Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LESTER E COX MEDICAL CENTERS

NPI: 1023183274 · SPRINGFIELD, MO 65807 · Pediatrics Physician · NPI assigned 11/22/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SHAMEL, BROCK controls 20+ related entities in our dataset. Read more

$1.92M
Total Medicaid Paid
29,058
Total Claims
28,269
Beneficiaries
26
Codes Billed
2019-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHAMEL, BROCK (VICE PRESIDENT)
NPI Enumeration Date11/22/2006

Related Entities

Other providers sharing the same authorized official: SHAMEL, BROCK

ProviderCityStateTotal Paid
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $9.19M
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $3.36M
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $2.44M
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $1.85M
LESTER E COX MEDICAL CENTERS OZARK MO $1.02M
LESTER E COX MEDICAL CENTERS BROOKLINE MO $1.00M
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $867K
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $792K
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $736K
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $513K
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $385K
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $378K
LESTER E COX MEDICAL CENTERS NIXA MO $362K
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $361K
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $360K
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $359K
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $289K
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $278K
LESTER E COX MEDICAL CENTERS LEBANON MO $272K
LESTER E COX MEDICAL CENTERS HARRISON AR $146K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 49 $284.19
2020 3,430 $146K
2021 7,445 $339K
2022 6,958 $427K
2023 6,018 $520K
2024 5,158 $486K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,395 4,252 $541K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,020 7,610 $538K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,044 2,994 $313K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,767 2,727 $296K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 833 821 $92K
90723 1,435 1,423 $31K
90686 1,791 1,769 $15K
90670 1,750 1,729 $15K
90647 1,361 1,352 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 601 594 $11K
99215 Prolong outpt/office vis 98 96 $11K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 98 97 $10K
90680 1,116 1,106 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 160 151 $6K
90633 603 595 $5K
90677 448 448 $5K
90834 Psychotherapy, 45 minutes with patient 43 25 $3K
99383 12 12 $2K
90656 127 127 $1K
90700 37 37 $794.63
90832 Psychotherapy, 30 minutes with patient 17 16 $649.17
85018 145 142 $375.55
90707 12 12 $257.70
90734 15 15 $169.00
81003 15 14 $35.16
1159F 115 105 $0.00