Physician
Lester E Cox Medical Centers
Lester E Cox Medical Centers was paid $867K by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 81% of everything it billed.
33Billing provider infoLESTER E COX MEDICAL CENTERS
SPRINGFIELD, MO 65807
SPRINGFIELD, MO 65807
33aNPI1164595153assigned 11/16/2006
33bProvider typeFamily Medicine Physician
28Total paid$867K
24GClaims18,728
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Missouri
Rank by total paid#32 of 911
Median peer was paid$16K
This provider vs. median55×
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 | |
|---|---|---|---|
| 2018 | 1,220 | $28K | |
| 2019 | 949 | $30K | |
| 2020 | 906 | $27K | |
| 2021 | 2,879 | $83K | |
| 2022 | 4,021 | $167K | |
| 2023 | 4,607 | $264K | |
| 2024incomplete | 4,146 | $267K |
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 | 81% | 11,336 | 10,423 | $705K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.0% | 1,829 | 1,509 | $52K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.3% | 344 | 329 | $37K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.2% | 193 | 172 | $19K |
| 95251 | 1.5% | 544 | 535 | $13K | |
| 76536 | 1.3% | 191 | 159 | $11K | |
| 84443 | Thyroid stimulating hormone (TSH) | 1.3% | 860 | 819 | $11K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 334 | 162 | $5K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 569 | 547 | $4K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 610 | 574 | $4K |
| 84439 | <1% | 240 | 221 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 45 | 13 | $1K |
12 more codes
| 84481 | <1% | 74 | $1K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 30 | $1K |
| 80053 | Comprehensive metabolic panel | <1% | 25 | $207.39 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 45 | $91.76 |
| 82043 | <1% | 12 | $60.08 | |
| 82570 | <1% | 12 | $53.84 | |
| 84460 | <1% | 13 | $52.38 | |
| 3008F | 0% | 79 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 32 | $0.00 |
| 1159F | 0% | 854 | $0.00 | |
| 1160F | 0% | 379 | $0.00 | |
| 3725F | 0% | 78 | $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 | $1.92M |
| 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 | $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.