RFP_5800_SLW3033_ATT_8_v1.xlsx
XLSX spreadsheet 3 MB Posted
- Solicitation number
- RFP 5800 SLW3033
- Issued by
- Texas
About this file
This file is a workers' compensation claims payment report for the City of Austin, Texas, documenting 2023 fiscal year claim payments across multiple city departments and agencies. The document presents detailed payment data organized by fund codes and agency classifications, along with a sample claims report containing individual claim transactions processed between October and November 2025. The report covers claims spanning multiple City of Austin departments including Emergency Medical Services, Fire Department, Police Department, Austin Energy, Austin Resource Recovery, Public Works, and Aviation, with payment categories including temporary total disability benefits, medical services, death benefits, impairment income benefits, and associated administrative fees.
The grand total of all 2023 claims payments documented in this report is $14,639,579.25, with the largest concentration of payments coded to Fund 1000 at $11,089,621.45 and Agency 8300 (Fire Department) at $6,606,965.68. Individual claim payments range from under $10 to several thousand dollars, covering various service categories such as temporary income benefits, medical examinations, hospital services, pharmacy services, physical therapy, and legal/administrative costs. The claims data reflects actual third-party administration activity including payment processing, claim denials, voided payments, and fee assessments for utilization review and case management services, demonstrating the operational scope of workers' compensation claim management for a major municipal employer.
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Other files
| File | Type | Posted |
|---|---|---|
| RFP_5800_SLW3033_ATT_4_v1.docx | DOCX document | |
| CSP_6100_CLMB344_BID_DOC_5_v1.pdf | ||
| RFP_5800_SLW3033_0600_v1.xlsx | XLSX spreadsheet | |
| RFP_5800_SLW3033_ATT_9_v1.pdf | ||
| RFP_5800_SLW3033_ATT_3_v1.xlsx | XLSX spreadsheet | |
| RFP_5800_SLW3033_PAC2_v1.docx | DOCX document | |
| RFP_5800_SLW3033_ATT_10_v1.xlsx | XLSX spreadsheet | |
| RFP_5800_SLW3033_ATT_12_v1.xlsx | XLSX spreadsheet | |
| RFP_5800_SLW3033_ATT_6_v1.xls | XLS spreadsheet | |
| RFP_5800_SLW3033_ATT_11_v1.xlsx | XLSX spreadsheet | |
| RFP_5800_SLW3033_ATT_2_v1.xlsx | XLSX spreadsheet | |
| RFP_5800_SLW3033_ATT_5_v1.xlsx | XLSX spreadsheet | |
| RFP_5800_SLW3033_ADD_1_v1.pdf | ||
| RFP_5800_SLW3033_PAC1_v1.pdf | ||
| RFP_5800_SLW3033_0600_v2.xlsx | XLSX spreadsheet | |
| RFP_5800_SLW3033_ATT_7_v1.xlsx | XLSX spreadsheet | |
| RFP_5800_SLW3033_ATT_1_v1.docx | DOCX document | |
| RFP_5800_SLW3033_PAC1_v2.pdf |
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Text version
Fund
| 2023 | |
| Row Labels | Sum of PayAmt |
| 1000 | 11,089,621.45 |
| 1110 | 10,385.20 |
| 4140 | 2,726.18 |
| 5010 | 513,996.62 |
| 5020 | 351,239.38 |
| 5030 | 186,229.44 |
| 5040 | 484,234.26 |
| 5060 | 86,579.08 |
| 5070 | 292,325.21 |
| 5080 | 4,653.20 |
| 5090 | 124,102.68 |
| 5100 | 75,434.90 |
| 5120 | 768,174.67 |
| 5125 | 85,509.95 |
| 5140 | 2,516.18 |
| 5150 | 109,608.06 |
| 5270 | 986.70 |
| 5280 | 253,014.63 |
| 5430 | 67,271.69 |
| 5432 | 857.75 |
| 5460 | 45,258.42 |
| 5610 | 3,798.75 |
| 7035 | 192.96 |
| 7050 | 13,101.25 |
| 7102 | 177.36 |
| 7790 | 58,908.82 |
| 7960 | 3,565.68 |
| 10000 | 5,108.78 |
| Grand Total | 14,639,579.25 |
Agency
| 2023 | |
| Row Labels | Sum of PayAmt |
| 1100 | 513,996.62 |
| 1500 | 484,234.26 |
| 1600 | 13,101.25 |
| 2200 | 541,034.50 |
| 2400 | 89,658.70 |
| 4400 | 3,281.64 |
| 4600 | 8,034.59 |
| 5300 | 123,322.06 |
| 5600 | 2,516.18 |
| 5700 | 44,772.00 |
| 5900 | 7,909.16 |
| 6000 | 45,258.42 |
| 6200 | 826,733.49 |
| 6300 | 71,457.19 |
| 6400 | 986.70 |
| 7000 | 1,450.99 |
| 7300 | 5,484.88 |
| 7500 | 46,107.27 |
| 7800 | 261,827.81 |
| 8100 | 292,325.21 |
| 8200 | 154,124.34 |
| 8300 | 6,606,965.68 |
| 8500 | 48,836.80 |
| 8600 | 376,310.14 |
| 8700 | 2,865,619.52 |
| 8770 | (315.35) |
| 9100 | 74,406.09 |
| 9200 | 64,405.65 |
| 9300 | 1,065,733.46 |
| Grand Total | 14,639,579.25 |
Sample report
| Prior Claim# | Claim # | EmpName | Pay Cat | Sub Cat | ADJCKTYPE | ADJCODE | Stub Notes | Payment Description | Biller Name | Transaction Date | Printed Date | Check# | CheckDT | PayAmt | Date of Injury | ORG LVL 0 | FUND | AGENCY | ORG | Insured | Department | Social Sec# | Temporary Income Benefit | Impairment Income Benefit | Total Incurred | Pay From Date | Pay Through Date |
| 120999999 | Accidental Falls | 102 | ACT | Voided payment (VSY) | Temporary Total Disability | Accidental Falls | 10-03-2025 | 10-03-2025 | 130951161 | 10-03-2025 | $ (1,058.00) | 08-03-2023 | 100093003600 | 1000 | 9300 | 3600 | City of Austin | 0093 - EMERGENCY MEDICAL SERVICES | VOIDED - No Duty Status - Active | 3,174.00 | 09-03-2025 | 09-09-2025 | |||||
| 120999999 | Accidental Falls | 102 | ACT | Voided payment (VSY) | Temporary Total Disability | Accidental Falls | 10-04-2025 | 10-04-2025 | 130951161 | 10-04-2025 | $ (1,058.00) | 08-04-2023 | 100093003600 | 1000 | 9300 | 3600 | City of Austin | 0093 - EMERGENCY MEDICAL SERVICES | VOIDED - No Duty Status - Active | 3,174.00 | 09-04-2025 | 09-10-2025 | |||||
| 120999999 | Accidental Falls | 102 | ACT | Voided payment (VSY) | Temporary Total Disability | Accidental Falls | 10-05-2025 | 10-05-2025 | 130951161 | 10-05-2025 | $ (1,058.00) | 08-05-2023 | 100093003600 | 1000 | 9300 | 3600 | City of Austin | 0093 - EMERGENCY MEDICAL SERVICES | VOIDED - No Duty Status - Active | 3,174.00 | 09-05-2025 | 09-11-2025 | |||||
| 120999999 | Accidental Falls | 102 | ACT | Voided payment (VSY) | Temporary Total Disability | Accidental Falls | 10-06-2025 | 10-06-2025 | 130951161 | 10-06-2025 | $ (1,058.00) | 08-06-2023 | 100093003600 | 1000 | 9300 | 3600 | City of Austin | 0093 - EMERGENCY MEDICAL SERVICES | VOIDED - No Duty Status - Active | 3,174.00 | 09-06-2025 | 09-12-2025 | |||||
| 13099996 | Art Collector | 387 | System Payment (SYS) | Medical Exam-Independent/Agreed (Medical) | LAW Practive Chiropracter | 10-07-2025 | 10-07-2025 | 130952509 | 10-07-2025 | $ 350.00 | 08-07-2023 | 100083002100 | 1000 | 8300 | 2100 | City of Austin | 0083 - FIRE DEPARTMENT | 32,273.00 | 09-07-2025 | 09-13-2025 | |||||||
| 2222222 | Betty Boop | 341 | System Payment (SYS) | Freestanding Ambulatory Surgery | CENTRAL PARK New York Surgery | 10-08-2025 | 10-08-2025 | 130952504 | 10-08-2025 | $ 753.55 | 08-08-2023 | 507081006101 | 5070 | 8100 | 6101 | City of Austin | 0081 - AVIATION | 37,644.71 | 09-08-2025 | 09-14-2025 | |||||||
| 2309878 | Pelican Brief | 102 | ACT | System Payment (SYS) | Temporary Total Disability | Pelican Brief | 10-09-2025 | 10-09-2025 | 130952481 | 10-09-2025 | $ 1,058.00 | 08-09-2023 | 100083002100 | 1000 | 8300 | 2100 | City of Austin | 0083 - FIRE DEPARTMENT | No Duty Status - Active | 30,780.00 | 09-09-2025 | 09-15-2025 | |||||
| 3333333 | Brook Broke Mountain | 336 | System Payment (SYS) | Medical Clinics | Baley Scott Tissue | 10-10-2025 | 10-10-2025 | 130952502 | 10-10-2025 | $ 223.37 | 08-10-2023 | 100083003302 | 1000 | 8300 | 3302 | City of Austin | 0083 - FIRE DEPARTMENT | 46,682.64 | 09-10-2025 | 09-16-2025 | |||||||
| 4509999 | Clair Ide Clair | 103 | L40 | System Payment (SYS) | Temporary Partial Disability | Clair Simmons | 10-11-2025 | 10-11-2025 | 130952482 | 10-11-2025 | $ 427.66 | 08-11-2023 | 100087005116 | 1000 | 8700 | 5116 | City of Austin | 0087 - POLICE DEPARTMENT | 40 Hrs Per Week - Limited Duty Status | 26,941.12 | 09-11-2025 | 09-17-2025 | |||||
| xxx0999 | Grady Shady | 301 | System Payment (SYS) | Doctor | George Jefferson | 10-12-2025 | 10-12-2025 | 130952507 | 10-12-2025 | $ 318.54 | 08-12-2023 | 100093003110 | 1000 | 9300 | 3110 | City of Austin | 0093 - EMERGENCY MEDICAL SERVICES | 81,388.32 | 09-12-2025 | 09-18-2025 | |||||||
| xxx0999 | Grady Shady | 301 | System Payment (SYS) | Doctor | George Jefferson | 10-13-2025 | 10-13-2025 | 130952507 | 10-13-2025 | $ 318.54 | 08-13-2023 | 100093003110 | 1000 | 9300 | 3110 | City of Austin | 0093 - EMERGENCY MEDICAL SERVICES | 81,388.32 | 09-13-2025 | 09-19-2025 | |||||||
| xxx0999 | Grady Shady | 301 | System Payment (SYS) | Doctor | George Jefferson | 10-14-2025 | 10-14-2025 | 130952507 | 10-14-2025 | $ 318.54 | 08-14-2023 | 100093003110 | 1000 | 9300 | 3110 | City of Austin | 0093 - EMERGENCY MEDICAL SERVICES | 81,388.32 | 09-14-2025 | 09-20-2025 | |||||||
| 444444 | Jaime Behind the Counter | 108 | System Payment (SYS) | Death Benefits | Lil Jaime obo Old Jaime | 10-15-2025 | 10-15-2025 | 325784 | 10-15-2025 | $ 393.50 | 08-15-2023 | 100087005201 | 1000 | 8700 | 5201 | City of Austin | 0087 - POLICE DEPARTMENT | 498,885.12 | 09-15-2025 | 09-21-2025 | |||||||
| 111111 | Jon the Gutter | 108 | System Payment (SYS) | Death Benefits | Mamie Gutter Downs | 10-16-2025 | 10-16-2025 | 325792 | 10-16-2025 | $ 594.95 | 08-16-2023 | 504015002021 | 5040 | 1500 | 2021 | City of Austin | 0015 - AUSTIN RESOURCE RECOVERY | 1,078,515.50 | 09-16-2025 | 09-22-2025 | |||||||
| 2x099878 | Joe CarrierBox | 306 | System Payment (SYS) | Specialist NEC | Saint Dans Med Center | 10-17-2025 | 10-17-2025 | 130952531 | 10-17-2025 | $ 41.82 | 08-17-2023 | 501011002213 | 5010 | 1100 | 2213 | City of Austin | 0011 - AUSTIN ENERGY | 598,149.70 | 09-17-2025 | 09-23-2025 | |||||||
| 2x099878 | Joe CarrierBox | 306 | System Payment (SYS) | Specialist NEC | Saint Dans Med Center | 10-18-2025 | 10-18-2025 | 130952531 | 10-18-2025 | $ 41.82 | 08-18-2023 | 501011002213 | 5010 | 1100 | 2213 | City of Austin | 0011 - AUSTIN ENERGY | 598,149.70 | 09-18-2025 | 09-24-2025 | |||||||
| 2x099878 | Joe CarrierBox | 306 | System Payment (SYS) | Specialist NEC | Saint Dans Med Center | 10-19-2025 | 10-19-2025 | 130952531 | 10-19-2025 | $ 41.82 | 08-19-2023 | 501011002213 | 5010 | 1100 | 2213 | City of Austin | 0011 - AUSTIN ENERGY | 598,149.70 | 09-19-2025 | 09-25-2025 | |||||||
| 2x099878 | Joe CarrierBox | 388 | System Payment (SYS) | Travel Expense-Medical | ProEnamel Inc. | 10-20-2025 | 10-20-2025 | 130952527 | 10-20-2025 | $ 742.40 | 08-20-2023 | 501011002213 | 5010 | 1100 | 2213 | City of Austin | 0011 - AUSTIN ENERGY | 598,149.70 | 09-20-2025 | 09-26-2025 | |||||||
| 2x099878 | Joe CarrierBox | 388 | System Payment (SYS) | Travel Expense-Medical | ProEnamelInc. | 10-21-2025 | 10-21-2025 | 130952528 | 10-21-2025 | $ 916.40 | 08-21-2023 | 501011002213 | 5010 | 1100 | 2213 | City of Austin | 0011 - AUSTIN ENERGY | 598,149.70 | 09-21-2025 | 09-27-2025 | |||||||
| 2x099878 | Joe CarrierBox | 646 | System Payment (SYS) | Field Case Management Fee | TPA Managed Care Services | 10-22-2025 | 10-22-2025 | 325795 | 10-22-2025 | $ 9.20 | 08-22-2023 | 501011002213 | 5010 | 1100 | 2213 | City of Austin | 0011 - AUSTIN ENERGY | 598,149.70 | 09-22-2025 | 09-28-2025 | |||||||
| 2x099878 | Joe CarrierBox | 646 | System Payment (SYS) | Field Case Management Fee | TPA Managed Care Services | 10-23-2025 | 10-23-2025 | 325795 | 10-23-2025 | $ 27.60 | 08-23-2023 | 501011002213 | 5010 | 1100 | 2213 | City of Austin | 0011 - AUSTIN ENERGY | 598,149.70 | 09-23-2025 | 09-29-2025 | |||||||
| 5555555 | Juna the LunaPhase | 102 | ACT | System Payment (SYS) | Temporary Total Disability | Juna the LunaPhase | 10-24-2025 | 10-24-2025 | 130952490 | 10-24-2025 | $ 1,242.82 | 08-24-2023 | 512062006070 | 5120 | 6200 | 6070 | City of Austin | 0060 - PUBLIC WORKS | No Duty Status - Active | 115,647.37 | 09-24-2025 | 09-30-2025 | |||||
| 5555555 | Juna the LunaPhase | 176 | ACT | System Payment (SYS) | Claimant Legal Expense (Indemnity) | Lil Abner Law Officer | 10-25-2025 | 10-25-2025 | 130952503 | 10-25-2025 | $ 414.28 | 08-25-2023 | 512062006070 | 5120 | 6200 | 6070 | City of Austin | 0060 - PUBLIC WORKS | Attorney Fees | 115,647.37 | 09-25-2025 | 10-01-2025 | |||||
| 8909090909 | Key Radthelock | 130 | System Payment (SYS) | Impairment Income Benefits (TX) | Key Radthelock | 10-26-2025 | 10-26-2025 | 130952492 | 10-26-2025 | $ 741.00 | 08-26-2023 | 100083002100 | 1000 | 8300 | 2100 | City of Austin | 0083 - FIRE DEPARTMENT | 111,814.31 | 09-26-2025 | 10-02-2025 | |||||||
| 8909090909 | Key Radthelock | 685 | System Payment (SYS) | Peer Review Fee | Trend Review Services, Inc | 10-27-2025 | 10-27-2025 | 130952521 | 10-27-2025 | $ 400.00 | 08-27-2023 | 100083004200 | 1000 | 8300 | 4200 | City of Austin | 0083 - FIRE DEPARTMENT | 46,144.00 | 09-27-2025 | 10-03-2025 | |||||||
| 8888888 | Kev Chilites | 648 | System Payment (SYS) | Utilization Review Fee | TPA Claims Management Services, Inc | 10-28-2025 | 10-28-2025 | 325794 | 10-28-2025 | $ 103.00 | 08-28-2023 | 100093003600 | 1000 | 9300 | 3600 | City of Austin | 0093 - EMERGENCY MEDICAL SERVICES | 176,406.01 | 09-28-2025 | 10-04-2025 | |||||||
| 77777777 | Kristy Brinkley | 675 | System Payment (SYS) | Defense Attorney | Flat Line Office Latkey | 10-29-2025 | 10-29-2025 | 130952525 | 10-29-2025 | $ 350.00 | 08-29-2023 | 100087005202 | 1000 | 8700 | 5202 | City of Austin | 0087 - POLICE DEPARTMENT | 70,626.02 | 09-29-2025 | 10-05-2025 | |||||||
| 89076789 | Lundeny Buckingham | 308 | System Payment (SYS) | Hospital-Outpatient | COMPLETE BLOOD LOSS | 10-30-2025 | 10-30-2025 | 130952505 | 10-30-2025 | $ 1,021.88 | 08-30-2023 | 100083002100 | 1000 | 8300 | 2100 | City of Austin | 0083 - FIRE DEPARTMENT | 6,492.38 | 09-30-2025 | 10-06-2025 | |||||||
| 89076789 | Lundeny Buckingham | 308 | System Payment (SYS) | Hospital-Outpatient | COMPLETE BLOOD LOSS | 10-31-2025 | 10-31-2025 | 130952505 | 10-31-2025 | $ - 0 | 08-31-2023 | 100083002100 | 1000 | 8300 | 2100 | City of Austin | 0083 - FIRE DEPARTMENT | 6,492.38 | 10-01-2025 | 10-07-2025 | |||||||
| 89076789 | Lundeny Buckingham | 335 | System Payment (SYS) | Medical Supplies & Equipment | COMPLETE BLOOD LOSS | 11-01-2025 | 11-01-2025 | 130952505 | 11-01-2025 | $ - 0 | 09-01-2023 | 100083002100 | 1000 | 8300 | 2100 | City of Austin | 0083 - FIRE DEPARTMENT | 6,492.38 | 10-02-2025 | 10-08-2025 | |||||||
| 89076789 | Lundeny Buckingham | 338 | System Payment (SYS) | Freestanding Clinical Lab (Hosp) | COMPLETE BLOOD LOSS | 11-02-2025 | 11-02-2025 | 130952505 | 11-02-2025 | $ - 0 | 09-02-2023 | 100083002100 | 1000 | 8300 | 2100 | City of Austin | 0083 - FIRE DEPARTMENT | 6,492.38 | 10-03-2025 | 10-09-2025 | |||||||
| 89076789 | Lundeny Buckingham | 358 | System Payment (SYS) | X-Ray/MRI/CT Scan/EMG | COMPLETE BLOOD LOSS | 11-03-2025 | 11-03-2025 | 130952505 | 11-03-2025 | $ 158.30 | 09-03-2023 | 100083002100 | 1000 | 8300 | 2100 | City of Austin | 0083 - FIRE DEPARTMENT | 6,492.38 | 10-04-2025 | 10-10-2025 | |||||||
| 9999999 | Robbing Garcent | 316 | System Payment (SYS) | Physical Therapy | San Alamo Bone Crusher | 11-04-2025 | 11-04-2025 | 130952520 | 11-04-2025 | $ 79.46 | 09-04-2023 | 100083002100 | 1000 | 8300 | 2100 | City of Austin | 0083 - FIRE DEPARTMENT | 102,031.00 | 10-05-2025 | 10-11-2025 | |||||||
| 9999999 | Robbing Garcent | 648 | System Payment (SYS) | Utilization Review Fee | TPA Claims Management Services, Inc | 11-05-2025 | 11-05-2025 | 325794 | 11-05-2025 | $ 103.00 | 09-05-2023 | 100083002100 | 1000 | 8300 | 2100 | City of Austin | 0083 - FIRE DEPARTMENT | 102,031.00 | 10-06-2025 | 10-12-2025 | |||||||
| 6666666 | Stevie Nicks | 339 | Refund (REF) | Anesthesiologist | Ghana Anestheis | 11-06-2025 | 11-06-2025 | 126854665 | 11-06-2025 | $ (474.07) | 09-06-2023 | 100083002100 | 1000 | 8300 | 2100 | City of Austin | 0083 - FIRE DEPARTMENT | 59,031.72 | 10-07-2025 | 10-13-2025 |
File details come from the government source that posted it. Updated .