Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LEE MEMORIAL HEALTH SYSTEM

NPI: 1013559343 · FORT MYERS, FL 33907 · Federally Qualified Health Center (FQHC) · NPI assigned 10/08/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SPENCE, BENJAMIN controls 12+ related entities in our dataset. Read more

$1.60M
Total Medicaid Paid
64,344
Total Claims
59,077
Beneficiaries
42
Codes Billed
2020-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSPENCE, BENJAMIN (CFO)
NPI Enumeration Date10/08/2019

Related Entities

Other providers sharing the same authorized official: SPENCE, BENJAMIN

ProviderCityStateTotal Paid
LEE MEMORIAL HEALTH SYSTEM FT MYERS FL $97.77M
LEE MEMORIAL HEALTH SYSTEM FORT MYERS FL $15.11M
CAPE MEMORIAL HOSPITAL INC CAPE CORAL FL $13.77M
LEE MEMORIAL HEALTH SYSTEM FORT MYERS FL $11.06M
LEE MEMORIAL HEALTH SYSTEM LEHIGH ACRES FL $1.25M
LEE MEMORIAL HEALTH SYSTEM FORT MYERS FL $928K
ACCESS MEDICAL SOUTH, LC FORT MYERS FL $856K
LEE MEMORIAL HEALTH SYSTEM LEHIGH ACRES FL $506K
LEE MEMORIAL HEALTH SYSTEM FORT MYERS FL $333K
LEE MEMORIAL HEALTH SYSTEM NORTH FORT MYERS FL $192K
LEE MEMORIAL HEALTH SYSTEM CAPE CORAL FL $177K
LEE MEMORIAL HEALTH SYSTEM FORT MYERS FL $171K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 7,526 $161K
2021 13,007 $364K
2022 13,669 $393K
2023 19,795 $513K
2024 10,347 $166K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,042 15,943 $518K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,917 5,450 $300K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,704 2,581 $191K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,602 2,469 $169K
90460 Immunization administration through 18 years of age via any route, first or only component 6,953 6,628 $120K
87428 4,171 3,947 $106K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 745 726 $56K
90671 638 571 $41K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,378 1,254 $27K
90670 1,234 1,182 $17K
99188 1,073 1,008 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,641 1,547 $10K
90461 4,311 3,636 $8K
90686 1,489 1,444 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 78 78 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 461 455 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 180 166 $1K
90698 821 777 $1K
85018 762 750 $917.71
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 12 $853.49
90697 508 458 $688.68
0001A 13 12 $420.00
92551 815 759 $419.36
81003 179 176 $298.06
87807 58 57 $225.23
90633 261 236 $134.70
90685 16 12 $63.00
90677 80 75 $10.50
90680 841 803 $10.00
3074F 198 172 $0.00
36416 70 58 $0.00
94760 437 337 $0.00
90651 51 48 $0.00
88720 28 15 $0.00
90744 68 66 $0.00
G8484 Influenza immunization was not administered, reason not given 2,525 2,007 $0.00
99173 389 360 $0.00
99177 330 297 $0.00
G8482 Influenza immunization administered or previously received 629 432 $0.00
3078F 222 169 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 2,399 1,891 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 14 13 $0.00