Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › Springfield › NPI 1548915853
Physician

Lester E Cox Medical Centers

Lester E Cox Medical Centers was paid $66K by Medicaid between Oct 2022 and Nov 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 84% of everything it billed.

33Billing provider infoLESTER E COX MEDICAL CENTERS
SPRINGFIELD, MO 65807
33aNPI1548915853assigned 02/15/2022
33bProvider typeRheumatology Physician
28Total paid$66K
24GClaims919
24DCodes billed6
24AFirst – last monthOct 2022 – Nov 2024
Compared with peers

Next to other Rheumatology Physician providers in Missouri

Rank by total paid#4 of 23
Median peer was paid$7K
This provider vs. median9.6×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
202288$7K
2023452$30K
2024incomplete379$29K
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 84% 730 719 $55K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 16% 90 89 $10K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 41 38 $172.55
82565 <1% 29 27 $104.87
84450 <1% 15 14 $63.96
84460 <1% 14 13 $59.99

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 (EXECUTIVE 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 CentersSpringfield, MO$2.37M
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

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