Medicaid Provider Spending

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

LEE MEMORIAL HEALTH SYSTEM

NPI: 1417342163 · NORTH FORT MYERS, FL 33903 · Federally Qualified Health Center (FQHC) · NPI assigned 03/31/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SPENCE, BENJAMIN controls 12+ related entities in our dataset. Read more

$192K
Total Medicaid Paid
6,972
Total Claims
6,295
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSPENCE, BENJAMIN (CHEIF FINANCIAL OFFICER)
NPI Enumeration Date03/31/2015

Related Entities

Other providers sharing the same authorized official: SPENCE, BENJAMIN

ProviderCityStateTotal 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 CAPE CORAL FL $177K
LEE MEMORIAL HEALTH SYSTEM FORT MYERS FL $171K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 243 $0.00
2019 1,055 $27K
2020 1,128 $34K
2021 1,424 $52K
2022 925 $31K
2023 1,213 $34K
2024 984 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,645 4,227 $180K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 434 391 $12K
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 958 804 $646.63
99406 14 12 $19.02
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $9.60
1036F 129 124 $0.00
1000F 401 370 $0.00
3074F 80 73 $0.00
3017F 14 12 $0.00
G8484 Influenza immunization was not administered, reason not given 179 168 $0.00
3078F 106 102 $0.00