Medicaid Provider Spending

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

LESTER E COX MEDICAL CENTERS

NPI: 1629690581 · HARRISON, AR 72601 · Family Medicine Physician · NPI assigned 05/14/2020

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

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

$146K
Total Medicaid Paid
12,079
Total Claims
10,296
Beneficiaries
13
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHAMEL, BROCK (VP REGIONAL SERVICES)
NPI Enumeration Date05/14/2020

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 SPRINGFIELD MO $278K
LESTER E COX MEDICAL CENTERS LEBANON MO $272K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 420 $3K
2021 1,596 $23K
2022 3,399 $41K
2023 3,769 $45K
2024 2,895 $34K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,064 1,711 $76K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,654 2,078 $65K
99215 Prolong outpt/office vis 48 39 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 61 33 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 40 38 $734.07
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 27 13 $610.10
36415 Collection of venous blood by venipuncture 62 44 $57.00
1160F 2,656 2,363 $0.00
1159F 3,399 3,017 $0.00
3725F 233 214 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 30 28 $0.00
3008F 728 646 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 77 72 $0.00