Lester E Cox Medical Centers

Lester E Cox Medical Centers was paid $289K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoLESTER E COX MEDICAL CENTERS
SPRINGFIELD, MO 65809

33aNPI1316010135assigned 11/17/2006

33bProvider typeInternal Medicine Physician

28Total paid$289K

24GClaims4,949

24DCodes billed9

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in Missouri

Rank by total paid#39 of 364

Median peer was paid$10K

This provider vs. median28×

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 SHAMEL, BROCK 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	77	$2K
2019	231	$5K
2020	409	$12K
2021	1,295	$44K
2022	931	$50K
2023	1,188	$104K
2024incomplete	818	$72K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	60%	2,163	2,013	$174K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	32%	2,122	1,862	$93K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	7.2%	210	203	$21K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	14	14	$2K
3725F		0%	129	120	$0.00
1159F		0%	231	218	$0.00
1160F		0%	12	12	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	54	53	$0.00
3008F		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 officialSHAMEL, BROCK (VICE PRESIDENT)

Same official

Other billing entities under SHAMEL, BROCK

Full network →

Provider	Location	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	$867K
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	$278K
Lester E Cox Medical Centers	Lebanon, MO	$272K
Lester E Cox Medical Centers	Harrison, AR	$146K

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