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 1992873319)

Lee Memorial Health System is a internal medicine physician provider located in Fort Myers, Florida. This profile covers 0 Medicare and 143 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Lee Memorial Health System
Address	9981 S Healthpark Dr
City	Fort Myers
State	FL
ZIP	33908
Taxonomy	Internal Medicine Physician
NPI Enumerated	December 1, 2006

Payer Source	Total Paid
Medicaid	$15.1M
Medicare	$0

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

143 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	59,150	$60	$3.7M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	50,640	$40	$1.8M
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.	26,890	$40	$1.1M
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.	17,060	$70	$1.1M
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.	11,290	$90	$1M
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	6,070	$160	$941.2K
H1000	Prenatal care, at-risk assessment	13,080	$50	$693K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	3,550	$130	$450.3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	12,900	$30	$387.1K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	4,920	$80	$378.5K

Showing 1–10 of 143

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 — 7 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

143 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	23	30	2,220	$350	$1.3M
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.	119	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.	159	740	2,180	$70	$1.1M
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.	144	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.	21	30	310	$720	$616.3K
H2019	Therapeutic behavioral services, per 15 minutes	761	1,880	1,010	$70	$544.5K
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.	56	320	1,970	$90	$463.1K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	50	80	230	$400	$331.4K
H1000	Prenatal care, at-risk assessment	67	610	1,580	$60	$329.2K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	47	90	320	$180	$307.9K

Showing 1–10 of 143

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lee Memorial Health System	FL	General Acute Care Hospital	$0	$97.7M
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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hope Hospice And Community Services Inc	FL	Community Based Hospice Care Agency	$0	$12.9M
Lee Memorial Health System	FL	Medically Fragile Infants and Children Day Care	$0	$7.4M
Syed Zafar	FL	Medical Oncology Physician	$6M	$0
Veronica Papavero	FL	Anatomic Pathology Physician	$3.7M	$0
Raymond Esper	FL	Medical Oncology Physician	$3M	$0
Francisco Rodriguez	FL	Medical Oncology Physician	$2.7M	$0
Alan Brown	FL	Radiation Oncology Physician	$2.2M	$0
Keith Miller	FL	Radiation Oncology Physician	$1.7M	$0
William Harwin	FL	Medical Oncology Physician	$1.5M	$0
Graciela Garton	FL	Radiation Oncology Physician	$1.2M	$0

Lee Memorial Health System — Billing Profile & Reimbursement Data

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Lee Memorial Health System — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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