Physician
Lester E Cox Medical Centers
Lester E Cox Medical Centers was paid $1.92M by Medicaid between Oct 2019 and Dec 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoLESTER E COX MEDICAL CENTERS
SPRINGFIELD, MO 65807
SPRINGFIELD, MO 65807
33aNPI1023183274assigned 11/22/2006
33bProvider typePediatrics Physician
28Total paid$1.92M
24GClaims29,058
24DCodes billed26
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Missouri
Rank by total paid#17 of 992
Median peer was paid$40K
This provider vs. median47×
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.
Entity ProliferationAuthorized official SHAMEL, BROCK controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2019 | 49 | $284.19 | |
| 2020 | 3,430 | $146K | |
| 2021 | 7,445 | $339K | |
| 2022 | 6,958 | $427K | |
| 2023 | 6,018 | $520K | |
| 2024incomplete | 5,158 | $486K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 28% | 4,395 | 4,252 | $541K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 8,020 | 7,610 | $538K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 16% | 3,044 | 2,994 | $313K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 2,767 | 2,727 | $296K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.8% | 833 | 821 | $92K |
| 90723 | 1.6% | 1,435 | 1,423 | $31K | |
| 90686 | <1% | 1,791 | 1,769 | $15K | |
| 90670 | <1% | 1,750 | 1,729 | $15K | |
| 90647 | <1% | 1,361 | 1,352 | $12K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 601 | 594 | $11K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 98 | 96 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 98 | 97 | $10K |
14 more codes
| 90680 | <1% | 1,116 | $10K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 160 | $6K |
| 90633 | <1% | 603 | $5K | |
| 90677 | <1% | 448 | $5K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 43 | $3K |
| 99383 | <1% | 12 | $2K | |
| 90656 | <1% | 127 | $1K | |
| 90700 | <1% | 37 | $794.63 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 17 | $649.17 |
| 85018 | <1% | 145 | $375.55 | |
| 90707 | <1% | 12 | $257.70 | |
| 90734 | <1% | 15 | $169.00 | |
| 81003 | <1% | 15 | $35.16 | |
| 1159F | 0% | 115 | $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 officialSHAMEL, BROCK (VICE PRESIDENT)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.