Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Fort Myers › NPI 1265168751
Clinic

Lee Memorial Health System

Lee Memorial Health System was paid $72K by Medicaid between Feb 2023 and Sep 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 82% of everything it billed.

33Billing provider infoLEE MEMORIAL HEALTH SYSTEM
FORT MYERS, FL 33919
33aNPI1265168751assigned 07/27/2022
28Total paid$72K
24GClaims3,442
24DCodes billed9
24AFirst – last monthFeb 2023 – Sep 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Florida

Rank by total paid#174 of 293
Median peer was paid$114K
This provider vs. median0.6×

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 NIEBERGALL, JOSEPH controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20232,085$54K
2024incomplete1,357$18K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 82% 1,358 1,170 $59K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12% 353 280 $9K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5.5% 45 37 $4K
1000F 0% 793 761 $0.00
3074F 0% 285 276 $0.00
1036F 0% 206 196 $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% 57 53 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 220 213 $0.00
3078F 0% 125 123 $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 officialNIEBERGALL, JOSEPH (CREDENTIALING SPECIALIST)
Same official

Other billing entities under NIEBERGALL, JOSEPH

Full network →
ProviderLocationPaid
Lee Memorial Health SystemFort Myers, FL$1.32M
Lee Memorial Health SystemFort Myers, FL$1.15M
Lee Memorial Health SystemFort Myers, FL$740K
Lee Memorial Health SystemCape Coral, FL$733K
Lee Memorial Health SystemPort Charlotte, FL$554K
Lee Memorial Health SystemFort Myers, FL$441K
Lee Memorial Health SystemPort Charlotte, FL$261K
Lee Memorial Health SystemNaples, FL$224K
Lee Memorial Health SystemEstero, FL$192K
Lee Memorial Health SystemFort Myers, FL$137K
Lee Memorial Health SystemFort Myers, FL$114K
Lee Memorial Health SystemEstero, FL$107K
Lee Memorial Health SystemLehigh Acres, FL$107K
Lee Memorial Health SystemFort Myers, FL$84K
Lee Memorial Health SystemFort Myers, FL$61K
Lee Memorial Health SystemFort Myers, FL$56K
Lee Memorial Health SystemFort Myers, FL$50K
Lee Memorial Health SystemFort Myers, FL$35K
Lee Memorial Health SystemFort Myers, FL$15K
Lee Memorial Health SystemFort Myers, FL$6K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.