Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › Branson › NPI 1174952212
Physician

Lester E Cox Medical Centers

Lester E Cox Medical Centers was paid $303K by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 25% of everything it billed.

33Billing provider infoLESTER E COX MEDICAL CENTERS
BRANSON, MO 65616
33aNPI1174952212assigned 11/08/2013
28Total paid$303K
24GClaims9,730
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Physician providers in Missouri

Rank by total paid#4 of 69
Median peer was paid$11K
This provider vs. median27×

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.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
2018462$14K
2019574$11K
2020191$2K
2021635$7K
20221,919$40K
20232,910$116K
2024incomplete3,039$112K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 25% 578 415 $76K
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 18% 1,136 848 $54K
74177 Computed tomography, abdomen and pelvis; with contrast material 10% 534 459 $31K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.7% 474 440 $20K
77067 Screening mammography, bilateral, including computer-aided detection 6.2% 558 508 $19K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 5.9% 473 417 $18K
77063 Screening digital breast tomosynthesis, bilateral 4.8% 542 489 $15K
71045 Radiologic examination, chest; single view 4.7% 2,500 1,978 $14K
76801 4.3% 381 321 $13K
70450 Computed tomography, head or brain; without contrast material 3.8% 348 302 $12K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 3.0% 356 327 $9K
71046 Radiologic examination, chest; 2 views 2.5% 957 894 $8K
16 more codes
76705 Ultrasound, abdominal, real time with image documentation; limited 1.5% 215 $5K
76642 <1% 86 $2K
99204 Doctor's office visit, new patient (more involved) <1% 12 $2K
99203 Doctor's office visit, new patient (routine) <1% 13 $976.32
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 30 $938.41
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 21 $905.96
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 15 $784.49
71275 Computed tomographic angiography, chest, with contrast material <1% 14 $686.98
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 15 $538.64
73030 <1% 31 $194.84
73630 <1% 27 $188.25
73562 <1% 16 $162.15
72100 <1% 18 $111.98
73100 <1% 14 $79.71
73610 <1% 14 $73.20
1159F 0% 352 $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, JONATHAN (VP OF OPERATIONS)
Same official

Other billing entities under SHAMEL, JONATHAN

Full network →
ProviderLocationPaid
Lester E Cox Medical CentersSpringfield, MO$10K
Lester E Cox Medical CentersSpringfield, MO$1K

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