Physician
Lee Memorial Health System
Lee Memorial Health System was paid $15.11M by Medicaid between Jan 2018 and Sep 2022, across 143 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoLEE MEMORIAL HEALTH SYSTEM
FORT MYERS, FL 33908
FORT MYERS, FL 33908
33aNPI1992873319assigned 12/01/2006
33bProvider typeAllergy & Immunology Physician
28Total paid$15.11M
24GClaims320,297
24DCodes billed143
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Allergy & Immunology Physician providers in Florida
Rank by total paid#2 of 62
Median peer was paid$71K
This provider vs. median213×
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 | |
|---|---|---|---|
| 2018 | 3,649 | $33K | |
| 2019 | 138,848 | $6.57M | |
| 2020 | 112,145 | $5.28M | |
| 2021 | 65,641 | $3.23M | |
| 2022 | 14 | $0.00 |
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 | 24% | 59,146 | 55,769 | $3.69M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 50,643 | 47,003 | $1.80M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 7.6% | 26,886 | 26,314 | $1.14M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 7.4% | 17,055 | 15,969 | $1.12M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 6.6% | 11,287 | 10,324 | $1.00M |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 6.2% | 6,072 | 5,925 | $942K |
| H1000 | Prenatal care, at-risk assessment | 4.6% | 13,075 | 11,487 | $698K |
| 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 | 3.0% | 3,546 | 3,436 | $449K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.6% | 12,902 | 4,579 | $387K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 4,915 | 4,790 | $377K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.0% | 3,632 | 3,499 | $302K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.7% | 8,409 | 8,337 | $256K |
131 more codes
| 99243 | 1.5% | 2,086 | $228K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.4% | 1,303 | $212K |
| 99205 | Prolong outpt/office vis | 1.4% | 1,343 | $206K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.2% | 1,926 | $178K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 1.2% | 4,424 | $178K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 2,762 | $142K |
| 99223 | Prolong inpt eval add15 m | <1% | 1,799 | $142K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 391 | $103K |
| 95117 | <1% | 7,725 | $100K | |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | <1% | 1,839 | $93K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 1,745 | $91K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 15,557 | $84K |
| 81003 | <1% | 18,100 | $69K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 496 | $69K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 623 | $68K |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | <1% | 150 | $65K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 2,197 | $60K |
| 99245 | <1% | 262 | $45K | |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 195 | $44K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,633 | $39K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 806 | $38K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 395 | $36K |
| 99460 | <1% | 1,361 | $35K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 323 | $34K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 210 | $30K |
| 90670 | <1% | 321 | $27K | |
| 95782 | <1% | 80 | $26K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 277 | $26K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 330 | $24K |
| 59430 | <1% | 199 | $23K | |
| 90686 | <1% | 706 | $22K | |
| 87428 | <1% | 1,564 | $21K | |
| 92015 | Determination of refractive state | <1% | 253 | $21K |
| 99242 | <1% | 251 | $21K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 93 | $20K |
| 95115 | <1% | 1,718 | $17K | |
| 90837 | Psychotherapy session, about an hour | <1% | 150 | $16K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 137 | $15K |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 63 | $15K |
| 93304 | <1% | 197 | $14K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,546 | $13K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 181 | $13K |
| 0012A | <1% | 708 | $12K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 377 | $11K |
| 54300 | <1% | 12 | $11K | |
| 96401 | <1% | 145 | $9K | |
| 99471 | <1% | 13 | $9K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,871 | $8K |
| 99254 | <1% | 96 | $8K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 143 | $8K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,093 | $8K |
| 0001A | <1% | 204 | $8K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 162 | $8K |
| 95816 | <1% | 54 | $7K | |
| 81025 | <1% | 404 | $7K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 340 | $6K |
| 0002A | <1% | 170 | $6K | |
| 95170 | <1% | 437 | $6K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 79 | $6K |
| 90685 | <1% | 181 | $6K | |
| 0011A | <1% | 311 | $5K | |
| 20610 | <1% | 170 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,312 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 63 | $5K |
| 76801 | <1% | 42 | $4K | |
| 93308 | <1% | 66 | $4K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 25 | $4K |
| 99157 | <1% | 88 | $3K | |
| 95951 | <1% | 21 | $3K | |
| 99236 | Prolong inpt eval add15 m | <1% | 14 | $3K |
| 82962 | <1% | 1,208 | $3K | |
| 99349 | <1% | 224 | $2K | |
| 59025 | Fetal non-stress test | <1% | 249 | $2K |
| 59514 | <1% | 14 | $2K | |
| 99155 | <1% | 16 | $2K | |
| 99217 | <1% | 12 | $2K | |
| 94010 | <1% | 458 | $2K | |
| 95911 | <1% | 15 | $2K | |
| 95910 | <1% | 16 | $2K | |
| 95886 | <1% | 337 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 638 | $1K |
| 90698 | <1% | 295 | $1K | |
| 64493 | <1% | 15 | $1K | |
| 93000 | <1% | 332 | $1K | |
| 93320 | <1% | 690 | $1K | |
| 99253 | <1% | 27 | $1K | |
| 94060 | <1% | 60 | $969.76 | |
| 80305 | <1% | 195 | $945.41 | |
| 93325 | <1% | 1,984 | $934.47 | |
| 90461 | <1% | 641 | $852.00 | |
| 0031A | <1% | 36 | $788.00 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 60 | $781.91 |
| 20611 | <1% | 16 | $728.94 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 38 | $670.01 |
| 93321 | <1% | 501 | $509.12 | |
| 99462 | <1% | 12 | $403.32 | |
| 45384 | <1% | 15 | $355.61 | |
| 85018 | <1% | 311 | $296.82 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 20 | $294.32 |
| 90715 | <1% | 35 | $273.34 | |
| 80053 | Comprehensive metabolic panel | <1% | 43 | $261.70 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 176 | $227.78 |
| 99442 | <1% | 12 | $197.68 | |
| 99316 | <1% | 19 | $183.46 | |
| 92551 | <1% | 1,085 | $181.80 | |
| 99307 | <1% | 109 | $177.59 | |
| 99188 | <1% | 65 | $143.28 | |
| 90680 | <1% | 131 | $96.02 | |
| 99406 | <1% | 29 | $89.67 | |
| 99173 | <1% | 262 | $84.82 | |
| 94727 | <1% | 75 | $81.18 | |
| 95251 | <1% | 62 | $70.51 | |
| 51798 | <1% | 58 | $44.03 | |
| 94760 | <1% | 122 | $42.97 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 14 | $39.63 |
| H2010 | Comprehensive medication services, per 15 minutes | <1% | 13 | $30.00 |
| 94729 | <1% | 89 | $21.18 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 245 | $0.00 |
| 36416 | 0% | 884 | $0.00 | |
| 91301 | 0% | 37 | $0.00 | |
| 64494 | 0% | 14 | $0.00 | |
| 96127 | 0% | 100 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 23 | $0.00 |
| 90744 | 0% | 12 | $0.00 | |
| 96415 | 0% | 14 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 51 | $0.00 |
| 96375 | Therapeutic injection; each additional sequential IV push | 0% | 28 | $0.00 |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 0% | 41 | $0.00 |
| 99177 | 0% | 97 | $0.00 | |
| H0031 | Mental health assessment, by non-physician | 0% | 15 | $0.00 |
| 99221 | 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 (CFO)
| Provider | Location | Paid |
|---|---|---|
| Lee Memorial Health System | Ft Myers, FL | $97.77M |
| 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 | Lehigh Acres, FL | $506K |
| 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.