LEE MEMORIAL HEALTH SYSTEM
NPI: 1841496460
· FORT MYERS, FL 33908
· Medically Fragile Infants and Children Day Care
· NPI assigned 06/21/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1025 with only 2 total codes billed. Highly concentrated billing profile.
$7.45M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,859 |
$920K |
| 2019 |
2,096 |
$1.14M |
| 2020 |
1,819 |
$985K |
| 2021 |
1,839 |
$977K |
| 2022 |
4,898 |
$1.04M |
| 2023 |
5,245 |
$1.31M |
| 2024 |
4,263 |
$1.07M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1025 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem |
22,005 |
2,668 |
$7.45M |
| T1026 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour |
14 |
12 |
$1K |