Ascension Seton
Ascension Seton was paid $283K by Medicaid between Nov 2020 and Dec 2024, across 20 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 91% of everything it billed.
SMITHVILLE, TX 78957
Next to other Rural Health Clinic/Center providers in Texas
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 217 | $4K | |
| 2021 | 2,495 | $36K | |
| 2022 | 2,918 | $138K | |
| 2023 | 1,042 | $64K | |
| 2024incomplete | 666 | $41K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 91% | 1,762 | 1,590 | $258K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.7% | 728 | 613 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 56 | 53 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 43 | 42 | $4K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.4% | 553 | 423 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 597 | 319 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 14 | 14 | $897.37 |
| 90686 | <1% | 109 | 105 | $382.68 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 572 | 553 | $380.92 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 279 | 153 | $63.78 |
| 3074F | 0% | 285 | 279 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 44 | 41 | $0.00 |
8 more codes
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.
Who's on the registration
| Provider | Location | 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 | Burnet, TX | $209K |
| Ascension Seton | Bastrop, TX | $139K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.