Clinic
Lee Memorial Health System
Lee Memorial Health System was paid $1.60M by Medicaid between Feb 2020 and Oct 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoLEE MEMORIAL HEALTH SYSTEM
FORT MYERS, FL 33907
FORT MYERS, FL 33907
33aNPI1013559343assigned 10/08/2019
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.60M
24GClaims64,344
24DCodes billed42
24AFirst – last monthFeb 2020 – Oct 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Florida
Rank by total paid#32 of 293
Median peer was paid$114K
This provider vs. median14×
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 SPENCE, BENJAMIN controls 12+ 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 | |
|---|---|---|---|
| 2020 | 7,526 | $161K | |
| 2021 | 13,007 | $364K | |
| 2022 | 13,669 | $393K | |
| 2023 | 19,795 | $513K | |
| 2024incomplete | 10,347 | $166K |
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 | 32% | 17,042 | 15,943 | $518K |
| 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 | 19% | 5,917 | 5,450 | $300K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 2,704 | 2,581 | $191K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 2,602 | 2,469 | $169K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.5% | 6,953 | 6,628 | $120K |
| 87428 | 6.6% | 4,171 | 3,947 | $106K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.5% | 745 | 726 | $56K |
| 90671 | 2.6% | 638 | 571 | $41K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 1,378 | 1,254 | $27K |
| 90670 | 1.1% | 1,234 | 1,182 | $17K | |
| 99188 | <1% | 1,073 | 1,008 | $10K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,641 | 1,547 | $10K |
30 more codes
| 90461 | <1% | 4,311 | $8K | |
| 90686 | <1% | 1,489 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 78 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 461 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 180 | $1K |
| 90698 | <1% | 821 | $1K | |
| 85018 | <1% | 762 | $917.71 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $853.49 |
| 90697 | <1% | 508 | $688.68 | |
| 0001A | <1% | 13 | $420.00 | |
| 92551 | <1% | 815 | $419.36 | |
| 81003 | <1% | 179 | $298.06 | |
| 87807 | <1% | 58 | $225.23 | |
| 90633 | <1% | 261 | $134.70 | |
| 90685 | <1% | 16 | $63.00 | |
| 90677 | <1% | 80 | $10.50 | |
| 90680 | <1% | 841 | $10.00 | |
| 3074F | 0% | 198 | $0.00 | |
| 36416 | 0% | 70 | $0.00 | |
| 94760 | 0% | 437 | $0.00 | |
| 90651 | 0% | 51 | $0.00 | |
| 88720 | 0% | 28 | $0.00 | |
| 90744 | 0% | 68 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 2,525 | $0.00 |
| 99173 | 0% | 389 | $0.00 | |
| 99177 | 0% | 330 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 629 | $0.00 |
| 3078F | 0% | 222 | $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) | 0% | 2,399 | $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) | 0% | 14 | $0.00 |
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 officialSPENCE, BENJAMIN (CFO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.