Providers

JEREMY DAVID INGRAM, D.O.

NPI 1396946430, individual, Fort Myers, FL, Emergency Medicine

1
Evidence tier
documented action, then payment
  • Listed on the KY Medicaid exclusion list since February 15, 2023.
  • Medicaid still paid claims in 20 later months, $182,792 in total.
score 95 of 100, rank 114, $183K at stake

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

listidentity checkaction datewindow closedmonths paid afterfirstlastpaid after12 months before
KY Medicaid exclusion list
state list extracted from https://chfs.ky.gov/agencies/dms/dpi/pe/documents/kymedicaidterminationlist.xlsx (pandas claude colmap)
Exact NPI, name verifiedFeb 15, 2023still open20Mar 2023Oct 2024$183K$71K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameJEREMY DAVID INGRAM, D.O.
TypeIndividual
StatusActive
NPI issuedMay 29, 2007, last updated March 25, 2021
Practice location2776 CLEVELAND AVE, Fort Myers, FL 33901-5864, 239-343-2606
Mailing addressPO BOX 2147, Fort Myers, FL 33902-2147
Specialties
Emergency Medicine (207P00000X, primary, license OS10697 FL)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
G0257Medicaid service code$94K25%$812$35 (top 5% from $477)100th percentile
99285Emergency department visit with high level of medical decision making$83K22%$94$100 (top 5% from $264)43rd percentile
99283Emergency department visit with low level of medical decision making$81K22%$105$60 (top 5% from $193)76th percentile
99284Emergency department visit with moderate level of medical decision making$56K15%$85$86 (top 5% from $224)49th percentile
99282Emergency department visit with straightforward medical decision making$32K8%$121$71 (top 5% from $204)79th percentile
99291Critical care, first 30-74 minutes$16K4%$93$175 (top 5% from $536)15th percentile
G0381Medicaid service code$8K2%$117$119 (top 5% from $225)too few months to rank
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen$3K1%$57$44 (top 5% from $70)too few months to rank
Medicare Part B 2024, largest codes
codewhat it isservicesbeneficiariespaidsubmitted per serviceallowed per servicecharge to allowedusual for this code
99285Emergency department visit with high level of medical decision making482474$66K$653$1803.6x6.9x (90th percentile 11.7x)
99291Critical care, first 30-74 minutes343337$58K$834$2163.9x4.7x (90th percentile 10.0x)
99284Emergency department visit with moderate level of medical decision making163162$14K$443$1253.6x6.7x (90th percentile 11.3x)
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only673638$4K$32$84.0x6.0x (90th percentile 11.9x)
31500Emergent insertion of breathing tube into windpipe using an endoscope2727$3K$630$1474.3x3.4x (90th percentile 8.0x)
92960External shock to heart to regulate heart beat1212$876$411$1083.8x4.4x (90th percentile 8.9x)
99283Emergency department visit with low level of medical decision making1111$582$234$733.2x5.8x (90th percentile 10.9x)
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes2626$259$47$133.8x6.0x (90th percentile 17.2x)

A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.

In this area

29 providers in Lee County, FL carry an indicator in the public record, with $20.8M at stake between them. The most common is part of a provider network, on 14 of them, followed by more hours than a day holds on 13. 2 are tier 1: documented action, then payment.

tierproviderat stakewhy
1GOLD MEDICAL SUPPLY INC
Cape Coral, FL, ranked 218
$33K
  • Listed on the Medicare revocation list since November 10, 2020.
  • Medicaid still paid claims in 2 later months, $32,504 in total.
  • and 1 more
1SIMON GRINSHTEYN
Fort Myers, FL, ranked 619
$0
  • Adjudicated (pleaded guilty) per a Department of Justice release dated March 23, 2026.
  • No Medicaid payments in the last 12 observed months.
3CR & RA INVESTMENTS LLC
Fort Myers, FL, ranked 967
$2.2M
  • Part of provider network D1-00107, ranked 107 nationally.
3LEE MEMORIAL HOME HEALTH INC
Fort Myers, FL, ranked 1516
$14K
  • Part of provider network D1-00126, ranked 126 nationally.
3HOPE HOSPICE AND COMMUNITY SERVICES INC
Fort Myers, FL, ranked 1680
$558
  • Part of provider network D1-00126, ranked 126 nationally.
3DISCOVERY AT HOME LLC
Fort Myers, FL, ranked 1982
$0
  • Part of provider network D1-00090, ranked 90 nationally.
3KB HEALTH SOLUTIONS, LLC
Fort Myers, FL, ranked 2189
$0
  • Part of provider network D1-00136, ranked 136 nationally.
3PINNACLE HOME CARE OF SW FLORIDA, LLC
Fort Myers, FL, ranked 2545
$0
  • Part of provider network D1-00113, ranked 113 nationally.
All 29 in FL

Recent enforcement in FL

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJPleaded guiltyAug 14, 2026
Ocala Mental Health Counselor Pleads Guilty to Aggravated Identity Theft and Wire Fraud
Forsythe used the names and insurance policy information of 22 individuals without their consent to bill two health insurance companies for counseling services she had not provided.
DOJConvictedAug 12, 2026
Cuban National Convicted of Unlawfully Obtaining US Citizenship After Concealing Healthcare Fraud Scheme
Rodriguez concealed on her naturalization application her participation in a seven-year healthcare fraud conspiracy that resulted in approximately $4.6 million in fraudulent healthcare claims.
DOJCivil settlementAug 3, 2026
Medicare Advantage Provider Complete Health to Pay $14,100,000 to Settle False Claims Act Suit
Complete Health caused the submission of diagnosis codes within HCC 55 and HCC 59 that were not clinically valid, not supported by medical records, and/or not considered in the beneficiary's care, increasing Medicare Advantage risk-adjusted payments from which it received a percentage.
DOJCivil settlementJul 31, 2026
Two Additional Ophthalmology Practices Agree to Pay $2.3M to Resolve Allegations of Fraudulent Claims to Medicare and Medicaid for Cranial Ultrasounds
Two ophthalmology practices billed Medicare and Medicaid for medically unnecessary trans-cranial doppler ultrasounds premised on false diagnoses, with one practice receiving remuneration from a third-party testing company to refer patients for the tests.
DOJCivil settlementJul 31, 2026
Two Additional Ophthalmology Practices Agree to Pay $2.3M to Resolve Allegations of Fraudulent Claims to Medicare and Medicaid for Cranial Ultrasounds
Two ophthalmology practices billed Medicare and Medicaid for medically unnecessary trans-cranial doppler ultrasounds premised on false diagnoses and, as to Floral Park Ophthalmology, resulting from remuneration paid by a third-party testing company to induce referrals.

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

Ask this case

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