JEREMY DAVID INGRAM, D.O.
NPI 1396946430, individual, Fort Myers, FL, Emergency Medicine
- Listed on the KY Medicaid exclusion list since February 15, 2023.
- Medicaid still paid claims in 20 later months, $182,792 in total.
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.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 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 verified | Feb 15, 2023 | still open | 20 | Mar 2023 | Oct 2024 | $183K | $71K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JEREMY DAVID INGRAM, D.O. |
| Type | Individual |
| Status | Active |
| NPI issued | May 29, 2007, last updated March 25, 2021 |
| Practice location | 2776 CLEVELAND AVE, Fort Myers, FL 33901-5864, 239-343-2606 |
| Mailing address | PO 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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| G0257 | Medicaid service code | $94K | 25% | $812 | $35 (top 5% from $477) | 100th percentile | |
| 99285 | Emergency department visit with high level of medical decision making | $83K | 22% | $94 | $100 (top 5% from $264) | 43rd percentile | |
| 99283 | Emergency department visit with low level of medical decision making | $81K | 22% | $105 | $60 (top 5% from $193) | 76th percentile | |
| 99284 | Emergency department visit with moderate level of medical decision making | $56K | 15% | $85 | $86 (top 5% from $224) | 49th percentile | |
| 99282 | Emergency department visit with straightforward medical decision making | $32K | 8% | $121 | $71 (top 5% from $204) | 79th percentile | |
| 99291 | Critical care, first 30-74 minutes | $16K | 4% | $93 | $175 (top 5% from $536) | 15th percentile | |
| G0381 | Medicaid service code | $8K | 2% | $117 | $119 (top 5% from $225) | too few months to rank | |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | $3K | 1% | $57 | $44 (top 5% from $70) | too few months to rank |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 482 | 474 | $66K | $653 | $180 | 3.6x | 6.9x (90th percentile 11.7x) |
| 99291 | Critical care, first 30-74 minutes | 343 | 337 | $58K | $834 | $216 | 3.9x | 4.7x (90th percentile 10.0x) |
| 99284 | Emergency department visit with moderate level of medical decision making | 163 | 162 | $14K | $443 | $125 | 3.6x | 6.7x (90th percentile 11.3x) |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 673 | 638 | $4K | $32 | $8 | 4.0x | 6.0x (90th percentile 11.9x) |
| 31500 | Emergent insertion of breathing tube into windpipe using an endoscope | 27 | 27 | $3K | $630 | $147 | 4.3x | 3.4x (90th percentile 8.0x) |
| 92960 | External shock to heart to regulate heart beat | 12 | 12 | $876 | $411 | $108 | 3.8x | 4.4x (90th percentile 8.9x) |
| 99283 | Emergency department visit with low level of medical decision making | 11 | 11 | $582 | $234 | $73 | 3.2x | 5.8x (90th percentile 10.9x) |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 26 | 26 | $259 | $47 | $13 | 3.8x | 6.0x (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.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | GOLD MEDICAL SUPPLY INC Cape Coral, FL, ranked 218 | $33K |
|
| 1 | SIMON GRINSHTEYN Fort Myers, FL, ranked 619 | $0 |
|
| 3 | CR & RA INVESTMENTS LLC Fort Myers, FL, ranked 967 | $2.2M |
|
| 3 | LEE MEMORIAL HOME HEALTH INC Fort Myers, FL, ranked 1516 | $14K |
|
| 3 | HOPE HOSPICE AND COMMUNITY SERVICES INC Fort Myers, FL, ranked 1680 | $558 |
|
| 3 | DISCOVERY AT HOME LLC Fort Myers, FL, ranked 1982 | $0 |
|
| 3 | KB HEALTH SOLUTIONS, LLC Fort Myers, FL, ranked 2189 | $0 |
|
| 3 | PINNACLE HOME CARE OF SW FLORIDA, LLC Fort Myers, FL, ranked 2545 | $0 |
|
Recent enforcement in FL
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
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.