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    Lee Memorial Health System — Billing Profile & Reimbursement Data

    NPI 1689236242 · Fort Myers, FL · Ambulatory Surgical Clinic/Center

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    Lee Memorial Health System is a ambulatory surgical clinic/center provider located in Fort Myers, Florida. This profile covers 16 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationLee Memorial Health System
    Address12631 Whitehall Dr
    CityFort Myers
    StateFL
    ZIP33907
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJuly 3, 2019

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$692.1K
    Medicaid$83.5K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…870$200$169.7K
    52310The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…200$600$119.6K
    55700Code deleted December 31, 2025.120$590$68K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…40$1,620$63.3K
    55875The provider, a urologist or oncologist, places needles or catheters into the prostate for separate placement of radioactive "seeds" to treat prostate cancer; needle or catheter placement may be done…40$1,580$60K
    C9740Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants10$5,340$58.8K
    52234The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder; he destroys…30$1,060$32.9K
    52281The provider uses a cystoscope to view inside the urethra and bladder of a male or female patient. The procedure must include calibrating or dilating a urethral stricture or stenosis. The procedure…40$600$22.8K
    52332The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…30$860$22.5K
    52235The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder; he destroys…20$1,060$18.1K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    C9740202030$5,230$193.3K
    5587511020$1,060$18K
    52000267080$160$17.4K
    505904411020$640$15.3K
    5223444020$600$12.6K
    522813210020$300$12.4K
    523561322020$530$11.7K
    52235257020$520$10.9K
    52351142020$570$9.2K
    557001032020$250$7.8K

    Showing 1–10 of 16

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…390$210$83.5K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Florida median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…22030$170$21.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lee Memorial Health SystemFLGeneral Acute Care Hospital$0$97.7M
    Lee Memorial Health SystemFLInternal Medicine Physician$0$15.1M
    Lee Memorial Health SystemFLGeneral Acute Care Hospital$0$11.1M
    Ronald GoodwichFLNuclear Medicine Physician$5.7M$0
    Juan BustilloFLRheumatology Physician$1.5M$0
    Stuart BobmanFLDiagnostic Radiology Physician$879.1K$0
    Haris TuralicFLCardiovascular Disease Physician$868.1K$0
    David GreschlerFLPain Medicine (Anesthesiology) Physician$861.6K$0
    Eric PressmanFLCardiovascular Disease Physician$795.2K$0
    Eugene MahaneyFLPain Medicine (Anesthesiology) Physician$735.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Resource Network Of Florida, LLCFLIn Home Supportive Care Agency$0$20.4M
    Unlimited Home Health Services CorpFLHome Health Agency$0$14.2M
    Physicians Primary Care Of Southwest Florida PlFLGeneral Practice Physician$0$14.2M
    Community Resource Network Of Florida, LLCFLIn Home Supportive Care Agency$0$13.3M
    Eleven Ash IncFLHome Health Agency$0$11.7M
    Alexander EatonFLRetina Specialist (Ophthalmology) Physician$9.7M$0
    Pediatric Services Of America, LLCFLNursing Care Agency$0$9.5M
    Hussein WafapoorFLRetina Specialist (Ophthalmology) Physician$8.1M$0
    Eye Specialists Laser & Surgery Center IncFLOphthalmologic Surgery Clinic/Center$1.9M$0
    Edward HumbertFLAdult Reconstructive Orthopaedic Surgery Physician$1.7M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Lee Memorial Health System — 5 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida
    Medicaid Revenue by Year vs. Florida Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Lee Memorial Health System — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida