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

Lee Memorial Health System

Lee Memorial Health System was paid $148K by Medicaid between Aug 2021 and Sep 2024, across 11 billing codes. Its largest line is 99243, — 52% of everything it billed.

33Billing provider infoLEE MEMORIAL HEALTH SYSTEM
FORT MYERS, FL 33908
33aNPI1437739836assigned 04/09/2021
28Total paid$148K
24GClaims5,190
24DCodes billed11
24AFirst – last monthAug 2021 – Sep 2024
Compared with peers

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

Rank by total paid#141 of 293
Median peer was paid$114K
This provider vs. median1.3×

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.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
2021123$7K
20221,525$61K
20232,109$63K
2024incomplete1,433$17K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99243 52% 1,274 1,154 $77K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16% 239 220 $24K
93000 15% 1,982 1,889 $22K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 364 336 $16K
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 3.1% 77 68 $5K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.6% 27 25 $2K
99242 1.4% 62 57 $2K
G8484 Influenza immunization was not administered, reason not given 0% 677 634 $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% 268 248 $0.00
3078F 0% 115 99 $0.00
3074F 0% 105 103 $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 officialFORES, JAMES (CREDENTIALING SPECIALIST)
Same official

Other billing entities under FORES, JAMES

Full network →
ProviderLocationPaid
Lee Memorial Health SystemFort Myers, FL$638K
Lee Memorial Health SystemFort Myers, FL$62K
Lee Memorial Health SystemFort Myers, FL$28K

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