE PARTNERSHIP LP LLP

NPI: 1649223645 · ROUND ROCK, TX 78681 · Ambulatory Surgical Clinic/Center · NPI assigned 05/19/2006

$1.09M
Total Medicaid Paid
15,624
Total Claims
14,378
Beneficiaries
29
Codes Billed
2020-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWIESS, LAURA (CFO)
NPI Enumeration Date05/19/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 41 $5K
2021 4,519 $257K
2022 5,511 $449K
2023 3,977 $308K
2024 1,576 $72K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 6,348 6,169 $751K
99284 Emergency department visit for the evaluation and management, high severity 1,792 1,670 $273K
99282 Emergency department visit for the evaluation and management, low to moderate severity 244 241 $32K
85027 2,313 2,056 $6K
80053 Comprehensive metabolic panel 1,227 1,103 $5K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 565 498 $4K
59025 Fetal non-stress test 49 39 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 58 53 $2K
J7030 Infusion, normal saline solution , 1000 cc 185 161 $2K
87428 51 50 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 108 107 $2K
70450 Computed tomography, head or brain; without contrast material 36 36 $2K
71045 Radiologic examination, chest; single view 299 286 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 117 103 $1K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 287 251 $1K
80048 Basic metabolic panel (calcium, ionized) 451 411 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg 97 86 $980.06
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 25 25 $494.62
87430 24 24 $377.03
83690 201 179 $336.91
84484 110 65 $172.94
81001 119 112 $138.93
80076 12 12 $53.61
85610 140 135 $29.15
85730 59 57 $10.58
96375 Therapeutic injection; each additional sequential IV push 13 13 $0.00
A9270 Non-covered item or service 573 330 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 23 15 $0.00
G1003 Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program 98 91 $0.00