Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Missouri for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Missouri only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Missouri (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Lester E. Cox Medical Centers (NPI 1508899337)

Field	Value
Entity Type	Organization
Organization	Lester E. Cox Medical Centers
Address	2240 W Sunset St
City	Springfield
State	MO
ZIP	65807
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	July 7, 2006

Payer Source	Total Paid
Medicaid	$3.5M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

59 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	19,040	$40	$761.6K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	10,340	$50	$475.5K
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	950	$420	$399.2K
A7030	Full face mask used with positive airway pressure device, each	3,440	$80	$281.7K
E0601	Continuous positive airway pressure (CPAP) device	9,110	$30	$227.6K
E0562	Humidifier, heated, used with positive airway pressure device	3,190	$50	$162.6K
K0738	Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing	3,450	$40	$134.6K
E0470	Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive…	2,120	$60	$116.7K
A7031	Face mask interface, replacement for full face mask, each	3,140	$30	$106.9K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	1,960	$50	$88.2K

Showing 1–10 of 59

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.

Claims Volume vs. Missouri Distribution

Lester E. Cox Medical Centers — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

59 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	21	20	2,410	$130	$1.1M
E1399	Durable medical equipment, miscellaneous	9	10	1,050	$180	$575.4K
K0108	Wheelchair component or accessory, not otherwise specified	9	10	1,200	$200	$485.8K
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	2	10	130	$560	$361.6K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	20	140	5,290	$40	$300.2K
E1028	Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other	8	20	840	$100	$263K
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	16	20	1,000	$70	$169.2K
E0445	Oximeter device for measuring blood oxygen levels non-invasively	6	10	200	$170	$140.7K
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	15	20	400	$90	$137.2K
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include…	16	20	760	$80	$136.1K

Showing 1–10 of 59

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lester E. Cox Medical Centers, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lester E Cox Medical Centers	MO	General Acute Care Hospital	$0	$112.3M
Partners Physician Group	OH	Surgery Physician	$0	$28.5M
Lester E Cox Medical Centers	MO	Land Ambulance	$0	$25.8M
Skaggs Community Hospital Association	MO	General Acute Care Hospital	$0	$18.8M
Lester E Cox Medical Centers	MO	Family Medicine Physician	$0	$17M
Lester E Cox Medical Centers	MO	General Practice Physician	$0	$9.2M
Levent Akduman	MO	Ophthalmology Physician	$3.1M	$1.4M
Richard Jones	MO	Ophthalmology Physician	$1M	$0
Sundeep Das	MO	Interventional Cardiology Physician	$370.6K	$0
Catherine Brignoni	CA	Neurology Physician	$328.9K	$0

Nearby Providers

Other providers in the same ZIP code as Lester E. Cox Medical Centers, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Supported Living And Employment Services, Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$276.6M
Easy Living Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$183.2M
Healthcare Services Of The Ozarks, Inc	MO	Home Health Agency	$0	$60.3M
Mercy Clinic Springfield Communities	MO	Family Medicine Physician	$0	$51.5M
Abilities First	MO	Case Management Agency	$0	$45.8M
Southwest Center For Independent Living	MO	In Home Supportive Care Agency	$0	$45.3M
Seniorage Area Agency On Aging	MO	Case Management Agency	$0	$19.2M
Maxim Healthcare Services, Inc.	MO	Home Health Agency	$0	$17.7M
Phoenix Home Care, LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$8.5M
Honour Brite LLC	MO	Multi-Specialty Clinic/Center	$0	$7.1M

Lester E. Cox Medical Centers — Billing Profile & Reimbursement Data

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Lester E. Cox Medical Centers — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References