Physician
Seton Family of Doctors
Seton Family of Doctors was paid $1.93M by Medicaid between Jan 2018 and Dec 2024, across 61 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoSETON FAMILY OF DOCTORS
KYLE, TX 78640
KYLE, TX 78640
33aNPI1730412388assigned 09/15/2009
33bProvider typeNeurological Surgery Physician
28Total paid$1.93M
24GClaims75,883
24DCodes billed61
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Neurological Surgery Physician providers in Texas
Rank by total paid#1 of 25
Median peer was paid$3K
This provider vs. median697×
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 | 265 | $5K | |
| 2019 | 26 | $268.72 | |
| 2020 | 1,604 | $38K | |
| 2021 | 19,017 | $439K | |
| 2022 | 21,436 | $505K | |
| 2023 | 23,969 | $562K | |
| 2024incomplete | 9,566 | $383K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 23,000 | 18,834 | $779K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 16% | 3,876 | 3,456 | $316K |
| 76819 | Fetal biophysical profile; without non-stress testing | 15% | 4,659 | 3,267 | $289K |
| 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 | 8.4% | 3,813 | 3,437 | $162K |
| 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 | 3.1% | 675 | 644 | $59K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 2.8% | 677 | 511 | $53K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.1% | 485 | 482 | $40K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 2,473 | 2,438 | $27K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.3% | 259 | 235 | $25K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 239 | 239 | $21K |
| 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% | 332 | 312 | $18K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,283 | 1,198 | $17K |
49 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 172 | $16K |
| 87428 | <1% | 317 | $14K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,422 | $14K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 909 | $12K |
| 20610 | <1% | 430 | $10K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 120 | $10K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 14 | $7K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 198 | $5K |
| 17110 | <1% | 62 | $5K | |
| 0002A | <1% | 192 | $5K | |
| 0001A | <1% | 185 | $5K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 79 | $5K |
| 81002 | <1% | 1,371 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 207 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 65 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 287 | $2K |
| 59430 | <1% | 14 | $1K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 124 | $1K |
| 59025 | Fetal non-stress test | <1% | 29 | $677.87 |
| 90686 | <1% | 239 | $579.37 | |
| 0031A | <1% | 44 | $570.57 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 74 | $475.13 |
| 90715 | <1% | 12 | $366.65 | |
| 93000 | <1% | 60 | $366.25 | |
| 90674 | <1% | 12 | $358.20 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 42 | $351.67 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | $294.59 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 70 | $293.49 |
| 90474 | <1% | 12 | $130.80 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 13 | $121.98 |
| 91300 | <1% | 311 | $0.11 | |
| 3078F | <1% | 1,788 | $0.03 | |
| 1036F | <1% | 3,881 | $0.03 | |
| 91303 | <1% | 21 | $0.01 | |
| 1159F | 0% | 4,811 | $0.00 | |
| 3725F | 0% | 128 | $0.00 | |
| 1160F | 0% | 7,970 | $0.00 | |
| 90670 | 0% | 52 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 16 | $0.00 |
| 90661 | 0% | 13 | $0.00 | |
| 3079F | 0% | 201 | $0.00 | |
| 3008F | 0% | 4,238 | $0.00 | |
| 99024 | 0% | 413 | $0.00 | |
| 3074F | 0% | 2,364 | $0.00 | |
| 1125F | 0% | 1,010 | $0.00 | |
| 90698 | 0% | 50 | $0.00 | |
| 90677 | 0% | 29 | $0.00 | |
| 96127 | 0% | 14 | $0.00 | |
| 90680 | 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 |
| Seton Family of Doctors | Austin, TX | $4.00M |
| Dell Children's Medical Group | Round Rock, TX | $2.24M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.