Medicaid Provider Spending

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

LESTER E COX MEDICAL CENTERS

NPI: 1093740128 · SPRINGFIELD, MO 65807 · Urgent Care Clinic/Center · NPI assigned 07/11/2006

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

Authorized official MCWAY, JACOB controls 20+ related entities in our dataset. Read more

$112.33M
Total Medicaid Paid
1,024,464
Total Claims
960,763
Beneficiaries
184
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCWAY, JACOB (EXEC. VICE-PRESIDENT & CFO)
NPI Enumeration Date07/11/2006

Related Entities

Other providers sharing the same authorized official: MCWAY, JACOB

ProviderCityStateTotal Paid
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $25.78M
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $16.97M
LESTER E. COX MEDICAL CENTERS SPRINGFIELD MO $3.50M
LESTER E. COX MEDICAL CENTERS SPRINGFIELD MO $2.78M
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $2.37M
LESTER E COX MEDICAL CENTERS LEBANON MO $1.44M
LESTER E COX MEDICAL CENTERS OZARK MO $1.40M
LESTER E COX MEDICAL CENTERS NIXA MO $1.35M
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $1.23M
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $1.13M
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $1.07M
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $795K
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $771K
LESTER E. COX MEDICAL CENTERS SPRINGFIELD MO $593K
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $592K
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $560K
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $553K
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $440K
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $376K
LESTER E COX MEDICAL CENTERS WILLOW SPRINGS MO $367K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 131,752 $28.65M
2019 118,829 $27.13M
2020 95,402 $12.11M
2021 108,035 $3.60M
2022 171,393 $9.87M
2023 227,668 $16.80M
2024 171,385 $14.16M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
X4011 State-specific procedure code 72,141 69,961 $20.83M
Y7506 21,557 19,556 $9.56M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 22,058 21,590 $8.44M
99284 Emergency department visit for the evaluation and management, high severity 28,361 27,840 $7.74M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 82,772 77,954 $6.92M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 128,884 121,815 $6.86M
80053 Comprehensive metabolic panel 125,914 118,950 $6.61M
99283 Emergency department visit for the evaluation and management, moderate severity 33,836 33,302 $6.51M
81001 87,836 85,417 $5.75M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 35,481 33,961 $2.32M
X4006 1,239 1,127 $2.05M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 13,504 13,227 $1.88M
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 17,570 16,679 $1.76M
X4003 15,904 12,314 $1.57M
80306 24,167 23,316 $1.50M
D7999 726 725 $1.36M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 8,372 2,720 $1.24M
71045 Radiologic examination, chest; single view 19,525 18,885 $1.22M
83690 32,597 31,707 $1.15M
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,949 6,872 $1.09M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 8,604 8,515 $1.04M
71046 Radiologic examination, chest; 2 views 7,176 7,060 $996K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,981 7,918 $789K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,819 5,777 $772K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11,542 11,415 $744K
J3490 Unclassified drugs 40,345 35,664 $677K
81003 10,686 7,851 $676K
87081 16,039 15,939 $631K
X4014 1,066 1,037 $560K
84484 15,877 14,506 $518K
82044 2,514 2,310 $512K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,167 1,587 $499K
G0378 Hospital observation service, per hour 800 774 $469K
81025 11,736 11,495 $459K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,097 4,046 $434K
96375 Therapeutic injection; each additional sequential IV push 9,359 8,567 $410K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3,833 3,487 $395K
Y7507 1,809 872 $375K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,839 1,815 $357K
76819 Fetal biophysical profile; without non-stress testing 3,297 1,779 $336K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,041 1,948 $301K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,888 1,077 $297K
87086 Culture, bacterial; quantitative colony count, urine 7,067 7,008 $222K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 8,474 8,227 $212K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 445 438 $196K
74177 Computed tomography, abdomen and pelvis; with contrast material 767 743 $193K
77386 493 41 $176K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,476 2,414 $170K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 119 118 $166K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 728 607 $145K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,362 1,300 $143K
84702 640 616 $114K
77336 1,090 504 $111K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,630 1,611 $104K
83735 9,707 9,256 $101K
70450 Computed tomography, head or brain; without contrast material 1,132 1,096 $99K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,219 2,198 $94K
36591 1,565 878 $83K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 979 274 $82K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 390 230 $82K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 561 560 $67K
74019 934 932 $64K
42820 Tonsillectomy and adenoidectomy; younger than age 12 24 24 $62K
85610 1,559 1,448 $62K
84443 Thyroid stimulating hormone (TSH) 3,364 3,305 $60K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 243 243 $60K
86140 2,137 2,086 $56K
80048 Basic metabolic panel (calcium, ionized) 732 572 $46K
87428 2,032 2,024 $40K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,187 3,142 $37K
41899 Unlisted procedure, dentoalveolar structures 224 222 $34K
87807 527 525 $34K
87205 475 461 $34K
D9420 143 143 $30K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 119 117 $30K
77334 87 70 $29K
64483 55 55 $27K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 480 465 $26K
85027 323 286 $21K
76820 105 57 $21K
87808 81 80 $20K
80061 Lipid panel 1,089 1,060 $19K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 88 59 $19K
85730 497 455 $18K
87653 38 38 $18K
77300 82 75 $17K
83880 554 515 $14K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 205 191 $13K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 39 37 $12K
74018 178 175 $12K
93017 51 48 $12K
88342 119 118 $11K
70551 Magnetic resonance imaging, brain; without contrast material 185 181 $11K
80081 70 68 $10K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 41 40 $9K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 41 40 $9K
95819 37 37 $9K
86003 197 195 $8K
87077 973 961 $8K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 107 102 $8K
87040 108 102 $7K
71260 Computed tomography, thorax, diagnostic; with contrast material 69 66 $7K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 270 270 $7K
86803 53 52 $6K
A4641 Radiopharmaceutical, diagnostic, not otherwise classified 859 765 $5K
71275 Computed tomographic angiography, chest, with contrast material 41 40 $5K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 32 32 $5K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 69 66 $5K
64615 40 40 $4K
93296 244 243 $4K
84112 13 13 $4K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 51 51 $4K
87634 14 14 $4K
76642 43 30 $3K
00170 Anesthesia for intraoral procedures, including biopsy 31 31 $3K
97760 51 50 $3K
80050 General health panel 12 12 $3K
82805 61 49 $3K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 26 25 $3K
76821 25 12 $3K
83036 Hemoglobin; glycosylated (A1C) 304 296 $3K
86920 16 15 $2K
90791 Psychiatric diagnostic evaluation 27 27 $2K
84439 196 196 $2K
83605 241 228 $2K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 251 222 $2K
97597 58 42 $2K
82947 474 458 $2K
85652 298 292 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material 16 14 $2K
99232 Subsequent hospital care, per day, moderate complexity 29 12 $2K
90792 Psychiatric diagnostic evaluation with medical services 12 12 $2K
71250 17 15 $1K
D2930 Prefabricated stainless steel crown - primary tooth 15 15 $1K
99238 Hospital discharge day management, 30 minutes or less 25 24 $1K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 13 12 $1K
84145 61 56 $1K
96367 38 25 $1K
84703 198 195 $1K
99215 Prolong outpt/office vis 13 13 $1K
A0425 Ground mileage, per statute mile 44 41 $1K
77072 12 12 $1K
85379 124 120 $874.49
82728 45 44 $759.55
87420 62 62 $756.23
86592 45 45 $744.97
J3010 Injection, fentanyl citrate, 0.1 mg 176 158 $687.75
96417 26 13 $684.04
87070 116 110 $682.63
83655 63 63 $681.25
82950 84 84 $612.75
82565 200 192 $568.14
86850 80 68 $518.22
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 12 $483.65
80164 15 12 $457.63
87186 49 49 $440.14
83010 50 49 $390.00
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 42 41 $340.57
83615 121 115 $326.11
82785 26 26 $299.28
84481 12 12 $251.18
83516 29 29 $250.21
J0131 Injection, acetaminophen, not otherwise specified,10 mg 13 12 $240.12
83525 25 25 $227.37
J2250 Injection, midazolam hydrochloride, per 1 mg 101 93 $214.04
82550 33 31 $212.27
84550 106 101 $192.34
86304 12 12 $190.20
J2795 Injection, ropivacaine hydrochloride, 1 mg 32 28 $189.28
82784 29 29 $187.50
82977 27 27 $178.26
36415 Collection of venous blood by venipuncture 2,057 1,854 $172.70
86900 82 70 $163.36
86901 82 70 $163.36
93297 30 30 $106.30
86060 15 14 $95.93
J2405 Injection, ondansetron hydrochloride, per 1 mg 27 26 $86.90
85007 42 37 $68.10
82570 40 38 $44.28
84100 14 12 $41.69
84156 39 37 $31.36
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 587 576 $0.00
J1815 Injection, insulin, per 5 units 37 12 $0.00
36000 12 12 $0.00