Medicaid Provider Spending

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

LESTER E COX MEDICAL CENTERS

NPI: 1477998169 · SPRINGFIELD, MO 65807 · Hospitalist Physician · NPI assigned 05/08/2013

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

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

$278K
Total Medicaid Paid
4,346
Total Claims
3,906
Beneficiaries
13
Codes Billed
2020-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSHAMEL, BROCK (VICE PRESIDENT)
NPI Enumeration Date05/08/2013

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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 275 $16K
2021 1,439 $94K
2022 780 $40K
2023 1,100 $72K
2024 752 $55K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 2,670 2,482 $164K
99284 Emergency department visit for the evaluation and management, high severity 541 507 $51K
99223 Prolong inpt eval add15 m 95 92 $13K
99233 Prolong inpt eval add15 m 162 127 $11K
99232 Subsequent hospital care, per day, moderate complexity 215 147 $10K
99238 Hospital discharge day management, 30 minutes or less 146 138 $8K
99231 Subsequent hospital care, per day, straightforward or low complexity 153 84 $6K
99281 Emergency department visit for the evaluation and management, self-limited or minor 210 187 $5K
99282 Emergency department visit for the evaluation and management, low to moderate severity 76 71 $3K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 25 19 $3K
99221 25 25 $3K
99222 Initial hospital care, per day, moderate complexity 12 12 $1K
99239 Hospital discharge day management, more than 30 minutes 16 15 $1K