Medicaid Provider Spending

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

LESTER E COX MEDICAL CENTERS

NPI: 1760405864 · SPRINGFIELD, MO 65807 · Anatomic Pathology & Clinical Pathology Physician · NPI assigned 07/26/2006

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

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

$9.19M
Total Medicaid Paid
186,756
Total Claims
152,305
Beneficiaries
132
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHAMEL, BROCK (VICE PRESIDENT)
NPI Enumeration Date07/26/2006

Related Entities

Other providers sharing the same authorized official: SHAMEL, BROCK

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 32,936 $2.04M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34,737 29,282 $2.15M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,946 17,631 $1.32M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 6,502 6,152 $853K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3,960 1,580 $450K
74177 Computed tomography, abdomen and pelvis; with contrast material 7,422 6,626 $433K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 2,446 2,312 $395K
70450 Computed tomography, head or brain; without contrast material 10,552 9,328 $333K
99284 Emergency department visit for the evaluation and management, high severity 6,588 6,289 $332K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,619 3,406 $292K
99233 Prolong inpt eval add15 m 6,246 2,606 $275K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 6,959 6,168 $227K
99232 Subsequent hospital care, per day, moderate complexity 4,763 2,379 $166K
49083 1,207 721 $149K
95117 10,934 5,765 $129K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,152 1,080 $115K
70551 Magnetic resonance imaging, brain; without contrast material 1,677 1,557 $113K
99283 Emergency department visit for the evaluation and management, moderate severity 3,766 3,603 $105K
90961 1,435 1,270 $100K
99244 Office or other outpatient consultation, moderate to high complexity 383 367 $77K
99215 Prolong outpt/office vis 1,148 785 $77K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,017 943 $65K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,677 2,512 $60K
71275 Computed tomographic angiography, chest, with contrast material 867 755 $58K
74176 Computed tomography, abdomen and pelvis; without contrast material 942 841 $56K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 189 184 $47K
72125 Computed tomography, cervical spine; without contrast material 1,261 1,129 $47K
99243 421 385 $46K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,277 1,135 $45K
71045 Radiologic examination, chest; single view 6,591 5,718 $40K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 637 594 $38K
71260 Computed tomography, thorax, diagnostic; with contrast material 892 770 $37K
77427 311 126 $35K
90935 Hemodialysis procedure with single evaluation by a physician 1,418 734 $33K
99255 301 246 $32K
73110 1,883 1,665 $27K
71046 Radiologic examination, chest; 2 views 3,235 3,076 $26K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,015 267 $26K
99152 1,034 881 $25K
92567 1,762 1,732 $24K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 146 124 $22K
95886 211 203 $19K
78815 Positron emission tomography (PET) for limited area imaging 258 214 $16K
92557 483 477 $16K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 108 74 $15K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 162 159 $12K
73630 1,063 985 $12K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 140 122 $12K
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy 1,149 208 $11K
99282 Emergency department visit for the evaluation and management, low to moderate severity 670 640 $11K
74018 1,569 1,452 $11K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 107 101 $11K
20610 294 263 $11K
77014 296 25 $10K
73221 156 154 $10K
73610 984 922 $9K
77263 65 63 $8K
42820 Tonsillectomy and adenoidectomy; younger than age 12 27 27 $7K
93000 658 601 $7K
81002 1,965 1,344 $7K
73564 326 298 $7K
94375 194 189 $6K
73130 265 245 $5K
93971 245 234 $4K
64483 17 17 $4K
81001 1,418 1,270 $3K
92504 128 124 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 39 36 $3K
76801 85 78 $3K
81003 1,212 1,009 $3K
76830 Ultrasound, transvaginal 25 24 $3K
73030 370 355 $3K
95811 45 31 $3K
99222 Initial hospital care, per day, moderate complexity 33 29 $3K
76770 95 90 $2K
90962 42 40 $2K
99205 Prolong outpt/office vis 14 12 $2K
0002A 66 59 $2K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 111 95 $2K
77300 30 28 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 57 56 $2K
51798 174 171 $2K
95115 154 81 $1K
78226 49 49 $1K
93280 73 66 $1K
93016 160 122 $1K
96152 133 113 $1K
71250 38 38 $1K
73560 184 171 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 16 16 $1K
71271 31 28 $1K
94060 92 77 $1K
93018 122 98 $1K
76885 26 26 $959.08
77334 13 12 $892.86
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 29 27 $888.71
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 19 15 $839.09
94727 136 107 $796.27
72100 92 89 $789.42
70486 20 17 $784.71
72082 13 13 $681.82
72141 12 12 $677.88
93970 29 26 $664.44
69210 20 20 $643.88
31575 12 12 $610.53
20550 15 12 $580.23
94729 136 107 $536.84
0001A 15 14 $520.00
72129 12 12 $510.16
93284 14 12 $476.37
92579 14 14 $437.11
73080 42 41 $384.47
73562 27 26 $368.04
99223 Prolong inpt eval add15 m 14 12 $356.07
72110 13 13 $288.77
81025 28 26 $248.45
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $200.24
85025 Blood count; complete (CBC), automated, and automated differential WBC count 35 25 $147.97
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 17 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) 58 57 $134.12
73590 16 15 $129.49
80053 Comprehensive metabolic panel 16 12 $119.75
85027 16 14 $85.87
82565 12 12 $51.43
86140 20 12 $42.86
73502 16 15 $36.10
99442 27 12 $29.40
85652 20 12 $22.35
1159F 4,170 3,656 $0.00
1160F 906 816 $0.00
3725F 274 248 $0.00
3008F 646 584 $0.00
1125F 17 13 $0.00