Clinic
Lee Memorial Health System
Lee Memorial Health System was paid $638K by Medicaid between Sep 2021 and Oct 2024, across 12 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 32% of everything it billed.
33Billing provider infoLEE MEMORIAL HEALTH SYSTEM
FORT MYERS, FL 33908
FORT MYERS, FL 33908
33aNPI1548840838assigned 04/10/2021
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$638K
24GClaims13,106
24DCodes billed12
24AFirst – last monthSep 2021 – Oct 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Florida
Rank by total paid#67 of 293
Median peer was paid$114K
This provider vs. median5.6×
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
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 | |
|---|---|---|---|
| 2021 | 414 | $21K | |
| 2022 | 2,132 | $127K | |
| 2023 | 4,321 | $323K | |
| 2024incomplete | 6,239 | $167K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 32% | 1,985 | 1,912 | $203K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 3,634 | 3,544 | $166K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 11% | 510 | 481 | $69K |
| 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 | 9.6% | 946 | 913 | $61K |
| 99243 | 9.2% | 1,000 | 958 | $59K | |
| 31231 | 6.4% | 233 | 208 | $41K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 3.0% | 212 | 204 | $19K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 511 | 503 | $16K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 98 | 93 | $5K |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 2,558 | 2,432 | $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% | 1,268 | 1,185 | $0.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 151 | 144 | $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)
| Provider | Location | Paid |
|---|---|---|
| Lee Memorial Health System | Fort Myers, FL | $148K |
| Lee Memorial Health System | Fort Myers, FL | $62K |
| Lee Memorial Health System | Fort Myers, FL | $28K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.