Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › Springfield › NPI 1750036703
Physician

Lester E Cox Medical Centers

Lester E Cox Medical Centers was paid $560K by Medicaid between Jun 2022 and Nov 2024, across 12 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 49% of everything it billed.

33Billing provider infoLESTER E COX MEDICAL CENTERS
SPRINGFIELD, MO 65807
33aNPI1750036703assigned 02/18/2022
28Total paid$560K
24GClaims10,032
24DCodes billed12
24AFirst – last monthJun 2022 – Nov 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in Missouri

Rank by total paid#5 of 150
Median peer was paid$4K
This provider vs. median129×

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$10K$20K$30K2018201920202021202220232024
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
20222,038$97K
20233,878$231K
2024incomplete4,116$232K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 49% 5,032 4,913 $273K
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 37% 2,957 2,819 $208K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 6.4% 297 292 $36K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.5% 574 533 $31K
93016 <1% 364 351 $4K
99152 <1% 78 75 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 477 465 $2K
99222 Initial hospital care, per day, moderate complexity <1% 29 28 $2K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 20 13 $1K
93018 <1% 109 97 $916.50
1160F 0% 57 54 $0.00
1159F 0% 38 37 $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 (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$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.