Medicaid Provider Spending

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

LESTER E COX MEDICAL CENTERS

NPI: 1134295868 · SPRINGFIELD, MO 65802 · Pediatrics Physician · NPI assigned 11/27/2006

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

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

$2.44M
Total Medicaid Paid
38,783
Total Claims
36,748
Beneficiaries
36
Codes Billed
2018-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHAMEL, BROCK (VICE PRESIDENT)
NPI Enumeration Date11/27/2006

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 $1.92M
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
2018 26 $131.75
2019 191 $2K
2020 5,711 $247K
2021 10,435 $492K
2022 9,196 $599K
2023 7,811 $640K
2024 5,413 $457K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,662 11,052 $843K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,638 3,525 $398K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,150 2,935 $308K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,716 2,667 $287K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,437 2,401 $255K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,138 1,118 $120K
90832 Psychotherapy, 30 minutes with patient 1,544 831 $62K
90686 3,504 3,433 $30K
90723 1,382 1,368 $30K
90670 1,699 1,679 $14K
90834 Psychotherapy, 45 minutes with patient 209 125 $14K
90647 1,305 1,291 $12K
90680 964 957 $9K
90633 764 751 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 351 345 $6K
99460 68 66 $6K
99238 Hospital discharge day management, 30 minutes or less 83 82 $6K
90791 Psychiatric diagnostic evaluation 154 145 $5K
90677 373 369 $4K
90651 409 406 $4K
90656 289 285 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 75 72 $3K
96112 12 12 $2K
99215 Prolong outpt/office vis 13 12 $1K
90710 63 63 $1K
90734 143 141 $1K
90715 60 59 $1K
91321 67 65 $847.61
90700 38 38 $811.54
90685 110 109 $803.49
90707 13 12 $277.91
85018 82 81 $213.16
0111A 14 12 $186.60
83655 14 14 $177.35
90620 12 12 $90.23
1159F 228 215 $0.00