Medicaid Provider Spending

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

LESTER E COX MEDICAL CENTERS

NPI: 1164595153 · SPRINGFIELD, MO 65807 · Family Medicine Physician · NPI assigned 11/16/2006

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

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

$867K
Total Medicaid Paid
18,728
Total Claims
17,046
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHAMEL, BROCK (VICE PRESIDENT)
NPI Enumeration Date11/16/2006

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 $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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,220 $28K
2019 949 $30K
2020 906 $27K
2021 2,879 $83K
2022 4,021 $167K
2023 4,607 $264K
2024 4,146 $267K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,336 10,423 $705K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,829 1,509 $52K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 344 329 $37K
99215 Prolong outpt/office vis 193 172 $19K
95251 544 535 $13K
76536 191 159 $11K
84443 Thyroid stimulating hormone (TSH) 860 819 $11K
99231 Subsequent hospital care, per day, straightforward or low complexity 334 162 $5K
83036 Hemoglobin; glycosylated (A1C) 569 547 $4K
80048 Basic metabolic panel (calcium, ionized) 610 574 $4K
84439 240 221 $2K
99232 Subsequent hospital care, per day, moderate complexity 45 13 $1K
84481 74 72 $1K
99222 Initial hospital care, per day, moderate complexity 30 26 $1K
80053 Comprehensive metabolic panel 25 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) 45 45 $91.76
82043 12 12 $60.08
82570 12 12 $53.84
84460 13 13 $52.38
3008F 79 78 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 32 28 $0.00
1159F 854 828 $0.00
1160F 379 374 $0.00
3725F 78 70 $0.00