Medicaid Provider Spending

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

LESTER E COX MEDICAL CENTERS

NPI: 1386719763 · SPRINGFIELD, MO 65807 · Pediatrics Physician · NPI assigned 11/21/2006

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

Authorized official SHAMEL, BROCK controls 20+ related entities in our dataset. Read more

$1.85M
Total Medicaid Paid
32,013
Total Claims
30,706
Beneficiaries
26
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHAMEL, BROCK (VICE PRESIDENT)
NPI Enumeration Date11/21/2006

Related Entities

Other providers sharing the same authorized official: SHAMEL, BROCK

ProviderCityStateTotal 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 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 $289K
LESTER E COX MEDICAL CENTERS SPRINGFIELD MO $278K
LESTER E COX MEDICAL CENTERS LEBANON MO $272K
LESTER E COX MEDICAL CENTERS HARRISON AR $146K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 35 $887.85
2020 2,996 $120K
2021 6,810 $279K
2022 7,349 $414K
2023 8,034 $555K
2024 6,789 $480K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,408 6,834 $564K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,289 4,892 $507K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,121 3,068 $334K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,900 1,810 $212K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 621 611 $68K
90723 2,509 2,480 $53K
90647 2,336 2,308 $21K
90680 2,307 2,275 $21K
90670 2,265 2,226 $19K
90686 1,317 1,302 $12K
90677 840 835 $9K
90633 772 760 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 41 41 $5K
99460 42 38 $4K
99215 Prolong outpt/office vis 16 14 $3K
85018 815 801 $2K
90656 131 131 $1K
90707 56 55 $1K
99238 Hospital discharge day management, 30 minutes or less 13 13 $1K
90700 49 49 $1K
90696 26 26 $568.21
90710 27 26 $568.21
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 26 26 $474.35
90716 56 55 $453.19
90380 16 16 $173.52
90381 14 14 $153.66