Medicaid Provider Spending

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

LEE MEMORIAL HEALTH SYSTEM

NPI: 1104589258 · FORT MYERS, FL 33905 · Federally Qualified Health Center (FQHC) · NPI assigned 10/15/2021

$62K
Total Medicaid Paid
3,076
Total Claims
2,750
Beneficiaries
11
Codes Billed
2021-12
First Month
2024-09
Last Month

Provider Details

Authorized OfficialFORES, JAMES (CREDENTIALING SPECIALIST)
NPI Enumeration Date10/15/2021

Related Entities

Other providers sharing the same authorized official: FORES, JAMES

ProviderCityStateTotal Paid
LEE MEMORIAL HEALTH SYSTEM FORT MYERS FL $638K
LEE MEMORIAL HEALTH SYSTEM FORT MYERS FL $148K
LEE MEMORIAL HEALTH SYSTEM FORT MYERS FL $28K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 14 $0.00
2022 1,235 $26K
2023 1,087 $22K
2024 740 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,682 1,510 $57K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 85 71 $4K
83036 Hemoglobin; glycosylated (A1C) 115 112 $621.02
82962 347 322 $475.72
1000F 285 252 $0.00
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 238 194 $0.00
1036F 122 98 $0.00
3074F 62 56 $0.00
3078F 27 26 $0.00
G8484 Influenza immunization was not administered, reason not given 96 92 $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) 17 17 $0.00