Clinic
Lee Memorial Health System
Lee Memorial Health System was paid $554K by Medicaid between Sep 2020 and Oct 2024, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoLEE MEMORIAL HEALTH SYSTEM
PORT CHARLOTTE, FL 33952
PORT CHARLOTTE, FL 33952
33aNPI1902425028assigned 04/09/2020
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$554K
24GClaims20,167
24DCodes billed36
24AFirst – last monthSep 2020 – Oct 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Florida
Rank by total paid#71 of 293
Median peer was paid$114K
This provider vs. median4.9×
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 NIEBERGALL, JOSEPH controls 20+ 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 | |
|---|---|---|---|
| 2020 | 485 | $15K | |
| 2021 | 4,146 | $118K | |
| 2022 | 5,590 | $176K | |
| 2023 | 7,504 | $211K | |
| 2024incomplete | 2,442 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 28% | 3,116 | 2,780 | $156K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 4,283 | 3,876 | $147K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 802 | 757 | $59K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.0% | 718 | 691 | $50K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.3% | 598 | 591 | $46K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.1% | 2,164 | 2,048 | $34K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 245 | 240 | $19K |
| 87428 | 2.4% | 591 | 540 | $13K | |
| 99188 | 1.2% | 771 | 732 | $7K | |
| 90461 | <1% | 1,470 | 1,293 | $5K | |
| 90671 | <1% | 229 | 206 | $5K | |
| 90670 | <1% | 391 | 381 | $4K |
24 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 258 | $2K |
| 90686 | <1% | 521 | $2K | |
| 85018 | <1% | 648 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 209 | $1K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 126 | $1K |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 61 | $829.02 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 25 | $333.60 |
| 90680 | <1% | 195 | $212.54 | |
| 90620 | <1% | 14 | $174.42 | |
| 92567 | <1% | 15 | $121.10 | |
| 99173 | <1% | 226 | $82.70 | |
| 87807 | <1% | 14 | $60.06 | |
| 90698 | <1% | 146 | $52.50 | |
| 90651 | 0% | 75 | $0.00 | |
| 36416 | 0% | 91 | $0.00 | |
| 90697 | 0% | 140 | $0.00 | |
| 90619 | 0% | 14 | $0.00 | |
| 92551 | 0% | 248 | $0.00 | |
| 3074F | 0% | 148 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 191 | $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% | 497 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 599 | $0.00 |
| 90633 | 0% | 174 | $0.00 | |
| 3078F | 0% | 154 | $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 officialNIEBERGALL, JOSEPH (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Lee Memorial Health System | Fort Myers, FL | $1.32M |
| Lee Memorial Health System | Fort Myers, FL | $1.15M |
| Lee Memorial Health System | Fort Myers, FL | $740K |
| Lee Memorial Health System | Cape Coral, FL | $733K |
| Lee Memorial Health System | Fort Myers, FL | $441K |
| Lee Memorial Health System | Port Charlotte, FL | $261K |
| Lee Memorial Health System | Naples, FL | $224K |
| Lee Memorial Health System | Estero, FL | $192K |
| Lee Memorial Health System | Fort Myers, FL | $137K |
| Lee Memorial Health System | Fort Myers, FL | $114K |
| Lee Memorial Health System | Estero, FL | $107K |
| Lee Memorial Health System | Lehigh Acres, FL | $107K |
| Lee Memorial Health System | Fort Myers, FL | $84K |
| Lee Memorial Health System | Fort Myers, FL | $72K |
| Lee Memorial Health System | Fort Myers, FL | $61K |
| Lee Memorial Health System | Fort Myers, FL | $56K |
| Lee Memorial Health System | Fort Myers, FL | $50K |
| Lee Memorial Health System | Fort Myers, FL | $35K |
| Lee Memorial Health System | Fort Myers, FL | $15K |
| Lee Memorial Health System | Fort Myers, FL | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.