Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Cape Coral › NPI 1487760906
Hospital

Cape Memorial Hospital INC

Cape Memorial Hospital INC was paid $13.77M by Medicaid between Jan 2018 and Dec 2024, across 282 billing codes. Its largest line is 99283, emergency room visit (moderate) — 8.5% of everything it billed.

33Billing provider infoCAPE MEMORIAL HOSPITAL INC
CAPE CORAL, FL 33990
33aNPI1487760906assigned 08/21/2006
28Total paid$13.77M
24GClaims715,491
24DCodes billed282
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Florida

Rank by total paid#34 of 163
Median peer was paid$4.77M
This provider vs. median2.9×

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$200K$400K2018201920202021202220232024
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
201856,573$445K
2019133,126$2.45M
2020121,732$1.88M
2021165,583$3.37M
2022157,747$3.45M
202363,412$1.57M
2024incomplete17,318$608K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 8.5% 18,153 15,480 $1.18M
G0381 Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 7.8% 13,997 12,890 $1.07M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 6.8% 24,370 22,665 $940K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 6.4% 11,064 8,997 $879K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5.5% 7,756 6,369 $757K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4.8% 9,332 8,214 $663K
G0382 Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 4.7% 8,762 8,203 $652K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4.5% 13,637 4,171 $626K
74177 Computed tomography, abdomen and pelvis; with contrast material 4.5% 4,226 3,686 $621K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2.8% 3,660 3,167 $383K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2.8% 18,016 15,010 $380K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 2.6% 7,711 6,215 $360K
270 more codes
70450 Computed tomography, head or brain; without contrast material 2.3% 4,459 $323K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.8% 3,873 $251K
36415 Collection of venous blood by venipuncture 1.5% 22,058 $205K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.3% 1,704 $180K
G0380 Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 1.2% 3,324 $171K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.1% 6,878 $157K
72125 Computed tomography, cervical spine; without contrast material 1.0% 1,175 $139K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,289 $127K
80053 Comprehensive metabolic panel <1% 47,979 $127K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 2,880 $120K
99285 Emergency room visit (most serious) <1% 2,355 $119K
G0378 Hospital observation service, per hour <1% 7,449 $110K
96375 Therapeutic injection; each additional sequential IV push <1% 12,373 $109K
J7030 Infusion, normal saline solution , 1000 cc <1% 1,402 $106K
71275 Computed tomographic angiography, chest, with contrast material <1% 878 $103K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 490 $102K
97162 <1% 2,314 $97K
G0383 Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 1,509 $95K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 5,191 $92K
97161 <1% 855 $89K
80305 <1% 2,594 $87K
96361 Intravenous infusion, hydration; each additional hour <1% 2,317 $85K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,585 $82K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,371 $74K
87088 <1% 15,651 $72K
86850 <1% 3,538 $71K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,042 $63K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 4,140 $60K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 750 $57K
84484 <1% 11,343 $53K
73630 <1% 969 $52K
93975 <1% 1,201 $48K
71046 Radiologic examination, chest; 2 views <1% 4,804 $47K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 3,444 $46K
73610 <1% 932 $46K
81001 <1% 20,478 $44K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 935 $43K
71045 Radiologic examination, chest; single view <1% 12,820 $43K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 693 $43K
73562 <1% 1,235 $42K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 956 $42K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,178 $41K
59025 Fetal non-stress test <1% 2,991 $41K
73130 <1% 745 $39K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 3,548 $39K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,907 $38K
82962 <1% 8,243 $36K
81003 <1% 7,589 $35K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 46,196 $33K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 550 $32K
97113 <1% 367 $31K
80048 Basic metabolic panel (calcium, ionized) <1% 6,525 $29K
94060 <1% 467 $25K
96376 <1% 4,355 $25K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,117 $25K
73030 <1% 1,028 $25K
59050 <1% 2,565 $25K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 533 $24K
93971 <1% 736 $23K
81025 <1% 10,817 $23K
84702 <1% 2,565 $22K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 261 $22K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,316 $22K
J2785 Injection, regadenoson, 0.1 mg <1% 159 $21K
73110 <1% 362 $18K
85027 <1% 12,057 $18K
84443 Thyroid stimulating hormone (TSH) <1% 8,094 $18K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 15,033 $18K
86900 <1% 3,391 $18K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 129 $17K
72100 <1% 810 $17K
85610 <1% 12,512 $16K
74018 <1% 902 $14K
93017 <1% 567 $12K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 2,422 $12K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 45 $12K
83880 <1% 2,631 $11K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,019 $11K
12001 <1% 215 $10K
76830 Ultrasound, transvaginal <1% 1,003 $10K
80061 Lipid panel <1% 7,920 $10K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 83 $8K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 3,419 $8K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 2,177 $8K
93798 <1% 348 $8K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 10,938 $7K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 710 $7K
83735 <1% 5,472 $7K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,977 $7K
86901 <1% 3,553 $7K
87807 <1% 77 $6K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 524 $6K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 2,451 $6K
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 2,455 $6K
87186 <1% 5,168 $5K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 3,438 $5K
83036 Hemoglobin; glycosylated (A1C) <1% 5,818 $5K
87077 <1% 5,642 $5K
87081 <1% 3,127 $5K
87070 <1% 1,441 $5K
85730 <1% 3,588 $5K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 44 $5K
73080 <1% 125 $5K
87481 <1% 583 $5K
80320 <1% 1,627 $5K
82565 <1% 362 $4K
72040 <1% 167 $4K
83690 <1% 10,001 $4K
94760 <1% 2,408 $4K
97010 <1% 551 $4K
81513 <1% 205 $4K
J2704 Injection, propofol, 10 mg <1% 2,823 $4K
84703 <1% 2,992 $4K
C1769 Guide wire <1% 170 $4K
99213 Doctor's office visit, returning patient (routine) <1% 126 $4K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 106 $4K
97535 Self-care/home management training, each 15 minutes <1% 73 $3K
86762 <1% 1,350 $3K
93970 <1% 81 $3K
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 247 $3K
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 252 $3K
84112 <1% 145 $3K
J0690 Injection, cefazolin sodium, 500 mg <1% 1,309 $3K
85379 <1% 2,519 $3K
87210 <1% 1,000 $3K
83605 <1% 2,885 $3K
J1650 Injection, enoxaparin sodium, 10 mg <1% 2,717 $3K
87040 <1% 2,554 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 5,164 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,828 $2K
86803 <1% 1,096 $2K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 369 $2K
86140 <1% 3,400 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 3,025 $2K
87340 <1% 2,074 $2K
80074 <1% 59 $2K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,281 $2K
87799 <1% 311 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 664 $2K
29515 <1% 201 $2K
82728 <1% 1,294 $2K
82607 <1% 2,341 $2K
49083 <1% 20 $2K
72131 <1% 31 $2K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,979 $2K
29125 <1% 251 $2K
71101 <1% 50 $2K
80164 <1% 641 $2K
82950 <1% 973 $2K
87116 <1% 191 $2K
84481 <1% 339 $2K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 482 $1K
94618 <1% 116 $1K
64493 <1% 17 $1K
70551 Magnetic resonance imaging, brain; without contrast material <1% 29 $1K
99203 Doctor's office visit, new patient (routine) <1% 70 $1K
84439 <1% 2,496 $1K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,051 $1K
87205 <1% 1,460 $1K
76775 <1% 55 $1K
12011 <1% 160 $1K
85652 <1% 2,252 $1K
87581 <1% 955 $1K
J1815 Injection, insulin, per 5 units <1% 2,204 $1K
82550 <1% 1,851 $1K
0100U <1% 40 $1K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 962 $1K
87486 <1% 955 $1K
86592 <1% 2,243 $1K
J1170 Injection, hydromorphone, up to 4 mg <1% 3,011 $1K
84100 <1% 1,015 $1K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 278 $1K
20610 <1% 37 $1K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 13 $954.39
73502 <1% 162 $940.12
83550 <1% 1,324 $906.66
87512 <1% 390 $901.02
83540 <1% 1,552 $863.60
J2060 Injection, lorazepam, 2 mg <1% 1,176 $838.68
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 535 $836.00
J1644 Injection, heparin sodium, per 1000 units <1% 471 $784.62
96367 <1% 110 $777.20
83970 <1% 237 $754.75
85007 <1% 1,335 $669.64
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 817 $667.55
94644 <1% 146 $626.74
84153 <1% 472 $622.10
82043 <1% 1,731 $581.98
73620 <1% 12 $556.03
87507 <1% 46 $532.53
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 65 $430.34
87015 <1% 191 $404.39
87206 <1% 191 $404.39
88304 <1% 54 $399.18
82951 <1% 24 $375.78
51701 <1% 536 $360.91
94729 <1% 295 $360.27
85660 <1% 121 $351.59
87102 <1% 96 $342.39
77002 <1% 17 $324.44
J1040 Injection, methylprednisolone acetate, 80 mg <1% 309 $308.42
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 359 $288.42
84156 <1% 877 $273.42
82746 <1% 700 $269.94
84550 <1% 1,151 $263.93
90715 <1% 246 $262.79
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 321 $260.12
74022 <1% 99 $229.78
99152 <1% 179 $228.56
87510 <1% 89 $199.06
J2550 Injection, promethazine hcl, up to 50 mg <1% 436 $191.19
86038 <1% 253 $181.23
97116 <1% 53 $180.00
76819 Fetal biophysical profile; without non-stress testing <1% 17 $178.27
82947 <1% 74 $176.29
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 106 $160.76
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 806 $156.13
J1030 Injection, methylprednisolone acetate, 40 mg <1% 187 $136.81
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 312 $136.76
29530 <1% 39 $135.28
94727 <1% 281 $122.01
82670 <1% 14 $116.35
82805 <1% 28 $104.99
84403 <1% 102 $94.20
P9612 Catheterization for collection of specimen, single patient, all places of service <1% 307 $92.32
88342 <1% 21 $83.51
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 169 $82.82
80329 <1% 191 $78.54
J2270 Injection, morphine sulfate, up to 10 mg <1% 299 $76.47
80069 <1% 108 $75.04
82248 <1% 258 $67.48
88312 <1% 320 $64.97
76801 <1% 46 $62.14
80197 <1% 38 $47.13
87480 <1% 89 $37.50
87660 <1% 91 $37.50
83615 <1% 402 $34.57
00811 <1% 27 $29.17
J1940 Injection, furosemide, up to 20 mg <1% 25 $24.81
86376 <1% 28 $19.37
84145 <1% 31 $16.28
00731 <1% 77 $14.49
J0780 Injection, prochlorperazine, up to 10 mg <1% 331 $12.39
87147 <1% 18 $10.44
86431 <1% 15 $9.48
82150 <1% 17 $8.85
82533 <1% 16 $8.10
84132 <1% 14 $3.13
85384 <1% 68 $2.38
64494 0% 17 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 0% 57 $0.00
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 0% 84 $0.00
J1790 Injection, droperidol, up to 5 mg 0% 212 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 0% 133 $0.00
00813 0% 118 $0.00
86308 0% 15 $0.00
80156 0% 20 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 48 $0.00
94762 0% 43 $0.00
J7510 Prednisolone oral, per 5 mg 0% 315 $0.00
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 0% 25 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 18 $0.00
00840 0% 67 $0.00
94664 0% 17 $0.00
88313 0% 105 $0.00
C1776 Joint device (implantable) 0% 32 $0.00
83516 0% 21 $0.00
C1876 Stent, non-coated/non-covered, with delivery system 0% 19 $0.00
84460 0% 13 $0.00
84450 0% 13 $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
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 SystemNorth Fort Myers, FL$192K
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.