Medicaid Provider Spending

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

LESTER E COX MEDICAL CENTERS

NPI: 1184372674 · SPRINGFIELD, MO 65804 · Gastroenterology Physician · NPI assigned 03/14/2022

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

Authorized official MCWAY, JACOB controls 20+ related entities in our dataset. Read more

$146K
Total Medicaid Paid
1,485
Total Claims
1,409
Beneficiaries
12
Codes Billed
2022-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMCWAY, JACOB (EXECUTIVE VP & CFO)
NPI Enumeration Date03/14/2022

Related Entities

Other providers sharing the same authorized official: MCWAY, JACOB

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 135 $14K
2023 635 $64K
2024 715 $68K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 286 282 $70K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 573 559 $36K
99152 247 237 $10K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 112 111 $10K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 52 52 $8K
99232 Subsequent hospital care, per day, moderate complexity 116 70 $6K
45380 Colonoscopy, flexible; with biopsy, single or multiple 12 12 $4K
43235 13 13 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 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) 28 27 $26.02
1160F 14 14 $0.00
1159F 14 14 $0.00