Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Lee Memorial Health System

Lee Memorial Health System was paid $11.06M by Medicaid between Jan 2018 and Oct 2024, across 224 billing codes. Its largest line is G0257, Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility — 15% of everything it billed.

33Billing provider infoLEE MEMORIAL HEALTH SYSTEM
FORT MYERS, FL 33912
33aNPI1982658407assigned 05/20/2006
28Total paid$11.06M
24GClaims491,374
24DCodes billed224
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other General Acute Care Hospital providers in Florida

Rank by total paid#46 of 163
Median peer was paid$4.77M
This provider vs. median2.3×

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

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
201840,558$705K
201989,767$1.47M
202082,845$1.50M
2021118,872$2.58M
2022119,681$3.37M
202336,074$1.32M
2024incomplete3,577$113K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 15% 4,429 724 $1.61M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 12% 21,512 15,729 $1.37M
99282 Emergency department visit for the evaluation and management, low to moderate severity 5.2% 8,608 7,536 $574K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4.4% 5,305 4,366 $489K
G0381 Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 4.2% 7,859 7,276 $464K
74176 Computed tomography, abdomen and pelvis; without contrast material 4.2% 3,775 3,265 $460K
74177 Computed tomography, abdomen and pelvis; with contrast material 4.1% 2,519 2,215 $451K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 3.4% 7,950 5,591 $373K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3.0% 13,143 10,631 $327K
70450 Computed tomography, head or brain; without contrast material 2.9% 5,007 4,067 $324K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2.6% 4,173 3,422 $284K
G0378 Hospital observation service, per hour 2.4% 8,655 4,240 $270K
212 more codes
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2.4% 1,075 $269K
G0382 Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 2.0% 3,507 $221K
36415 Collection of venous blood by venipuncture 1.8% 5,920 $202K
99285 Emergency room visit (most serious) 1.8% 2,936 $199K
71275 Computed tomographic angiography, chest, with contrast material 1.5% 1,322 $171K
80053 Comprehensive metabolic panel 1.5% 35,129 $167K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.2% 1,565 $131K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1.2% 2,335 $128K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.2% 7,218 $127K
G0380 Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 1.1% 2,375 $118K
72125 Computed tomography, cervical spine; without contrast material <1% 1,219 $110K
96375 Therapeutic injection; each additional sequential IV push <1% 9,409 $94K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,446 $88K
82962 <1% 11,625 $84K
84484 <1% 12,693 $78K
71046 Radiologic examination, chest; 2 views <1% 5,983 $68K
85027 <1% 9,254 $53K
86850 <1% 1,995 $53K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,283 $53K
81025 <1% 9,661 $52K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 98 $50K
96361 Intravenous infusion, hydration; each additional hour <1% 1,342 $49K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 34,383 $49K
80048 Basic metabolic panel (calcium, ionized) <1% 6,769 $46K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 643 $43K
J7030 Infusion, normal saline solution , 1000 cc <1% 1,018 $42K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,670 $42K
85610 <1% 13,691 $41K
71045 Radiologic examination, chest; single view <1% 9,674 $41K
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units <1% 295 $38K
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) <1% 1,652 $37K
87088 <1% 6,876 $37K
81001 <1% 12,943 $35K
96376 <1% 4,215 $32K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 113 $32K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 979 $32K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 14,627 $30K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 5,074 $29K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 3,876 $28K
85730 <1% 5,249 $28K
J1644 Injection, heparin sodium, per 1000 units <1% 6,382 $27K
84702 <1% 1,927 $26K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,454 $25K
73562 <1% 633 $24K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 9,823 $23K
83735 <1% 5,869 $22K
J0690 Injection, cefazolin sodium, 500 mg <1% 3,101 $21K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,114 $20K
J1815 Injection, insulin, per 5 units <1% 3,979 $20K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,640 $20K
81003 <1% 4,100 $19K
73630 <1% 336 $19K
72131 <1% 415 $18K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 2,978 $17K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 447 $17K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 156 $17K
73610 <1% 313 $16K
93975 <1% 775 $15K
80061 Lipid panel <1% 2,192 $15K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,881 $14K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 404 $14K
73030 <1% 461 $14K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 809 $14K
G0383 Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 233 $14K
86900 <1% 2,280 $13K
70498 <1% 44 $13K
83880 <1% 2,514 $13K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 401 $13K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 642 $12K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 215 $12K
99152 <1% 1,541 $12K
J2704 Injection, propofol, 10 mg <1% 4,461 $11K
93971 <1% 541 $11K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 1,810 $10K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 2,416 $9K
99153 Mod sedat endo service >5yrs <1% 998 $9K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 43 $9K
84443 Thyroid stimulating hormone (TSH) <1% 2,060 $8K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 47 $7K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,535 $7K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 280 $7K
J1170 Injection, hydromorphone, up to 4 mg <1% 2,765 $7K
73130 <1% 148 $7K
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 1,289 $7K
C1769 Guide wire <1% 507 $7K
76801 <1% 1,216 $7K
C1776 Joint device (implantable) <1% 21 $6K
86901 <1% 2,407 $6K
83036 Hemoglobin; glycosylated (A1C) <1% 1,861 $6K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 153 $6K
97162 <1% 232 $6K
84703 <1% 1,594 $5K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 639 $5K
84100 <1% 2,042 $5K
59025 Fetal non-stress test <1% 162 $5K
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 2,574 $5K
83690 <1% 7,383 $5K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 2,600 $5K
93017 <1% 246 $4K
J1650 Injection, enoxaparin sodium, 10 mg <1% 2,823 $4K
J2270 Injection, morphine sulfate, up to 10 mg <1% 230 $4K
0100U <1% 61 $4K
99213 Doctor's office visit, returning patient (routine) <1% 38 $4K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 416 $4K
94060 <1% 38 $3K
85379 <1% 2,379 $3K
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 856 $3K
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 72 $3K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 151 $3K
J2550 Injection, promethazine hcl, up to 50 mg <1% 1,930 $3K
82565 <1% 107 $3K
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 55 $3K
87186 <1% 1,905 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 6,402 $2K
87070 <1% 314 $2K
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 378 $2K
76830 Ultrasound, transvaginal <1% 491 $2K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) <1% 38 $2K
80320 <1% 800 $2K
74018 <1% 142 $2K
73110 <1% 48 $2K
72100 <1% 30 $2K
87077 <1% 1,245 $2K
87205 <1% 337 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,112 $2K
J0360 Injection, hydralazine hcl, up to 20 mg <1% 417 $2K
84145 <1% 399 $1K
76819 Fetal biophysical profile; without non-stress testing <1% 48 $1K
C9290 Injection, bupivacaine liposome, 1 mg <1% 537 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 15 $1K
99203 Doctor's office visit, new patient (routine) <1% 13 $1K
J2785 Injection, regadenoson, 0.1 mg <1% 53 $1K
88312 <1% 679 $1K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 455 $1K
83605 <1% 994 $1K
87486 <1% 447 $1K
87581 <1% 447 $1K
90715 <1% 112 $1K
87807 <1% 12 $1K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 939 $1K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 195 $1K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography <1% 16 $1K
87040 <1% 629 $977.39
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 86 $972.79
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 850 $970.96
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,312 $872.57
70551 Magnetic resonance imaging, brain; without contrast material <1% 14 $870.13
72128 <1% 168 $814.99
87081 <1% 595 $810.12
88304 <1% 87 $807.22
73502 <1% 71 $792.94
93458 <1% 36 $762.13
70486 <1% 33 $730.55
82728 <1% 109 $728.98
85007 <1% 1,076 $722.65
70496 <1% 35 $703.75
87210 <1% 617 $660.44
71250 <1% 35 $537.85
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 699 $523.11
82550 <1% 667 $510.43
J3480 Injection, potassium chloride, per 2 meq <1% 55 $493.93
83540 <1% 282 $422.70
J2060 Injection, lorazepam, 2 mg <1% 1,077 $406.75
84132 <1% 84 $403.73
82805 <1% 41 $393.91
85652 <1% 149 $348.09
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 525 $315.24
90686 <1% 14 $309.95
88313 <1% 61 $309.34
82607 <1% 299 $292.89
00731 <1% 452 $259.41
82746 <1% 65 $250.00
00813 <1% 299 $229.94
87507 <1% 32 $223.38
83550 <1% 258 $213.70
96368 <1% 94 $177.33
51701 <1% 199 $175.84
29530 <1% 13 $90.00
P9612 Catheterization for collection of specimen, single patient, all places of service <1% 83 $90.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 250 $80.79
94729 <1% 85 $65.45
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 139 $45.69
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 14 $40.67
86140 <1% 171 $34.62
88307 <1% 35 $24.80
82330 <1% 106 $20.38
J1756 Injection, iron sucrose, 1 mg <1% 112 $12.71
83615 <1% 46 $2.95
94727 0% 34 $0.00
83970 0% 114 $0.00
J1953 Injection, levetiracetam, 10 mg 0% 13 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 380 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 0% 38 $0.00
00840 0% 81 $0.00
29125 0% 55 $0.00
C1876 Stent, non-coated/non-covered, with delivery system 0% 43 $0.00
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 0% 30 $0.00
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml 0% 109 $0.00
82248 0% 15 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 23 $0.00
96367 0% 19 $0.00
85384 0% 23 $0.00
84550 0% 24 $0.00
J7510 Prednisolone oral, per 5 mg 0% 12 $0.00
J1270 Injection, doxercalciferol, 1 mcg 0% 548 $0.00
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 0% 62 $0.00
88342 0% 44 $0.00
80329 0% 70 $0.00
97166 0% 18 $0.00
80069 0% 91 $0.00
00790 0% 16 $0.00
87147 0% 16 $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 (CHEIF FINANCIAL OFFICER)
Same official

Other billing entities under SPENCE, BENJAMIN

Full network →
ProviderLocationPaid
Lee Memorial Health SystemFt Myers, FL$97.77M
Lee Memorial Health SystemFort Myers, FL$15.11M
Cape Memorial Hospital INCCape Coral, FL$13.77M
Lee Memorial Health SystemFort Myers, FL$1.60M
Lee Memorial Health SystemLehigh Acres, FL$1.25M
Lee Memorial Health SystemFort Myers, FL$928K
Access Medical South, LCFort Myers, FL$856K
Lee Memorial Health SystemLehigh Acres, FL$506K
Lee Memorial Health SystemFort Myers, FL$333K
Lee Memorial Health SystemNorth Fort Myers, FL$192K
Lee Memorial Health SystemCape Coral, FL$177K
Lee Memorial Health SystemFort Myers, FL$171K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.