Ascension Seton
Ascension Seton was paid $131K by Medicaid between May 2021 and Feb 2024, across 6 billing codes. Its largest line is 99283, emergency room visit (moderate) — 59% of everything it billed.
AUSTIN, TX 78737
Next to other Ambulatory Surgical 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 | |
|---|---|---|---|
| 2021 | 141 | $17K | |
| 2022 | 878 | $98K | |
| 2023 | 179 | $15K | |
| 2024incomplete | 36 | $311.79 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 59% | 633 | 615 | $77K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 37% | 118 | 117 | $49K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 1.9% | 158 | 154 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 282 | 136 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 29 | 28 | $209.71 |
| 80053 | Comprehensive metabolic panel | <1% | 14 | 13 | $157.60 |
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 | Smithville, TX | $283K |
| Ascension Seton | Burnet, TX | $209K |
| Ascension Seton | Bastrop, TX | $139K |
| 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.