Lester E Cox Medical Centers
Lester E Cox Medical Centers was paid $795K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
SPRINGFIELD, MO 65807
Next to other Maternal & Fetal Medicine Physician providers in Missouri
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 88 | $2K | |
| 2019 | 18 | $363.04 | |
| 2020 | 713 | $38K | |
| 2021 | 4,022 | $192K | |
| 2022 | 3,955 | $205K | |
| 2023 | 3,341 | $239K | |
| 2024incomplete | 1,742 | $119K |
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 | 47% | 5,121 | 3,677 | $370K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 15% | 1,588 | 1,510 | $121K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 14% | 3,037 | 2,742 | $111K |
| 76819 | Fetal biophysical profile; without non-stress testing | 13% | 2,868 | 1,867 | $99K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 6.7% | 315 | 284 | $53K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 449 | 347 | $17K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.4% | 295 | 117 | $11K |
| 99243 | <1% | 61 | 58 | $7K | |
| 76821 | <1% | 59 | 36 | $2K | |
| 76820 | <1% | 58 | 37 | $1K | |
| 99242 | <1% | 13 | 12 | $1K | |
| 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 | <1% | 15 | 12 | $773.65 |
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.
Who's on the registration
| 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 | $2.78M |
| 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 | $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.