Clinic
Lee Memorial Health System
Lee Memorial Health System was paid $506K by Medicaid between Mar 2019 and Oct 2024, across 31 billing codes. Its largest line is H1000, Prenatal care, at-risk assessment — 34% of everything it billed.
33Billing provider infoLEE MEMORIAL HEALTH SYSTEM
LEHIGH ACRES, FL 33971
LEHIGH ACRES, FL 33971
33aNPI1750830600assigned 10/03/2016
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$506K
24GClaims23,632
24DCodes billed31
24AFirst – last monthMar 2019 – Oct 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Florida
Rank by total paid#74 of 293
Median peer was paid$114K
This provider vs. median4.5×
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 | |
|---|---|---|---|
| 2019 | 3,049 | $82K | |
| 2020 | 2,615 | $77K | |
| 2021 | 3,225 | $102K | |
| 2022 | 2,519 | $79K | |
| 2023 | 5,698 | $106K | |
| 2024incomplete | 6,526 | $59K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H1000 | Prenatal care, at-risk assessment | 34% | 4,101 | 3,211 | $171K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 5,143 | 4,448 | $157K |
| 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 | 27% | 3,141 | 2,705 | $139K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 200 | 180 | $13K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 87 | 87 | $7K |
| 81003 | <1% | 1,818 | 1,452 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 433 | 382 | $3K |
| 90670 | <1% | 97 | 96 | $3K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 47 | 38 | $2K |
| 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 | <1% | 14 | 13 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 49 | 48 | $1K |
| 82962 | <1% | 237 | 205 | $852.38 |
19 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 302 | $843.57 |
| 90686 | <1% | 91 | $808.88 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 127 | $751.86 |
| 0011A | <1% | 77 | $449.76 | |
| G0467 | Community health center visit, returning patient | <1% | 120 | $139.80 |
| 85018 | <1% | 29 | $26.45 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 533 | $25.28 |
| 90698 | <1% | 27 | $20.50 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 1,052 | $0.00 |
| 3078F | 0% | 945 | $0.00 | |
| 90461 | 0% | 27 | $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% | 75 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 16 | $0.00 |
| 90633 | 0% | 16 | $0.00 | |
| 1000F | 0% | 2,159 | $0.00 | |
| 3074F | 0% | 1,319 | $0.00 | |
| 1036F | 0% | 1,270 | $0.00 | |
| 3079F | 0% | 45 | $0.00 | |
| 36416 | 0% | 35 | $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 |
| Lee Memorial Health System | Fort Myers, FL | $928K |
| Access Medical South, LC | Fort Myers, FL | $856K |
| 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.