Lee Memorial Health System
Lee Memorial Health System was paid $177K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.
CAPE CORAL, FL 33990
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 | |
|---|---|---|---|
| 2018 | 234 | $0.00 | |
| 2019 | 747 | $18K | |
| 2020 | 891 | $26K | |
| 2021 | 1,080 | $32K | |
| 2022 | 1,222 | $46K | |
| 2023 | 1,655 | $44K | |
| 2024incomplete | 1,249 | $12K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 66% | 2,998 | 2,718 | $118K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 1,983 | 1,805 | $49K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.6% | 108 | 106 | $10K |
| G0467 | Community health center visit, returning patientFederally 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 | <1% | 573 | 462 | $419.87 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 20 | 20 | $164.11 |
| 90686 | <1% | 14 | 12 | $128.06 | |
| 1000F | 0% | 562 | 514 | $0.00 | |
| 3074F | 0% | 236 | 221 | $0.00 | |
| 1036F | 0% | 228 | 215 | $0.00 | |
| 3078F | 0% | 231 | 216 | $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% | 68 | 67 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 57 | 52 | $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 | 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 | Fort Myers, FL | $1.60M |
| 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 | Fort Myers, FL | $171K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.