Lee Memorial Health System
Lee Memorial Health System was paid $261K by Medicaid between Jul 2020 and Sep 2022, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
PORT CHARLOTTE, FL 33952
Next to other Federally Qualified Health Center (FQHC) providers in Florida
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 2,162 | $49K | |
| 2021 | 4,784 | $122K | |
| 2022 | 2,858 | $90K |
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 | 31% | 2,181 | 1,948 | $82K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 16% | 545 | 532 | $41K |
| 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 | 14% | 626 | 597 | $36K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 410 | 407 | $32K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.7% | 316 | 310 | $25K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.7% | 1,055 | 1,032 | $18K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.7% | 153 | 151 | $12K |
| 87428 | 2.3% | 264 | 257 | $6K | |
| 90670 | 1.2% | 370 | 366 | $3K | |
| 90461 | <1% | 695 | 625 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 306 | 293 | $1K |
| 99384 | <1% | 14 | 12 | $1K |
16 more codes
| 90686 | <1% | 59 | $546.22 | |
| 85018 | <1% | 555 | $533.73 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 34 | $498.42 |
| 90698 | <1% | 237 | $177.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 50 | $147.00 |
| 90744 | <1% | 104 | $31.00 | |
| 81003 | <1% | 139 | $8.48 | |
| 99173 | 0% | 450 | $0.00 | |
| 90633 | 0% | 43 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 90680 | 0% | 189 | $0.00 | |
| 36416 | 0% | 389 | $0.00 | |
| 92551 | 0% | 508 | $0.00 | |
| 90697 | 0% | 70 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 90651 | 0% | 18 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Lee Memorial Health System | Fort Myers, FL | $1.32M |
| Lee Memorial Health System | Fort Myers, FL | $1.15M |
| Lee Memorial Health System | Fort Myers, FL | $740K |
| Lee Memorial Health System | Cape Coral, FL | $733K |
| Lee Memorial Health System | Port Charlotte, FL | $554K |
| Lee Memorial Health System | Fort Myers, FL | $441K |
| Lee Memorial Health System | Naples, FL | $224K |
| Lee Memorial Health System | Estero, FL | $192K |
| Lee Memorial Health System | Fort Myers, FL | $137K |
| Lee Memorial Health System | Fort Myers, FL | $114K |
| Lee Memorial Health System | Estero, FL | $107K |
| Lee Memorial Health System | Lehigh Acres, FL | $107K |
| Lee Memorial Health System | Fort Myers, FL | $84K |
| Lee Memorial Health System | Fort Myers, FL | $72K |
| Lee Memorial Health System | Fort Myers, FL | $61K |
| Lee Memorial Health System | Fort Myers, FL | $56K |
| Lee Memorial Health System | Fort Myers, FL | $50K |
| Lee Memorial Health System | Fort Myers, FL | $35K |
| Lee Memorial Health System | Fort Myers, FL | $15K |
| Lee Memorial Health System | Fort Myers, FL | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.