Behavioral
Lester E Cox Medical Centers
Lester E Cox Medical Centers was paid $16.97M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 99284, emergency room visit (serious) — 31% of everything it billed.
33Billing provider infoLESTER E COX MEDICAL CENTERS
SPRINGFIELD, MO 65807
SPRINGFIELD, MO 65807
33aNPI1922126077assigned 03/27/2007
33bProvider typeCounselor
28Total paid$16.97M
24GClaims263,098
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Counselor providers in Missouri
Rank by total paid#2 of 91
Median peer was paid$31K
This provider vs. median545×
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 | 9,383 | $121K | |
| 2019 | 13,693 | $334K | |
| 2020 | 22,593 | $814K | |
| 2021 | 39,875 | $1.68M | |
| 2022 | 55,670 | $3.62M | |
| 2023 | 66,940 | $5.89M | |
| 2024incomplete | 54,944 | $4.52M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 31% | 54,125 | 53,192 | $5.29M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 55,492 | 54,541 | $4.39M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 18% | 47,917 | 47,366 | $2.98M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 14% | 17,130 | 16,874 | $2.46M |
| 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 | 6.0% | 8,786 | 8,405 | $1.01M |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.9% | 65,285 | 55,312 | $326K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 8,016 | 7,716 | $294K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 4,431 | 4,363 | $151K |
| 99223 | Prolong inpt eval add15 m | <1% | 481 | 449 | $35K |
| 93248 | <1% | 683 | 559 | $14K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 497 | 468 | $14K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 91 | 90 | $2K |
2 more codes
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 (EXEC. VICE-PRESIDENT & CFO)
| 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 | $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 |
| 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.