Lester E Cox Medical Centers

Lester E Cox Medical Centers was paid $3.36M by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 49% of everything it billed.

33Billing provider infoLESTER E COX MEDICAL CENTERS
SPRINGFIELD, MO 65807

33aNPI1902969272assigned 12/18/2006

33bProvider typeHospitalist Physician

28Total paid$3.36M

24GClaims70,621

24DCodes billed12

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Hospitalist Physician providers in Missouri

Rank by total paid#2 of 71

Median peer was paid$14K

This provider vs. median244×

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	7,488	$222K
2019	7,308	$234K
2020	7,646	$263K
2021	10,662	$373K
2022	12,996	$607K
2023	16,830	$1.13M
2024incomplete	7,691	$533K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	49%	46,391	19,698	$1.65M
99223	Prolong inpt eval add15 m	22%	6,450	5,914	$730K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	20%	12,684	6,610	$666K
99238	Hospital discharge day management, 30 minutes or less	3.9%	2,759	2,589	$131K
99222	Initial hospital care, per day, moderate complexity	3.1%	908	873	$103K
99239	Hospital discharge day management, more than 30 minutes	1.8%	921	847	$59K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	308	214	$9K
99220		<1%	89	85	$8K
99219		<1%	17	16	$1K
99221		<1%	34	27	$928.50
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	29	26	$645.42
99406		<1%	31	25	$453.14

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)

Same official

Other billing entities under SHAMEL, BROCK

Full network →

Provider	Location	Paid
Lester E Cox Medical Centers	Springfield, MO	$9.19M
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.