Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Lester E Cox Medical Centers

Lester E Cox Medical Centers was paid $2.37M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.

33Billing provider infoLESTER E COX MEDICAL CENTERS
SPRINGFIELD, MO 65807
33aNPI1467667980assigned 05/10/2007
28Total paid$2.37M
24GClaims49,364
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Missouri

Rank by total paid#3 of 358
Median peer was paid$16K
This provider vs. median152×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
20183,643$115K
20193,871$123K
20205,187$154K
202110,905$370K
202210,473$468K
20238,596$621K
2024incomplete6,689$516K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 47% 16,560 14,829 $1.12M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41% 19,026 17,243 $970K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 4.2% 2,461 1,102 $99K
99238 Hospital discharge day management, 30 minutes or less 3.3% 1,371 1,271 $77K
99222 Initial hospital care, per day, moderate complexity 2.6% 1,013 738 $60K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 712 305 $15K
99221 <1% 260 192 $13K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 82 79 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 161 155 $2K
0001A <1% 67 58 $2K
99460 <1% 13 13 $1K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 13 12 $612.30
9 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 15 $425.39
98926 <1% 12 $425.26
90686 <1% 26 $191.91
0002A <1% 66 $80.00
99442 <1% 21 $50.00
3008F 0% 1,822 $0.00
1159F 0% 4,351 $0.00
1160F 0% 1,167 $0.00
3725F 0% 145 $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 VP & CFO)
Same official

Other billing entities under MCWAY, JACOB

Full network →
ProviderLocationPaid
Lester E Cox Medical CentersSpringfield, MO$112.33M
Lester E Cox Medical CentersSpringfield, MO$25.78M
Lester E Cox Medical CentersSpringfield, MO$16.97M
Lester E. Cox Medical CentersSpringfield, MO$3.50M
Lester E. Cox Medical CentersSpringfield, MO$2.78M
Lester E Cox Medical CentersLebanon, MO$1.44M
Lester E Cox Medical CentersOzark, MO$1.40M
Lester E Cox Medical CentersNixa, MO$1.35M
Lester E Cox Medical CentersSpringfield, MO$1.23M
Lester E Cox Medical CentersSpringfield, MO$1.13M
Lester E Cox Medical CentersSpringfield, MO$1.07M
Lester E Cox Medical CentersSpringfield, MO$795K
Lester E Cox Medical CentersSpringfield, MO$771K
Lester E. Cox Medical CentersSpringfield, MO$593K
Lester E Cox Medical CentersSpringfield, MO$592K
Lester E Cox Medical CentersSpringfield, MO$560K
Lester E Cox Medical CentersSpringfield, MO$553K
Lester E Cox Medical CentersSpringfield, MO$440K
Lester E Cox Medical CentersSpringfield, MO$376K
Lester E Cox Medical CentersWillow Springs, MO$367K

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