NPI: 1700392602 · BASTROP, TX 78602 · Rural Health Clinic/Center · NPI assigned 12/14/2017
Authorized official DAVIS, WILLIAM controls 12+ related entities in our dataset. Read more
| Authorized Official | DAVIS, WILLIAM (PRESIDENT CEO) |
| Parent Organization | ASCENSION SETON |
| NPI Enumeration Date | 12/14/2017 |
Other providers sharing the same authorized official: DAVIS, WILLIAM
| Provider | City | State | Total Paid |
|---|---|---|---|
| ASCENSION SETON | AUSTIN | TX | $29.44M |
| 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 | AUSTIN | TX | $131K |
| ASCENSION SETON | BERTRAM | TX | $21K |
| ASCENSION SETON | BURNET | TX | $11K |
| ASCENSION SETON | KINGSLAND | TX | $9K |
| ASCENSION SETON | DRIPPING SPRINGS | TX | $6K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 75 | $2K |
| 2021 | 1,115 | $31K |
| 2022 | 1,396 | $43K |
| 2023 | 513 | $49K |
| 2024 | 186 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 1,850 | 1,664 | $135K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 40 | 40 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 18 | 18 | $1K |
| 99173 | 15 | 15 | $0.00 | |
| 1160F | 256 | 253 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 50 | 28 | $0.00 |
| 1159F | 197 | 195 | $0.00 | |
| 99306 | Prolong nursin fac eval 15m | 13 | 13 | $0.00 |
| 3078F | 86 | 85 | $0.00 | |
| 1036F | 185 | 184 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 208 | 207 | $0.00 |
| 3008F | 247 | 246 | $0.00 | |
| 3074F | 89 | 88 | $0.00 | |
| 90686 | 14 | 14 | $0.00 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17 | 17 | $0.00 |