Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Florida for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Florida only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Florida (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Lee Memorial Health System (NPI 1558302570)

Field	Value
Entity Type	Organization
Organization	Lee Memorial Health System
Address	2776 Cleveland Ave
City	Ft Myers
State	FL
ZIP	33901
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 9, 2006

Payer Source	Total Paid
Medicaid	$97.7M
Medicare	$0

Key Findings

LEE MEMORIAL HEALTH SYSTEM reports $97.7M in lifetime Medicaid revenue and has no Medicare billing on file, making its documented activity effectively single‑payer (Medicaid) in scale. This concentration of reported revenue with Medicaid suggests analyses of this provider should focus on Medicaid utilization, reimbursement rates, and state-level contracting dynamics rather than Medicare performance benchmarks.

The top three Medicaid codes — 99283 ($10.5M), 99282 ($9.1M), and 92507 ($8.7M) — together account for 41.6% of the provider's total Medicaid revenue, indicating a high revenue concentration in a small set of services. This degree of concentration creates sensitivity to changes in emergency department utilization patterns and outpatient therapy/language services or to state policy changes affecting those codes.

The code mix is strongly weighted toward emergency department evaluation and management (99282, 99283, 99284, 99285, 99281) and outpatient clinic visits (G0463), together with substantial volumes in rehabilitation/therapy codes (97110, 97530) and infusion/IV administration codes (96365, 96360, 96361, 96374). Operationally, this pattern is consistent with a high-throughput acute care hospital that combines a busy ED, robust outpatient therapy/rehabilitation services, and significant infusion or procedure throughput.

LEE Memorial is a dominant in‑state volume performer on several Medicaid codes: 99282 ranks #2 of 315 (100th percentile; extreme outlier), 99283 ranks #19 of 701 (97th percentile; notably above typical), 92507 ranks #18 of 2245 (99th percentile; extreme outlier), and 96365 ranks #3 of 232 (99th percentile; extreme outlier). These high ranks indicate the hospital is a major statewide provider for routine ED care, speech/hearing services, and initial IV infusions billed to Medicaid.

Beyond ED and therapy, the provider shows in-house diagnostic and service breadth: a PLA respiratory panel 0202U (15.4K claims, $1.4M) ranks #4 of 94 (97th percentile; notably above typical), and imaging and sleep services such as 74177 (CT abdomen/pelvis) and 95810 (polysomnography) also appear in the top codes. This supports the interpretation of on-site lab and advanced diagnostic capacity that complements acute and outpatient care lines.

Several high‑volume therapy and procedure codes are labeled as extreme outliers or notably above typical state volume (e.g., 97110 rank #6 of 2099, 100th percentile; 96365 rank #3 of 232, 99th percentile). These statistical characterizations suggest the provider is well above typical state peers in delivering rehabilitative, infusion, and certain procedural services to Medicaid patients, which may reflect system-level specialization or catchment-area demand.

Revenue mix and code-level detail point to operational priorities: high claim counts for 99283 (106.8K claims), 99282 (77.5K claims), and 92507 (77.3K claims) indicate exceptionally large patient volumes in relatively lower- to mid-acuity ED visits and speech/hearing evaluations. For payer/provider analysts, the combination of very high claim volumes and concentrated revenue should prompt examination of throughput, staffing, and capacity planning in ED and outpatient therapy clinics.

LEE MEMORIAL HEALTH SYSTEM's NPI was enumerated on 2006-06-09 (~20 years ago), indicating long-established participation in the provider network. Given its long tenure and the statewide leading percentiles across multiple Medicaid codes, the hospital should be considered a major Medicaid market presence in Florida for emergency, therapy, infusion, and diagnostic services.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

594 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	106,750	$100	$10.5M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	77,490	$120	$9.1M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	77,250	$110	$8.7M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	81,550	$70	$6M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	69,790	$70	$5.1M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	48,160	$80	$4M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	34,560	$90	$3M
J7030	Infusion, normal saline solution , 1000 cc	18,220	$120	$2.1M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	18,470	$110	$2M
99281	The provider sees a patient for the lowest level emergency department visit.	16,840	$100	$1.6M

Showing 1–10 of 594

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.

Claims Volume vs. Florida Distribution

Lee Memorial Health System — 15 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. Florida median

594 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	19	700	2,400	$80	$1.2M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	76	740	2,180	$70	$1.1M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	13	10	710	$850	$915.3K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	143	660	1,900	$70	$743.6K
95782	A patient under the age of 6 undergoes an attended sleep study with identification of sleep levels and at least four additional sleep parameters.	7	30	310	$720	$616.3K
81229	The lab analyst performs the technical lab test using comparative genomic hybridization (CGH) microarray, also referred to as chromosomal microarray (CMA) or molecular karyotype performed by…	6	10	680	$270	$506.2K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	2	320	1,970	$90	$463.1K
86003	The lab analyst performs the technical lab test to analyze a specimen such as serum for allergen–specific immunoglobulin E (IgE), using a crude allergen extract. The test result is quantitative or…	13	20	620	$30	$423.4K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	41	40	400	$460	$395.7K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	16	60	100	$710	$379K

Showing 1–10 of 594

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lee Memorial Health System, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lee Memorial Health System	FL	Internal Medicine Physician	$0	$15.1M
Cape Memorial Hospital Inc	FL	General Acute Care Hospital	$0	$13.8M
Lee Memorial Health System	FL	General Acute Care Hospital	$0	$11.1M
Ronald Goodwich	FL	Nuclear Medicine Physician	$5.7M	$0
Cedar Valley Pathologists PC	IA	Clinical Pathology/Laboratory Medicine Physician	$0	$1.8M
Juan Bustillo	FL	Rheumatology Physician	$1.5M	$0
Stuart Bobman	FL	Diagnostic Radiology Physician	$879.1K	$0
Haris Turalic	FL	Cardiovascular Disease Physician	$868.1K	$0
David Greschler	FL	Pain Medicine (Anesthesiology) Physician	$861.6K	$0
Eric Pressman	FL	Cardiovascular Disease Physician	$795.2K	$0

Nearby Providers

Other providers in the same ZIP code as Lee Memorial Health System, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Loving Hands Home Health Agency, Inc.	FL	Home Health Agency	$0	$51.4M
A1 America Home Health Agency, Inc.	FL	Home Health Agency	$0	$24.2M
County Of Lee-office Of County Comm	FL	Ambulance	$7.1M	$6.4M
Ryan Olson	FL	Anatomic Pathology & Clinical Pathology Physician	$12.8M	$80
Family Health Centers Of Southwest Florida Inc	FL	Federally Qualified Health Center (FQHC)	$0	$11.3M
Nursing Alliance Home Care West Coast Inc	FL	Home Health Agency	$0	$10.7M
Physicians Surgery Center LLC	FL	Ambulatory Surgical Clinic/Center	$2.5M	$0
Josiah Magnusson	FL	Nuclear Medicine Physician	$1.8M	$0
Surgicare Center LLC	FL	Ambulatory Surgical Clinic/Center	$306.4K	$541.2K
Edward Danehy	FL	Diagnostic Radiology Physician	$695.2K	$0

Lee Memorial Health System — Billing Profile & Reimbursement Data

Sign up for Lee Memorial Health System — Billing Profile & Reimbursement Data policy alerts

Lee Memorial Health System — Billing Profile & Reimbursement Data

Sign up for Lee Memorial Health System — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References