Lester E Cox Medical Centers

Lester E Cox Medical Centers was paid $130K by Medicaid between Jan 2018 and Oct 2023, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 95% of everything it billed.

33Billing provider infoLESTER E COX MEDICAL CENTERS
MOUNTAIN GROVE, MO 65711

33aNPI1871539023assigned 06/22/2006

33bProvider typeFamily Medicine Physician

28Total paid$130K

24GClaims1,855

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2023

Compared with peers

Next to other Family Medicine Physician providers in Missouri

Rank by total paid#158 of 911

Median peer was paid$16K

This provider vs. median8.3×

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	732	$61K
2019	515	$37K
2020	218	$13K
2021	259	$12K
2022	50	$1K
2023	81	$7K

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	95%	1,743	1,494	$124K
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	3.0%	65	53	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.4%	30	25	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	17	12	$238.49

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	$2.78M
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	$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

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