Lester E. Cox Medical Centers

Lester E. Cox Medical Centers was paid $2.78M by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 90792, Psychiatric diagnostic evaluation with medical services — 32% of everything it billed.

33Billing provider infoLESTER E. COX MEDICAL CENTERS
SPRINGFIELD, MO 65802

33aNPI1740416098assigned 06/01/2009

33bProvider typeNeurology Physician

28Total paid$2.78M

24GClaims56,690

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Neurology Physician providers in Missouri

Rank by total paid#3 of 42

Median peer was paid$9K

This provider vs. median312×

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

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

Year	Claims	Paid
2018	4,909	$141K
2019	5,978	$183K
2020	5,995	$216K
2021	9,257	$346K
2022	12,812	$593K
2023	9,339	$674K
2024incomplete	8,400	$630K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90792	Psychiatric diagnostic evaluation with medical services	32%	7,192	6,182	$882K
99231	Subsequent hospital care, per day, straightforward or low complexity	22%	24,237	8,650	$599K
99238	Hospital discharge day management, 30 minutes or less	16%	9,955	8,650	$451K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	15%	8,190	3,408	$422K
99221		6.2%	3,216	2,507	$172K
99222	Initial hospital care, per day, moderate complexity	3.5%	1,624	1,369	$98K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	2.9%	1,099	381	$79K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.8%	1,135	698	$78K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	27	15	$440.42
99251		<1%	15	12	$331.87

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 →

Provider	Location	Paid
Lester E Cox Medical Centers	Springfield, MO	$112.33M
Lester E Cox Medical Centers	Springfield, MO	$25.78M
Lester E Cox Medical Centers	Springfield, MO	$16.97M
Lester E. Cox Medical Centers	Springfield, MO	$3.50M
Lester E Cox Medical Centers	Springfield, MO	$2.37M
Lester E Cox Medical Centers	Lebanon, MO	$1.44M
Lester E Cox Medical Centers	Ozark, MO	$1.40M
Lester E Cox Medical Centers	Nixa, MO	$1.35M
Lester E Cox Medical Centers	Springfield, MO	$1.23M
Lester E Cox Medical Centers	Springfield, MO	$1.13M
Lester E Cox Medical Centers	Springfield, MO	$1.07M
Lester E Cox Medical Centers	Springfield, MO	$795K
Lester E Cox Medical Centers	Springfield, MO	$771K
Lester E. Cox Medical Centers	Springfield, MO	$593K
Lester E Cox Medical Centers	Springfield, MO	$592K
Lester E Cox Medical Centers	Springfield, MO	$560K
Lester E Cox Medical Centers	Springfield, MO	$553K
Lester E Cox Medical Centers	Springfield, MO	$440K
Lester E Cox Medical Centers	Springfield, MO	$376K
Lester E Cox Medical Centers	Willow Springs, MO	$367K

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