Physician
Lester E Cox Medical Centers
Lester E Cox Medical Centers was paid $146K by Medicaid between Oct 2022 and Nov 2024, across 12 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 47% of everything it billed.
33Billing provider infoLESTER E COX MEDICAL CENTERS
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
33aNPI1184372674assigned 03/14/2022
33bProvider typeGastroenterology Physician
28Total paid$146K
24GClaims1,485
24DCodes billed12
24AFirst – last monthOct 2022 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Missouri
Rank by total paid#5 of 32
Median peer was paid$12K
This provider vs. median12×
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
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 | |
|---|---|---|---|
| 2022 | 135 | $14K | |
| 2023 | 635 | $64K | |
| 2024incomplete | 715 | $68K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 47% | 286 | 282 | $70K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 573 | 559 | $36K |
| 99152 | 6.8% | 247 | 237 | $10K | |
| 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 | 6.6% | 112 | 111 | $10K |
| 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 | 5.3% | 52 | 52 | $8K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.8% | 116 | 70 | $6K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 3.0% | 12 | 12 | $4K |
| 43235 | 1.9% | 13 | 13 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | 18 | $742.39 |
| 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) | <1% | 28 | 27 | $26.02 |
| 1160F | 0% | 14 | 14 | $0.00 | |
| 1159F | 0% | 14 | 14 | $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 (EXECUTIVE VP & CFO)
| Provider | Location | Paid |
|---|---|---|
| Lester E Cox Medical Centers | Springfield, MO | $112.33M |
| Lester E Cox Medical Centers | Springfield, MO | $25.78M |
| Lester E Cox Medical Centers | Springfield, MO | $16.97M |
| Lester E. Cox Medical Centers | Springfield, MO | $3.50M |
| Lester E. Cox Medical Centers | Springfield, MO | $2.78M |
| Lester E Cox Medical Centers | Springfield, MO | $2.37M |
| Lester E Cox Medical Centers | Lebanon, MO | $1.44M |
| Lester E Cox Medical Centers | Ozark, MO | $1.40M |
| Lester E Cox Medical Centers | Nixa, MO | $1.35M |
| Lester E Cox Medical Centers | Springfield, MO | $1.23M |
| Lester E Cox Medical Centers | Springfield, MO | $1.13M |
| Lester E Cox Medical Centers | Springfield, MO | $1.07M |
| Lester E Cox Medical Centers | Springfield, MO | $795K |
| Lester E Cox Medical Centers | Springfield, MO | $771K |
| Lester E. Cox Medical Centers | Springfield, MO | $593K |
| Lester E Cox Medical Centers | Springfield, MO | $592K |
| Lester E Cox Medical Centers | Springfield, MO | $560K |
| Lester E Cox Medical Centers | Springfield, MO | $553K |
| Lester E Cox Medical Centers | Springfield, MO | $440K |
| Lester E Cox Medical Centers | Springfield, MO | $376K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.