Clinic
Lee Memorial Health System
Lee Memorial Health System was paid $928K by Medicaid between Jan 2018 and Oct 2024, across 24 billing codes. Its largest line is H1000, Prenatal care, at-risk assessment — 83% of everything it billed.
33Billing provider infoLEE MEMORIAL HEALTH SYSTEM
FORT MYERS, FL 33908
FORT MYERS, FL 33908
33aNPI1538607031assigned 02/03/2017
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$928K
24GClaims36,570
24DCodes billed24
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Florida
Rank by total paid#54 of 293
Median peer was paid$114K
This provider vs. median8.2×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 243 | $8K | |
| 2019 | 8,145 | $226K | |
| 2020 | 3,825 | $102K | |
| 2021 | 5,816 | $205K | |
| 2022 | 2,940 | $126K | |
| 2023 | 6,781 | $171K | |
| 2024incomplete | 8,820 | $90K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H1000 | Prenatal care, at-risk assessment | 83% | 13,992 | 12,097 | $775K |
| 59430 | 4.0% | 727 | 647 | $38K | |
| 59025 | Fetal non-stress test | 3.8% | 1,380 | 1,141 | $35K |
| 81003 | 3.0% | 8,821 | 7,894 | $28K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 622 | 578 | $20K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 1.5% | 298 | 192 | $14K |
| 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 | <1% | 130 | 116 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 131 | 115 | $4K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 41 | 39 | $3K |
| H0031 | Mental health assessment, by non-physician | <1% | 13 | 13 | $2K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 28 | 27 | $1K |
| 76801 | <1% | 29 | 26 | $1K |
12 more codes
| 85018 | <1% | 691 | $709.82 | |
| 81025 | <1% | 40 | $73.35 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 76 | $16.23 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 837 | $0.00 |
| 3078F | 0% | 1,356 | $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% | 426 | $0.00 |
| 1000F | 0% | 2,893 | $0.00 | |
| 3074F | 0% | 2,080 | $0.00 | |
| 1036F | 0% | 1,838 | $0.00 | |
| 3079F | 0% | 54 | $0.00 | |
| 36416 | 0% | 26 | $0.00 | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 0% | 41 | $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 (CFO)
| 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 |
| 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 | Cape Coral, FL | $177K |
| 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.