Physician
Lester E Cox Medical Centers
Lester E Cox Medical Centers was paid $9.19M by Medicaid between Jan 2018 and Dec 2024, across 132 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoLESTER E COX MEDICAL CENTERS
SPRINGFIELD, MO 65807
SPRINGFIELD, MO 65807
33aNPI1760405864assigned 07/26/2006
33bProvider typeAnatomic Pathology & Clinical Pathology Physician
28Total paid$9.19M
24GClaims186,756
24DCodes billed132
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Anatomic Pathology & Clinical Pathology Physician providers in Missouri
Rank by total paid#2 of 103
Median peer was paid$15K
This provider vs. median627×
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 SHAMEL, BROCK 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 | 15,530 | $546K | |
| 2019 | 17,341 | $585K | |
| 2020 | 19,339 | $657K | |
| 2021 | 33,302 | $1.35M | |
| 2022 | 35,187 | $1.78M | |
| 2023 | 33,121 | $2.24M | |
| 2024incomplete | 32,936 | $2.04M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 34,737 | 29,282 | $2.15M |
| 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 | 14% | 19,946 | 17,631 | $1.32M |
| 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 | 9.3% | 6,502 | 6,152 | $853K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 4.9% | 3,960 | 1,580 | $450K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 4.7% | 7,422 | 6,626 | $433K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 4.3% | 2,446 | 2,312 | $395K |
| 70450 | Computed tomography, head or brain; without contrast material | 3.6% | 10,552 | 9,328 | $333K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 3.6% | 6,588 | 6,289 | $332K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.2% | 3,619 | 3,406 | $292K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.0% | 6,246 | 2,606 | $275K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.5% | 6,959 | 6,168 | $227K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.8% | 4,763 | 2,379 | $166K |
120 more codes
| 49083 | 1.6% | 1,207 | $149K | |
| 95117 | 1.4% | 10,934 | $129K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | 1.2% | 1,152 | $115K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | 1.2% | 1,677 | $113K |
| 99283 | Emergency room visit (moderate) | 1.1% | 3,766 | $105K |
| 90961 | 1.1% | 1,435 | $100K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 383 | $77K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,148 | $77K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 1,017 | $65K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 2,677 | $60K |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 867 | $58K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 942 | $56K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 189 | $47K |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 1,261 | $47K |
| 99243 | <1% | 421 | $46K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,277 | $45K |
| 71045 | Radiologic examination, chest; single view | <1% | 6,591 | $40K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 637 | $38K |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 892 | $37K |
| 77427 | <1% | 311 | $35K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 1,418 | $33K |
| 99255 | <1% | 301 | $32K | |
| 73110 | <1% | 1,883 | $27K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 3,235 | $26K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,015 | $26K |
| 99152 | <1% | 1,034 | $25K | |
| 92567 | <1% | 1,762 | $24K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 146 | $22K |
| 95886 | <1% | 211 | $19K | |
| 78815 | Positron emission tomography (PET) for limited area imaging | <1% | 258 | $16K |
| 92557 | <1% | 483 | $16K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 108 | $15K |
| 99285 | Emergency room visit (most serious) | <1% | 162 | $12K |
| 73630 | <1% | 1,063 | $12K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 140 | $12K |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | <1% | 1,149 | $11K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 670 | $11K |
| 74018 | <1% | 1,569 | $11K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 107 | $11K |
| 20610 | <1% | 294 | $11K | |
| 77014 | <1% | 296 | $10K | |
| 73221 | <1% | 156 | $10K | |
| 73610 | <1% | 984 | $9K | |
| 77263 | <1% | 65 | $8K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 27 | $7K |
| 93000 | <1% | 658 | $7K | |
| 81002 | <1% | 1,965 | $7K | |
| 73564 | <1% | 326 | $7K | |
| 94375 | <1% | 194 | $6K | |
| 73130 | <1% | 265 | $5K | |
| 93971 | <1% | 245 | $4K | |
| 64483 | <1% | 17 | $4K | |
| 81001 | <1% | 1,418 | $3K | |
| 92504 | <1% | 128 | $3K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 39 | $3K |
| 76801 | <1% | 85 | $3K | |
| 81003 | <1% | 1,212 | $3K | |
| 76830 | Ultrasound, transvaginal | <1% | 25 | $3K |
| 73030 | <1% | 370 | $3K | |
| 95811 | <1% | 45 | $3K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 33 | $3K |
| 76770 | <1% | 95 | $2K | |
| 90962 | <1% | 42 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 14 | $2K |
| 0002A | <1% | 66 | $2K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 111 | $2K |
| 77300 | <1% | 30 | $2K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 57 | $2K |
| 51798 | <1% | 174 | $2K | |
| 95115 | <1% | 154 | $1K | |
| 78226 | <1% | 49 | $1K | |
| 93280 | <1% | 73 | $1K | |
| 93016 | <1% | 160 | $1K | |
| 96152 | <1% | 133 | $1K | |
| 71250 | <1% | 38 | $1K | |
| 73560 | <1% | 184 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $1K |
| 71271 | <1% | 31 | $1K | |
| 94060 | <1% | 92 | $1K | |
| 93018 | <1% | 122 | $1K | |
| 76885 | <1% | 26 | $959.08 | |
| 77334 | <1% | 13 | $892.86 | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 29 | $888.71 |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 19 | $839.09 |
| 94727 | <1% | 136 | $796.27 | |
| 72100 | <1% | 92 | $789.42 | |
| 70486 | <1% | 20 | $784.71 | |
| 72082 | <1% | 13 | $681.82 | |
| 72141 | <1% | 12 | $677.88 | |
| 93970 | <1% | 29 | $664.44 | |
| 69210 | <1% | 20 | $643.88 | |
| 31575 | <1% | 12 | $610.53 | |
| 20550 | <1% | 15 | $580.23 | |
| 94729 | <1% | 136 | $536.84 | |
| 0001A | <1% | 15 | $520.00 | |
| 72129 | <1% | 12 | $510.16 | |
| 93284 | <1% | 14 | $476.37 | |
| 92579 | <1% | 14 | $437.11 | |
| 73080 | <1% | 42 | $384.47 | |
| 73562 | <1% | 27 | $368.04 | |
| 99223 | Prolong inpt eval add15 m | <1% | 14 | $356.07 |
| 72110 | <1% | 13 | $288.77 | |
| 81025 | <1% | 28 | $248.45 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $200.24 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 35 | $147.97 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 17 | $139.88 |
| 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) | <1% | 58 | $134.12 |
| 73590 | <1% | 16 | $129.49 | |
| 80053 | Comprehensive metabolic panel | <1% | 16 | $119.75 |
| 85027 | <1% | 16 | $85.87 | |
| 82565 | <1% | 12 | $51.43 | |
| 86140 | <1% | 20 | $42.86 | |
| 73502 | <1% | 16 | $36.10 | |
| 99442 | <1% | 27 | $29.40 | |
| 85652 | <1% | 20 | $22.35 | |
| 1159F | 0% | 4,170 | $0.00 | |
| 1160F | 0% | 906 | $0.00 | |
| 3725F | 0% | 274 | $0.00 | |
| 3008F | 0% | 646 | $0.00 | |
| 1125F | 0% | 17 | $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 officialSHAMEL, BROCK (VICE PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| 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 |
| Lester E Cox Medical Centers | Harrison, AR | $146K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.