Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Lee Memorial Health System

Lee Memorial Health System was paid $192K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 94% of everything it billed.

33Billing provider infoLEE MEMORIAL HEALTH SYSTEM
NORTH FORT MYERS, FL 33903
33aNPI1417342163assigned 03/31/2015
28Total paid$192K
24GClaims6,972
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

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

Rank by total paid#127 of 293
Median peer was paid$114K
This provider vs. median1.7×

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 SPENCE, BENJAMIN controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
2018243$0.00
20191,055$27K
20201,128$34K
20211,424$52K
2022925$31K
20231,213$34K
2024incomplete984$15K
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 94% 4,645 4,227 $180K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.0% 434 391 $12K
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% 958 804 $646.63
99406 <1% 14 12 $19.02
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 12 12 $9.60
1036F 0% 129 124 $0.00
1000F 0% 401 370 $0.00
3074F 0% 80 73 $0.00
3017F 0% 14 12 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 179 168 $0.00
3078F 0% 106 102 $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 officialSPENCE, BENJAMIN (CHEIF FINANCIAL OFFICER)
Same official

Other billing entities under SPENCE, BENJAMIN

Full network →
ProviderLocationPaid
Lee Memorial Health SystemFt Myers, FL$97.77M
Lee Memorial Health SystemFort Myers, FL$15.11M
Cape Memorial Hospital INCCape Coral, FL$13.77M
Lee Memorial Health SystemFort Myers, FL$11.06M
Lee Memorial Health SystemFort Myers, FL$1.60M
Lee Memorial Health SystemLehigh Acres, FL$1.25M
Lee Memorial Health SystemFort Myers, FL$928K
Access Medical South, LCFort Myers, FL$856K
Lee Memorial Health SystemLehigh Acres, FL$506K
Lee Memorial Health SystemFort Myers, FL$333K
Lee Memorial Health SystemCape Coral, FL$177K
Lee Memorial Health SystemFort Myers, FL$171K

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