Clinic
Lester E Cox Medical Centers
Lester E Cox Medical Centers was paid $1.13M by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 100% of everything it billed.
33Billing provider infoLESTER E COX MEDICAL CENTERS
SPRINGFIELD, MO 65807
SPRINGFIELD, MO 65807
33aNPI1184657058assigned 07/07/2006
33bProvider typeEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
28Total paid$1.13M
24GClaims30,894
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Missouri
Rank by total paid#20 of 122
Median peer was paid$427K
This provider vs. median2.6×
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 | |
|---|---|---|---|
| 2018 | 7,586 | $166K | |
| 2019 | 7,002 | $231K | |
| 2020 | 6,344 | $166K | |
| 2021 | 1,924 | $95K | |
| 2022 | 2,513 | $161K | |
| 2023 | 3,093 | $179K | |
| 2024incomplete | 2,432 | $130K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90999 | Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient | 100% | 19,785 | 1,834 | $1.13M |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 521 | 517 | $0.00 |
| 82728 | 0% | 717 | 707 | $0.00 | |
| A4657 | Syringe, with or without needle, each | 0% | 1,140 | 924 | $0.00 |
| 80051 | 0% | 460 | 433 | $0.00 | |
| J2501 | Injection, paricalcitol, 1 mcg | 0% | 2,611 | 257 | $0.00 |
| 82040 | 0% | 248 | 225 | $0.00 | |
| 85018 | 0% | 609 | 519 | $0.00 | |
| 84132 | 0% | 556 | 311 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 38 | 37 | $0.00 |
| 82435 | 0% | 326 | 311 | $0.00 | |
| 84075 | 0% | 225 | 225 | $0.00 |
16 more codes
| 86706 | 0% | 25 | $0.00 | |
| 86704 | 0% | 25 | $0.00 | |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | 0% | 12 | $0.00 |
| 87340 | 0% | 25 | $0.00 | |
| 84295 | 0% | 326 | $0.00 | |
| 84100 | 0% | 239 | $0.00 | |
| 83540 | 0% | 225 | $0.00 | |
| J2916 | Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg | 0% | 446 | $0.00 |
| J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | 0% | 259 | $0.00 |
| 82374 | 0% | 326 | $0.00 | |
| 84155 | 0% | 225 | $0.00 | |
| 83970 | 0% | 215 | $0.00 | |
| 82310 | 0% | 263 | $0.00 | |
| 84466 | 0% | 225 | $0.00 | |
| 82565 | 0% | 226 | $0.00 | |
| 84520 | 0% | 596 | $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 (SR. VICE-PRESIDENT & 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 | $1.07M |
| 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 |
| Lester E Cox Medical Centers | Willow Springs, MO | $367K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.