Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Lester E Cox Medical Centers

Lester E Cox Medical Centers was paid $112.33M by Medicaid between Jan 2018 and Dec 2024, across 184 billing codes. Its largest line is X4011, State-specific procedure code — 19% of everything it billed.

33Billing provider infoLESTER E COX MEDICAL CENTERS
SPRINGFIELD, MO 65807
33aNPI1093740128assigned 07/11/2006
33bProvider typeUrgent Care Clinic/Center
28Total paid$112.33M
24GClaims1,024,464
24DCodes billed184
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Urgent Care Clinic/Center providers in Missouri

Rank by total paid#1 of 37
Median peer was paid$456K
This provider vs. median246×

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 MCWAY, JACOB controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0M$2.0M$3.0M2018201920202021202220232024
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
YearClaimsPaid
2018131,752$28.65M
2019118,829$27.13M
202095,402$12.11M
2021108,035$3.60M
2022171,393$9.87M
2023227,668$16.80M
2024incomplete171,385$14.16M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
X4011 State-specific procedure code 19% 72,141 69,961 $20.83M
Y7506 8.5% 21,557 19,556 $9.56M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 7.5% 22,058 21,590 $8.44M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 6.9% 28,361 27,840 $7.74M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 6.2% 82,772 77,954 $6.92M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6.1% 128,884 121,815 $6.86M
80053 Comprehensive metabolic panel 5.9% 125,914 118,950 $6.61M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 5.8% 33,836 33,302 $6.51M
81001 5.1% 87,836 85,417 $5.75M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2.1% 35,481 33,961 $2.32M
X4006 1.8% 1,239 1,127 $2.05M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.7% 13,504 13,227 $1.88M
172 more codes
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 1.6% 17,570 $1.76M
X4003 1.4% 15,904 $1.57M
80306 1.3% 24,167 $1.50M
D7999 1.2% 726 $1.36M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1.1% 8,372 $1.24M
71045 Radiologic examination, chest; single view 1.1% 19,525 $1.22M
83690 1.0% 32,597 $1.15M
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 6,949 $1.09M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 8,604 $1.04M
71046 Radiologic examination, chest; 2 views <1% 7,176 $996K
99213 Doctor's office visit, returning patient (routine) <1% 7,981 $789K
99214 Doctor's office visit, returning patient (more involved) <1% 5,819 $772K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 11,542 $744K
J3490 Unclassified drugs <1% 40,345 $677K
81003 <1% 10,686 $676K
87081 <1% 16,039 $631K
X4014 <1% 1,066 $560K
84484 <1% 15,877 $518K
82044 <1% 2,514 $512K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 4,167 $499K
G0378 Hospital observation service, per hour <1% 800 $469K
81025 <1% 11,736 $459K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 4,097 $434K
96375 Therapeutic injection; each additional sequential IV push <1% 9,359 $410K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 3,833 $395K
Y7507 <1% 1,809 $375K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,839 $357K
76819 Fetal biophysical profile; without non-stress testing <1% 3,297 $336K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 2,041 $301K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 1,888 $297K
87086 Culture, bacterial; quantitative colony count, urine <1% 7,067 $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 <1% 8,474 $212K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 445 $196K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 767 $193K
77386 <1% 493 $176K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,476 $170K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 119 $166K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 728 $145K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 1,362 $143K
84702 <1% 640 $114K
77336 <1% 1,090 $111K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,630 $104K
83735 <1% 9,707 $101K
70450 Computed tomography, head or brain; without contrast material <1% 1,132 $99K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 2,219 $94K
36591 <1% 1,565 $83K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 979 $82K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 390 $82K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 561 $67K
74019 <1% 934 $64K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 24 $62K
85610 <1% 1,559 $62K
84443 Thyroid stimulating hormone (TSH) <1% 3,364 $60K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 243 $60K
86140 <1% 2,137 $56K
80048 Basic metabolic panel (calcium, ionized) <1% 732 $46K
87428 <1% 2,032 $40K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 3,187 $37K
41899 Unlisted procedure, dentoalveolar structures <1% 224 $34K
87807 <1% 527 $34K
87205 <1% 475 $34K
D9420 <1% 143 $30K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 119 $30K
77334 <1% 87 $29K
64483 <1% 55 $27K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 480 $26K
85027 <1% 323 $21K
76820 <1% 105 $21K
87808 <1% 81 $20K
80061 Lipid panel <1% 1,089 $19K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 88 $19K
85730 <1% 497 $18K
87653 <1% 38 $18K
77300 <1% 82 $17K
83880 <1% 554 $14K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 205 $13K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 39 $12K
74018 <1% 178 $12K
93017 <1% 51 $12K
88342 <1% 119 $11K
70551 Magnetic resonance imaging, brain; without contrast material <1% 185 $11K
80081 <1% 70 $10K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 41 $9K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 41 $9K
95819 <1% 37 $9K
86003 <1% 197 $8K
87077 <1% 973 $8K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 107 $8K
87040 <1% 108 $7K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 69 $7K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 270 $7K
86803 <1% 53 $6K
A4641 Radiopharmaceutical, diagnostic, not otherwise classified <1% 859 $5K
71275 Computed tomographic angiography, chest, with contrast material <1% 41 $5K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 32 $5K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 69 $5K
64615 <1% 40 $4K
93296 <1% 244 $4K
84112 <1% 13 $4K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 51 $4K
87634 <1% 14 $4K
76642 <1% 43 $3K
00170 Anesthesia for intraoral procedures, including biopsy <1% 31 $3K
97760 <1% 51 $3K
80050 General health panel <1% 12 $3K
82805 <1% 61 $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 <1% 26 $3K
76821 <1% 25 $3K
83036 Hemoglobin; glycosylated (A1C) <1% 304 $3K
86920 <1% 16 $2K
90791 Psychiatric diagnostic evaluation <1% 27 $2K
84439 <1% 196 $2K
83605 <1% 241 $2K
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 251 $2K
97597 <1% 58 $2K
82947 <1% 474 $2K
85652 <1% 298 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 16 $2K
99232 Hospital visit by a doctor, follow-up day <1% 29 $2K
90792 Psychiatric diagnostic evaluation with medical services <1% 12 $2K
71250 <1% 17 $1K
D2930 Prefabricated stainless steel crown - primary tooth <1% 15 $1K
99238 Hospital discharge day management, 30 minutes or less <1% 25 $1K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 13 $1K
84145 <1% 61 $1K
96367 <1% 38 $1K
84703 <1% 198 $1K
99215 Doctor's office visit, returning patient (complex) <1% 13 $1K
A0425 Ground mileage, per statute mile <1% 44 $1K
77072 <1% 12 $1K
85379 <1% 124 $874.49
82728 <1% 45 $759.55
87420 <1% 62 $756.23
86592 <1% 45 $744.97
J3010 Injection, fentanyl citrate, 0.1 mg <1% 176 $687.75
96417 <1% 26 $684.04
87070 <1% 116 $682.63
83655 <1% 63 $681.25
82950 <1% 84 $612.75
82565 <1% 200 $568.14
86850 <1% 80 $518.22
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 13 $483.65
80164 <1% 15 $457.63
87186 <1% 49 $440.14
83010 <1% 50 $390.00
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 42 $340.57
83615 <1% 121 $326.11
82785 <1% 26 $299.28
84481 <1% 12 $251.18
83516 <1% 29 $250.21
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 13 $240.12
83525 <1% 25 $227.37
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 101 $214.04
82550 <1% 33 $212.27
84550 <1% 106 $192.34
86304 <1% 12 $190.20
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 32 $189.28
82784 <1% 29 $187.50
82977 <1% 27 $178.26
36415 Collection of venous blood by venipuncture <1% 2,057 $172.70
86900 <1% 82 $163.36
86901 <1% 82 $163.36
93297 <1% 30 $106.30
86060 <1% 15 $95.93
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 27 $86.90
85007 <1% 42 $68.10
82570 <1% 40 $44.28
84100 <1% 14 $41.69
84156 <1% 39 $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) 0% 587 $0.00
J1815 Injection, insulin, per 5 units 0% 37 $0.00
36000 0% 12 $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 officialMCWAY, JACOB (EXEC. VICE-PRESIDENT & CFO)
Same official

Other billing entities under MCWAY, JACOB

Full network →
ProviderLocationPaid
Lester E Cox Medical CentersSpringfield, MO$25.78M
Lester E Cox Medical CentersSpringfield, MO$16.97M
Lester E. Cox Medical CentersSpringfield, MO$3.50M
Lester E. Cox Medical CentersSpringfield, MO$2.78M
Lester E Cox Medical CentersSpringfield, MO$2.37M
Lester E Cox Medical CentersLebanon, MO$1.44M
Lester E Cox Medical CentersOzark, MO$1.40M
Lester E Cox Medical CentersNixa, MO$1.35M
Lester E Cox Medical CentersSpringfield, MO$1.23M
Lester E Cox Medical CentersSpringfield, MO$1.13M
Lester E Cox Medical CentersSpringfield, MO$1.07M
Lester E Cox Medical CentersSpringfield, MO$795K
Lester E Cox Medical CentersSpringfield, MO$771K
Lester E. Cox Medical CentersSpringfield, MO$593K
Lester E Cox Medical CentersSpringfield, MO$592K
Lester E Cox Medical CentersSpringfield, MO$560K
Lester E Cox Medical CentersSpringfield, MO$553K
Lester E Cox Medical CentersSpringfield, MO$440K
Lester E Cox Medical CentersSpringfield, MO$376K
Lester E Cox Medical CentersWillow Springs, MO$367K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.